Scenario: You are a writer on a hit medical television show. The producers lean on your expertise on medical topics to ensure accuracy in the actors’ portrayal of each scene.
The characters you are writing for are nurses, doctors, patients, and patients’ families in a hospital. It’s up to you to create the location or department in the hospital (Emergency Room, the nurses’ station, or even the hallway), the characters in your scene, the topic they will discuss, and how the conversation unfolds. In a script format, include:
- at least 2 characters
- the mention of one type of skin disease
- one major discussion on the disease/disorder topic including several facts.
- examples include giving a diagnosis to a patient or debating the best treatment to offer.
Your Discussion should be a minimum of 250 words in length and not more than 750 words. Use APA citations and references for the textbook and any other sources used.
In addition to the researched facts you present as your answer, you may provide opinions and real-world experiences where appropriate.
Peer Responses (3-4 complete sentences):
Respond to the primary responses of three of your colleagues. Attempt to add facts, opinions, and life experiences to the discussion. What did you learn from their answer? What questions do you have or how could the original author clarify certain points? What points were the most interesting? Could you contribute to the answer given or summarize it?
Resources to get you started:
Preidt, R. (2014, February 6). 'House' TV series leads to real-life diagnosis. MedicineNet. Retrieved from http://www.medicinenet.com/script/main/art.asp?articlekey=176611
Shore, D. (n.d.). House MD “Occam's Razor”. LiveJournal. Retrieved from http://clinic-duty.livejournal.com/1018.html
Doctor: Please direct the next patient to the examination room.
Nurse: Yes, Doctor.
[A patient (female, 9 years old) and her mother enter the examination room. ]
Doctor: Hello. Sit down here. How are you??
Patient's mother: My daughter has been complaining for the past few days that her shoulder hurts, and I thought she had muscle pain, but she had a rash on her body last night.
Doctor: I see.
Patient's mother: I thought it was an allergy, but in the morning, the rash that had been part of it had spread over a wide area.
Doctor: Okay. Show me the part where the rash appears.
[The girl turns over her clothes. She has multiple blister-like red rashes on her right upper body. ]
Doctor: Does it hurt when you touch it?
Patient: A little bit.
Doctor: Okay. It is a typical symptom of Herpes zoster.
Patient's mother: Herpes zoster?
Doctor: Yes. Has she had chickenpox?
Patient's mother: Yes. I think when she was 1 year old.
Doctor: The chickenpox virus often remains in human nerves after she has had chickenpox. Years later, the virus reactivates and migrates to the skin via nerve pathways when fatigue or stress weakens our immune system, causing Herpes zoster (1).
Patient's mother: Uh-huh. She is into swimming now and has been getting tired recently. I thought her shoulder pain was also due to swimming.
Nurse: It sounds like you are practicing really hard.
Patient: Yeah. I want to advance to a higher level hurry.
Doctor: You look a little tired. It is all right. A rash on your face can lead to blindness and hearing loss in rare cases, but you are not at risk (1). It will heal properly if you take medicine and apply ointment every day. Do not worry.
Patient: Thank you.
Doctor: The blisters will heal in 1-2 weeks. However, there are cases where neuralgia persists even after the blisters have healed (1). Get plenty of rest and focus on restoring strength and immunity.
Patient's Mother: Okay. Thank you, doctor.
Doctor: I prescribe aciclovir ointment, famciclovir, and an oral pain reliever. Prepare those.
Nurse: Yes, Doctor.
Doctor: You do not need to come to the hospital again, but if you have persistent pain or any inconvenience, please visit the hospital anytime.
Patient's Mother: Okay. By the way, when can she start swimming again?
Doctor: The virus does not contaminate someone who already has chickenpox, but you can pass the virus on to someone who hasn't. So do not go to the pool until all this rash has scabbed over.
Patient: Okay.
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