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How to write a Diagnosis for a Case Study

How to write a Diagnosis for a Case Study

 

How to write a Diagnosis for a Case Study

How to write a diagnosis for a case study is a sophisticated process that involves various steps. It is overly accepted that how to write a diagnosis for a case study involves the following two stages:

  • An early-stage that includes producing one or multiple hypotheses for the diagnosis
  • A following verification step where the hypotheses are put into test, and the final diagnosis is verified.

This dual process concept on cognition proposes that two concepts of reasoning are applied: system 1 is perceived as fast, intuitive, and ” unconscious thinking,” while system 2 is seen as analytical, slow, and deliberate thinking. Both systems involve reasoning in every stage of clinical thinking. The sophisticated interplay of cognitive biases, unconscious behavioral drift, automaticity, and experience affect logical clinical thinking.

Appropriate Practice Guidance of How to write a diagnosis for a case study

How to write a diagnosis for a case study involves the psychology of cognition. This implies being strategic, paying attention, and making a diagnostic pause. How to write a diagnosis for a case study is a function of sophisticated networks between systems 1 and 2 reasoning in the context of individual performance-influencing components such as hunger, fatigue, anxiety, stress, and many more. Furthermore, excessive reliance on intuitive reasoning and mechanically and the failure to apply cognitive modifying techniques to leverage analytical reasoning and reduce distraction could result in a suboptimal diagnosis.

How to write a diagnosis for a case study involves experienced and highly skilled physicians with ample knowledge of the disease trend that was researched in the past. They notice the most negligible differences between their familiarity with the illness and the particular patient’s presentation, therefore differentiating between the atypical and typical presentation. The early diagnosis stage removes all this knowledge from memory.

Besides, a systematic way of gathering and analyzing information and a thorough knowledge foundation of the illness presentation is key to victoriously reaching a hypothesis. When learning how to write a diagnosis for a case study, this can happen only by acquiring enough clinical information from the experience of the patient, including their investigations, physical analysis, and history, to inform and confirm the initial hunch of the diagnostic hypothesis.

When learning how to write a diagnosis for a case study, it is crucial to know that among the most popular factors resulting in the diagnostic delay is the physician’s failure to obtain ample, keen, and thorough facts of history, conducting the physical analysis, requesting for investigations and recording the care. Also, when requested to gather information, physicians have the habit of being biased to confirm their beliefs. After choosing the first hypothesis of preferred diagnosis, physicians often dismiss the missing data after suppressing incongruences. How to write a diagnosis for a case study effectively involves being cognizant of this fact, and taking ample time to think (cognitive forcing process) about its effect deliberately might assist you to avoid making mistakes that could result in the diagnostic delay.

When learning how to write a diagnosis for a case study, you need to understand that diagnostic delays stemming from cognition emerge in novices and experts alike. While there is a high probability of experts overlooking incongruences, there are fewer chances to make a mistake in producing a hypothesis based on their knowledge regarding the disease’s pattern.  When practicing how to write a diagnosis for a case study, as a novice, you are more likely to produce a faulty hypothesis because you need more time to master the disease’s pattern; however, you are unlikely to overlook the facts. Besides, novices might be keen to be irrelevant or faulty and thus produce a wrong hypothesis.

Steps followed when writing a diagnosis for a case study

How to write a diagnosis for a case study is frequently complex at it follows the following steps:

  • Recording the relevant symptoms history and gathering significant data
  • Carrying out a physical examination
  • Producing a differential and provisional diagnosis
  • Acting after ordering and reviewing the results.
  • Arriving at the actual and final diagnosis
  • Consultation; this implies referral to seeking clarification if highlighted
  • Presenting discharge guidance, observing, and checking progress
  • Documenting all the steps above and the reason for each action taken

Techniques to enhance the diagnostic accuracy

When learning how to write a diagnosis for a case study, it is vital to pay more attention to accuracy. The following are a few strategies on which the accuracy of your diagnosis should be based on:

  • Obtaining and preserving knowledge
  • Recoverin the knowledge from memory
  • conducting enough comprehensive clinical experiences
  • Applying cognitive influencing techniques to weigh system 2 reasoning with attempts to complement system 1 reasoning.

Additionally, when learning how to write a diagnosis for a case study, there are diagnostic checklists, directed reflective practice, and decision support tools are extremely important when obtaining knowledge of atypical and typical presentations of illness, and a physician with less experience will notice atypical attributes.

