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primary healthcare of chronic clients


Select a patient that you have encountered in your clinical practice with a chronic health problem.
Interview the client/family members.
Include the following information
Setting: Community clinic, Private practice, Skilled nursing facility, Home health
Clinical information:
Chief complaint, HPI, PMH, PSH, FH, ROS, PE, Diagnostic Testing, Medical Decision Making, Diagnosis/Clinical Impression, Plan/Interventions, Recommendations, Education, Health promotion
Ask your client/family members on areas of:
Dependency with families/support systems
Self-care management
Adaptation/adjustment to the illness
Social Isolation
Body Image
Cultural, racial, ethnicity, and spirituality Influences
Functional Limitations
Quality of Life
Adherence to regimen
Community Services or support
Financial support
Use of Research Findings and other evidence in Clinical Decision Making
Choose 2 EBP resources influencing the care provided to your client. Discuss the similarities and differences that you read for those two EBP peer reviewed articles.
Submit scholarly paper, with writing style at the graduate level, including all of the following:
Reviews topic and explains rationale for its selection in the context of client care.
Evaluates key concepts related to the topic.
Describes multiple viewpoints if this is a controversial issue or one for which there are no clear guidelines.
Assesses the merit of evidence found on this topic i.e. soundness of research
Evaluates current EBM guidelines, if available. Or, recommends what these guidelines should be based on available research.  Discuss the Standardized Procedure for this diagnosis.
Discusses how the evidence did impact/would impact practice. What should be done differently based on the knowledge gained?
Consider cultural, spiritual, and socioeconomic issues as applicable.

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