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 (attached), 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? d) What alternate diagnosis (or diagnose.

1. 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
·

2. 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 (attached),
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?
d) What

3. alternate diagnosis
(or diagnoses) could these symptoms have indicated? Explain
using evidence - based resources to support your conclusions.
e) Using supportive details from peer - reviewed resources,
explain the
pathophysiology
of the diagnosis. In other words, how does the diagnosed
disease develop and progress in the body?
f) Identify the past prescribed medications the patient is taking
and explain the purposes of their larger
pharmacological groupings
.
g) Explain what symptoms the
specific medications
are meant to treat, using resources to support your claims about
the impact of the medication on the symptoms.
h) Illustrate how these medications
impact
the body and its functions. Use examples to support your
explanations.
II.
Recent Visit Analysis
a) Explain why the patient has returned to the doctor’s office.
What
symptoms and signs
is the patient experiencing?
b) Analyze the new symptoms and signs to determine whether
the past diagnosis is still a reasonable conclusion or could have
been a
misdiagnosis
. Use specific information from both the recent visit and the
patient history to inform your analysis.
c) Based on the new signs, symptoms, and potential diagnosis
(if the doctor has made a new diagnosis), discuss what new or

4. potential
treatments
would be appropriate. Why?
III.
Identification of Record Inaccuracies
a) The patient file contains several
inaccuracies
and inconsistencies. Using your knowledge of medical
terminology, anatomy, and physiology, articulate three issues
you’ve identified.
b) Explain in detail what makes the
identified issues
a problem in terms of patient health and recordkeeping. Be sure
to use appropriate medical terminology, references to anatomy,
and concepts of normal physiology, where appropriate.
c) Discuss the
impact of the issues
on the patient, the coding system, and the billing system if they
had not been caught, using the appropriate terminology.
d) Illustrate how you would work to
address
each issue, with specific detail regarding who you would pull
into the discussion and who would be responsible for the
particular details of each issue in a real medical setting.
In this Module, you will complete your record inaccuracies
identification and submit your completed patient record
analysis. It should be a complete, polished artifact containing
all
of the critical elements of the final product. It should reflect
the incorporation of feedback gained throughout the course.
The length of your patient record analysis will depend on the
issues you find in the file, but it will likely be 8–10 pages with

5. an
additional page for references. All citations should be made
according to the latest version of APA guidelines.
FINAL PROJECT CHECKLIST
Your final project should discuss the following critical
elements. Make sure you review your final project before you
submit it, and make sure it discusses all the critical elements
and answers the questions.
I.
Patient History Analysis
a) Did you summarize the
patient history
, explaining key patient demographics and family history that
could be risk factors for common diseases?
b) Have you identified the
past diagnosis
(or diagnoses, if more than one exists in the file) and explained
how the diagnosis was made? Specifically, what tests were
done?
c) Did you discuss the
symptoms
the patient showed according to the file? Did you discuss why
an d how these symptoms led the doctors to order certain tests?
d) Did you include what
alternate diagnosis
(or diagnoses) these symptoms could have indicated? Did you
use evidence - based resources to support your conclusions?

6. e) Using supportive details from peer - reviewed resources, did
you explain the
pathophysiology
of the diagnosis? In other words, how does the diagnosed
disease develop and progress in the body?
f) Have you identified the past prescribed medications the
patient is taking and explained the purposes of their larger
pharmacological groupings
?
g) Did you explain what symptoms the
specific medications
are meant to treat, using resources to support your claims about
the impact of the medication on the symptoms?
h) Did you illustrate how these medications
impact
the body and its functions? Did you include examples to support
your explanations?
II.
Recent Visit Analysis
a) Did you explain why the patient has returned to the doctor’s
office? Did you discuss what
symptoms and signs
the patient is
experiencing?
b) Did you analyze the new symptoms and signs to determine
whether the past diagnosis is still a reasonable conclusion or
could have been a
misdiagnosis
? Did you use specific information from both the recent visit
and the patient history to inform your analysis?

7. c) Based on the new signs, symptoms, and potential diagnosis
(if the doctor has made a new diagnosis), did you discuss what
new or potential
treatments
would be appropriate? Why?
III.
Identification of Record Inaccuracies
a) The patient file contains several
inaccuracies
and inconsistencies. Using your knowledge of medical
terminology, anatomy, and physiology, did you articulate three
issues you have identified?
b) Did you explain in detail what makes the
identified issues
a problem in terms of patient health and record keeping? Did
you use appropriate medical terminology, references to
anatomy, and concepts of normal physiology, where
appropriate?
c) Did you discuss the
impact of the issues
on the patient, the coding system, and the billing system if they
had not been caught, using the appropriate terminology?
d) Did you illustrate how you would work to
address
each issue, with specific detail regarding who you would pull
into the
discussion and who would be responsible for the particular
details of each issue in a real medical setting?