Noah Caputo Dermatology School Age Sick Visit Shadow Health Care Plan

Noah Caputo Dermatology School Age Sick Visit Shadow Health Care Plan

Treatment Plan: 20 of 21 (95.24%)
Problem Selection:
12 out of 13

Primary Diagnosis: Allergic contact dermatitis, plants

Evidences:
– Exposure to wooded areas
– Itchiness
– Not wearing long pants or covered shoes
– Vesicles or blisters

Score: 8 out of 8

Diagnosis: Insect bites, nonvenomous
Primary: Yes

Evidences:
– Exposure to animals
– Exposure to wooded areas
– Itchiness
– Macular bumps with erythema
– Not wearing long pants or covered shoes
– Papular bumps with erythema

Model Rationale:
“Insect bites, nonvenomous” is the most appropriate primary diagnosis for Noah Caputo given the evidences of exposure to animals, exposure to wooded areas, itchiness, macular bumps with erythema, not wearing long pants or covered shoes, and papular bumps with erythema. Given the onset, duration, location, as well as situational factors of Noah’s dermatological presentation you can rule out any venomous bites or other dermatological concerns at this time. The specific insect in question cannot be determined without direct observation or patient confirmation. Since Noah cannot provide any evidence for a particular insect encounter, the type of insect is ambiguous; however, the likely insects are fleas or mosquitoes. Additionally, there are no signs or symptoms of a secondary infection or any insect-borne illness at this time. You should proceed by treating the dermatological signs and symptoms. Reference: Powers, J., & McDowell, R. H. (2021). Insect bites. StatPearls Publishing LLC.

Additional Diagnosis: Child neglect or abandonment, suspected

Evidences:
– Behavioral changes
– Extended periods of time without adult supervision

In your own words, state your reason for the call and provide your name, role, practice, location, and a contact phone number. Then, click Submit to continue.

Learner Response:
My name is nurse Tupusheva, I would like to report a suspected case of child neglect in one of our patients who was brought in by his uncle. The child reports that his parents are hardly at home due to work and is left at home to care for himself.

Model Response:
I am (name/role/practice/location/contact information) and I am calling to report a case of suspected neglect with a minor.

In your professional opinion, is Noah in any immediate harm or danger that requires him to be removed from his current situation?

Learner Response:
Noah seems to be in an immediate danger as he is always left alone without supervision. He should be removed from his current situation.

Model Response:
No, I do not believe he is at risk for immediate harm or danger.

Ok, understood. Now I am going to ask you more detailed questions about the situation. Please identify whether evidence was observed directly or gathered secondhand. Secondhand information should be acknowledged as such.

What evidence have you gathered regarding Noah Caputo’s lack of supervision?

Walden NRNP and NRNP /PRAC Courses

Learner Response:
He showers once a week, he sometimes sleeps hungry, and wears dirty clothes.

Model Response:
Noah Caputo reports that he goes to his neighbor Roger’s house after school and that he often returns home after dark. Dustin Caputo reports that it “seems like he doesn’t have appropriate supervision” and that he “is mostly left to his own devices.” Noah reports that he spends time outside with Roger’s dog and that when he’s at Roger’s house he “barely sees Roger’s parents because they tell us to play outside.” Noah reports that both his parents work late into the night, and that he is home alone and puts himself to bed most nights. He reports that his parents are usually still asleep when he gets himself up for school. Noah repeatedly said that he gets to stay home alone at night because he’s responsible. Noah also reported that he gets scared at night when he’s home alone because he watches scary movies. He reports leaving the lights on at night because he’s scared.

What evidence have you gathered regarding Noah Caputo’s unmet physical and medical needs?

Learner Response:
Noah reports that sometimes he skips his meals, wears dirty clothes, and feels lonely at night. His uncle also reported that Noah was caught stealing at the school cafeteria.