IHP 310 7-3 Final Project Submission: Patient Record Analysis Your final project for this course will be a patient record analysis

IHP 310 7-3 Final Project Submission: Patient Record Analysis

Your final project for this course will be a patient record analysis. You will apply the knowledge of anatomy, physiology, and pharmacology that you have

developed during this course in a thorough review of existing patient information. Specifically, you will review a patient’s history and a discharge chart from a

recent physician visit, explaining the reasons behind diagnosis or (diagnoses) based on documented symptoms. You will also cite any inconsistencies or concerns

and discuss potential and current treatments, all in preparation for your future coding practices. It may seem unnecessary to learn so much about

pathophysiology and pharmacology for a career in health information management, but such knowledge is essential in ensuring the accuracy of patient records,

coding, and billing.

The project is divided into two milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final

submissions. These milestones will be submitted in Modules Three and Five. The final product will be submitted in Module Seven.

In this assignment, you will demonstrate your mastery of the following course outcomes:

• Analyze the pathophysiology of commonly diagnosed health conditions for anticipating the pharmacological needs of patients

• Differentiate between common health conditions that present similar symptoms using evidence-based resources for ensuring accurate patient health

records

• Analyze standard pharmacological groupings and their specific drugs for their uses in treating patient symptoms and diseases

• Integrate foundational concepts of anatomy, physiology, and medical terminology into the analysis of symptoms, diagnosis, and treatment options for

informing accurate coding practices

Prompt

Your patient analysis should answer the following prompt: Using the provided Final Project Patient File, critically analyze the patient’s medical and family

history and dissect the discharge chart from the patient’s recent visit. There are several inaccuracies and inconsistencies in this patient file; the pages of the file

that contain issues are marked in the upper right-hand corner with red bookmarks. You must identify a total of three true issues with the patient file, explain

what makes each identified issue a true issue, and discuss how you would approach addressing each issue in a real professional setting.

Specifically, the following critical elements must be addressed:

I. Patient History Analysis

a) Summarize the patient history, explaining key patient demographics and family history that could be risk factors for common diseases.

b) Identify the past diagnosis (or diagnoses, if more than one exists in the file) and explain how the diagnosis was made. Specifically, what tests

were done?

c) Discuss the symptoms the patient showed according to the file. Why and how did these symptoms lead the doctors to order certain tests?