Referrals to neurologist should be made for patients with cluster headaches, headaches that are difficult to diagnose and/or do not respond well to preventive measures, migraines with persistent aura, and headaches that are accompanied by motor weakness. When a patient is taking long-term analgesics and has an ongoing headache, secondary headache and the diagnosis of medication overuse headache should be taken into account.
Utilize the information provided in the scenario to create your discussion post.
Construct your response as an abbreviated SOAP note (SubjectiveObjectiveAssessmentPlan).
Structure your â€˜Pâ€™ in the following format: [NOTE: if any of the 3 categories is not applicable to your plan please use the â€˜headingâ€™ and after the â€˜:â€™ input N/A]
Therapeutics:pharmacologic interventions, if any â€“ new or revisions to existing; include considerations for OTC agents (pharmacologic and non-pharmacologic/alternative); [optional – any other therapies in lieu of pharmacologic intervention]
Educational: health information clients need to address their presenting problem(s); health information in support of any of the â€˜therapeuticsâ€™ identified above; information about follow-up care where appropriate; provision of anticipatory guidance and counseling during the context of the office visit
Consultation/Collaboration: if appropriate – collaborative â€˜Advanced Care Planningâ€™ with the patient/patientâ€™s care giver; if appropriate -placing the patient in a Transitional Care Model for appropriate pharmacologic and non-pharmacologic care; if appropriate â€“ consult with or referral to another provider while the patient is still in the office; Identification of any future referral you would consider making
Support the interventions outlined in your â€˜Pâ€™ with scholarly resources.