Guidance to acquiring enough history

When learning how to write a diagnosis for a case study, it is vital to know that there are multiple factors that influence a physician’s ability to carry out a successful assessment. The following are among the challenges:

Patient-related factors

  • Language barrier
  • Health illiteracy
  • Misaligned expectations
  • Presentation complexity
  • Complex patient attributes

Environment-related factors

There are both human and physical environmentally-related:

Physical environment include

  • Overcrowding
  • Noise
  • Distractions
  • Lack of privacy
  • Virtual visits
  • Interruptions

 

Human environment includes:

  • Illness
  • Stress
  • Communication skills
  • Multitasking
  • Time and urgency
  • Experience, skills, and knowledge
  • fatigue
  • Lack of or inadequate human resources
  • Affective and cognitive biases

Apart from the mentioned factors, the gradual and commonly unconscious deviating from the systematic approaches to analysis might result in less keen assessments, diagnostic delay, or misdiagnosis. When learning how to write a diagnosis for a case study, it is key for the faculty to ensure the learners know how to be keen and dependable in evaluating patients and recognizing behavioral change.

How to minimize diagnostic delays

When learning how to write a diagnosis for a case study, there are possibilities of diagnostic delays; however, they are not inevitable. You can apply the following techniques to reduce, if not avoid, diagnostic delays:

  • Focus solely on the patient and avoid multitasking in the room
  • Be strategic and have a well-founded approach to the physical assessment and history
  • Take a significant and keen history assessment of the patient’s health state
  • With permission, ask for help from individuals who might be better positioned to assist you in acquiring the history. This is applicable if and only if the patient is not in a position to offer the information due to various problems such as incapacitation or language barrier.
  • Adequately evaluate significant risk factors, for instance, family history.
  • Ask more about all the symptoms that seem like “red flags.”
  • Carefully use the notes taken by different healthcare experts such as paramedics and nurses. These notes often have important details or discredit hypotheses.
  • Put efforts into exploring instead of dismissing the patient’s concerns.
  • Carefully review the relevant consultation reports, test results, and medical records.

Offering counsel to colleagues

Popularly referred to as the “hallway consultation,” when learning how to write a diagnosis for a case study, it is important to know that most physicians seek wisdom and counsel from peers. Regardless of the reason for seeking assistance, say inadequate resources, a need not to interrupt a consultant, or even a belief that the problem in question does not seem to support a formal consultation, the act of seeking and offering counsel casually will always exist.

Also, the physician who presents the counsel in these informal contexts might be providing their duty of care to that particular patient, resulting in patient harm and diagnostic delay. Hallway and telephone conversations might not let practitioners ultimately interact, wrongly thinking they do not have to, and therefore resulting in poor evaluations.

There are, however, techniques of reducing the risks linked with accepting these informal consultations. When seeking counsel, as a physician, you need to be clear to your colleague whether you have questions about that particular patient or are looking for generic management counsel. When learning how to write a diagnosis for a case study, you should make sure that you provide all the important facts regarding the patient.  Additionally, you have to make sure to document the sought counsel and the colleague’s name that is involved.

On the other hand, suppose you are the practitioner being asked for advice; ensure you make it clear whether you are only generally discussing the problem or if you have a particular patient in mind. It is important to fight the need to only approve the first hypothesis without thoroughly interacting. It is virtual to remain strategic in your approach to the evaluation and thoroughly question to collect the significant facts to give advice and communicate effectively with your fellow practitioner regarding any downsides, if any, of the recommendation you are offering.

 

 

References

https://www.monash.edu/rlo/assignment-samples/medicine-nursing-and-health-sciences/writing-in-psychological-medicine/summary-and-diagnosis

https://www.cmpa-acpm.ca/serve/docs/ela/goodpracticesguide/pages/manage_risk/The_diagnostic_process/steps_to_diagnosis-e.html

https://www.editage.com/insights/a-young-researchers-guide-to-writing-a-clinical-case-report

https://www.verywellmind.com/how-to-write-a-psychology-case-study-2795722

https://www.rmhc-reno.org/project/how-to-write-a-diagnosis-for-a-case-study/25/

https://nursinganswers.net/case-studies/diagnostic-reasoning-process-case-study.php

https://methods.sagepub.com/reference/encyc-of-case-study-research/n110.xml

https://www.enago.com/academy/ten-steps-to-writing-an-effective-case-report-part-1/

 

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