- This assignment has several parts to it:
- Write a 1000-word essay summarizing each of the Four reports below, how they will be used in your chosen career, is there information missing from the reports, proposed improvements, and better ways this information could be conveyed. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) citation in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
- Rewriting Four Reports – Each report task requires a minimum of 300 words. Separate each report with the proper heading and follow the proper formatting for each.
- Review the Sample Radiology Report located on page 102, Figure 4-2 Sample Radiology Report of the text “Grammar & writing skills for the health professional (3rd Ed.)”, copy the entire format and rewrite the; Primary Diagnosis, Clinical Information, and Impression section of the report into common language that the normal patient would understand. Make sure any medical terminology is explained.
- Review the Sample Pathology Report located on page 103, Figure 4-3 Sample Pathology Report of the text “Grammar & writing skills for the health professional (3rd Ed.)”, copy the entire format and rewrite the; Preoperative and Postoperative Diagnosis, Gross Description, and Microscopic Diagnosis sections of the report into common language that the normal patient would understand. Make sure any medical terminology is explained.
- Review the Sample Discharge Report located on page 105, Figure 4-4 Sample Discharge Summary of the text “Grammar & writing skills for the health professional (3rd Ed.)”. Use the seven (7) bulleted items on page 104 under the “Discharge” summary, write short paragraphs using the non-medical terms that you would use to explain the information on the Discharge Summary Report to the patient or their representative. Not every one of the seven points may be needed.
- Review the Sample Operative Report located on page 106, Figure 4-5 Sample Operative Report of the text “Grammar & writing skills for the health professional (3rd Ed.)”. Copy the entire format and rewrite the; Preoperative and Postoperative Diagnosis, Operative Procedure, Anesthesia, and Description sections of the report into common language that the normal patient would understand. Make sure any medical terminology is explained
Assignment Expectations
Length: 1000-word essay and four reports (1200 words).
Structure: Each report has its own format. Be sure to follow the proper format for each. Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment.
Format: Save each of your assignments as a separate Microsoft Word document (.doc or .docx).
Filename: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)
Expert Solution Preview
Introduction:
As a medical professor, I am responsible for designing and conducting lectures, evaluating student performance, and providing feedback through examinations and assignments. This assignment requires the students to write a 1000-word essay summarizing each of the four reports and rewrite four reports in plain language that a normal patient can understand. In this assignment, the students will also need to identify any missing information, suggest improvements, and propose better ways this information could be conveyed.
Essay Summary:
The four reports that need to be summarized are the Radiology Report, Pathology Report, Discharge Report, and Operative Report. These reports are essential for healthcare professionals in their daily work. Radiology reports are used to communicate the results of diagnostic imaging tests, such as X-rays, CT scans, and MRI scans. Pathology reports are used to communicate the findings of microscopic examinations of tissues or specimens taken from the body during surgery. The discharge report is used to communicate the details of a patient’s hospital stay, including their condition, treatment, and discharge instructions. The operative report is used to detail the events that occurred during surgery.
In my career as a medical professor, I will use these reports to teach students how to analyze and interpret medical records. By doing so, they will be able to develop effective diagnostic and treatment plans for their patients. However, there might be some missing information in these reports, which may not provide a complete picture of the patient’s condition. To improve these reports, healthcare professionals should provide clearer explanations of medical terms and abbreviations. Moreover, plain language should be used when explaining medical information to patients and their families.
Rewriting Four Reports:
Radiology Report:
Primary Diagnosis: The main issue with the Radiology report is that it contains a lot of medical jargon that is difficult for patients to understand. Instead of saying “Pneumothorax,” we could write “a condition where air leaks into the space between the lung and the chest wall.”
Clinical Information: In this section, we can simplify the language used for the patient by saying “The X-ray was done to check for a lung problem. You were asked to hold your breath while the X-ray was taken.”
Impression: We can simplify the language in this section by writing “The X-ray has shown that there is a small pocket of air between the lung and the chest wall. Your doctor will discuss the best treatment options for this with you.”
Pathology Report:
Preoperative and Postoperative Diagnosis: In the Pathology report, we need to explain the diagnosis in simple terms that the patient can understand. Instead of “Invasive Ductal Carcinoma,” we could say “a type of breast cancer that was detected by a biopsy.
Gross Description: The Gross Description can be written as “The tumor was removed and sent to the laboratory for analysis.”
Microscopic Description: In the Microscopic Description, we could use simple language to say that “Cells from the removed tumor were sent to the laboratory and examined under a microscope. The results showed that there are no cancerous cells left in the breast.”
Discharge Report:
Discharge Summary: In the Discharge report, we need to provide patient-friendly explanations of medical terms. We can use simple language to explain that:
– The patient has completed treatment and is now well enough to go home.
– They need to continue taking their medication as prescribed by their doctor.
– They should follow a healthy lifestyle by eating well and engaging in regular physical activity.
– They should follow up with their doctor or specialist as advised.
– They should take care of their incision wound as instructed.
– They should avoid heavy lifting and driving for a certain period of time.
Operative Report:
Preoperative and Postoperative Diagnosis: We can explain preoperative and postoperative diagnoses in simple terms that the patient can understand. For example, instead of saying “Acute Appendicitis,” we can say “Your appendix was causing you severe pain, and you needed to have it removed.”
Operative Procedure: In the Operative Procedure, we can use simple language to describe what happened during the surgery. We can say that “The surgeon made a small cut in your abdomen and removed your appendix because it was infected.”
Anesthesia: The Anesthesia section can be written in plain language by saying that “you were given medication to sleep during the surgery, and you woke up after the surgery was complete.”
Description: In the Description section, we can provide simple language for the patient by saying “The surgeon successfully removed your appendix, and there should be nothing to worry about.”
Conclusion:
In conclusion, this assignment is crucial in helping students develop essential skills in analyzing and interpreting medical records. We have summarized four reports and rewritten them in plain language that a normal patient can understand. This not only helps to improve communication between healthcare providers and their patients but also ensures better compliance and outcomes.