Allergic Rhinitis

Discussion Prompt
Scenario:
A 31-year-old white male comes in for an evaluation of his allergic rhinitis.
He is known to your practice for the last decade.
Presently he is on Flonase nasal spray and Zyrtec daily for his allergic rhinitis.
He owns his own business ‘Dr. Vinyl’ where he specializes in repair of vinyl in automobiles, boats, recreational vehicles, etc.
Exposure to the smell of several of the products he works with has resulted in dissatisfactory management of his typical allergic rhinitis.
On numerous occasions over the last decade he has requested and been given an ‘allergy shot’.
A review of his medical record reveals to you this ‘shot’ has been a steroid injection.
BP 122/74, P 76, R 18
Please develop a discussion that responds to each of the following
prompts. Where appropriate your discussion needs to be supported by
scholarly resources. Be sure to include in-text citations in the context of
the discussion and provide a full reference citation at the end of the
discussion.
Initial post
Utilize the information provided in the scenario to create your discussion
post.
Construct your response as an abbreviated SOAP note (Subjective
Objective Assessment Plan).
Structure your ‘P’ in the following format:
Plan:
Therapeutics: pharmacologic interventions, if any – 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 ‘therapeutics’
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 ‘Advanced Care
Planning’ with the patient/patient’s care giver; if appropriate -placing the
patient in a Transitional Care Model for appropriate pharmacologic and
non-pharmacologic care; if appropriate – 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 ‘P’ with scholarly resources that is less than 5 years old.
Should you have questions please ask

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