\u00a0
\nAs an advanced practice nurse, you will examine patients presenting \u00a0with a variety of disorders. You must, therefore, understand how the \u00a0body normally functions so that you can identify when it is reacting to \u00a0changes. Often, when changes occur in body systems, the body reacts with \u00a0compensatory mechanisms. These compensatory mechanisms, such as \u00a0adaptive responses, might be signs and symptoms of alterations or \u00a0underlying disorders. In the clinical setting, you use these responses, \u00a0along with other patient factors, to lead you to a diagnosis.
\nConsider the following scenarios:
\nScenario 1:
\nJennifer is a 2-year-old female who presents with her \u00a0mother. Mom is concerned because Jennifer has been \u201crunning a \u00a0temperature\u201d for the last 3 days. Mom says that Jennifer is usually \u00a0healthy and has no significant medical history. She was in her usual \u00a0state of good health until 3 days ago when she started to get fussy, \u00a0would not eat her breakfast, and would not sit still for her favorite \u00a0television cartoon. Since then she has had a fever off and on, anywhere \u00a0between 101oF and today\u2019s high of 103.2oF. Mom has been giving her \u00a0ibuprofen, but when the fever went up to 103.2oF today, she felt that \u00a0she should come in for Assessment. A physical examination reveals a \u00a0height and weight appropriate 2-year-old female who appears acutely \u00a0unwell.\u00a0 Her skin is hot and dry. The tympanic membranes are slightly \u00a0reddened on the periphery, but otherwise normal in appearance. The \u00a0throat is erythematous with 4+ tonsils and diffuse exudates. Anterior \u00a0cervical nodes are readily palpable and clearly tender to touch on the \u00a0left side. The child indicates that her throat hurts \u201ca lot\u201d and it is \u00a0painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse \u00a0of 128 beats per minute, and a respiratory rate of 24 beats per minute.
\nScenario 2:
\nJack is a 27-year-old male who presents with redness \u00a0and irritation of his hands. He reports that he has never had a problem \u00a0like this before, but about 2 weeks ago he noticed that both his hands \u00a0seemed to be really red and flaky. He denies any discomfort, stating \u00a0that sometimes they feel \u201ca little bit hot,\u201d but otherwise they feel \u00a0fine. He does not understand why they are so red. His wife told him that \u00a0he might have an allergy and he should get some steroid cream. Jack has \u00a0no known allergies and no significant medical history except for \u00a0recurrent ear infections as a child. He denies any traumatic injury or \u00a0known exposure to irritants. He is a maintenance engineer in a newspaper \u00a0building and admits that he often works with abrasive solvents and \u00a0chemicals. Normally he wears protective gloves, but lately they seem to \u00a0be in short supply so sometimes he does not use them. He has exposed his \u00a0hands to some of these cleaning fluids, but says that it never hurt and \u00a0he always washed his hands when he was finished.
\nScenario 3:
\nMartha is a 65-year-old woman who recently retired \u00a0from her job as an administrative Helpant at a local hospital. Her \u00a0medical history is significant for hypertension, which has been \u00a0controlled for years with hydrochlorothiazide. She reports that lately \u00a0she is having a lot of trouble sleeping, she occasionally feels like she \u00a0has a \u201cracing heartbeat,\u201d and she is losing her appetite. She \u00a0emphasizes that she is not hungry like she used to be. The only \u00a0significant change that has occurred lately in her life is that her \u00a087-year-old mother moved into her home a few years ago. Mom had always \u00a0been healthy, but she fell down a flight of stairs and broke her hip. \u00a0Her recovery was a difficult one, as she has lost a lot of mobility and \u00a0independence and needs to rely on her daughter for Helpance with \u00a0activities of daily living. Martha says it is not the retirement she \u00a0dreamed about, but she is an only child and is happy to care for her \u00a0mother. Mom wakes up early in the morning, likes to bathe every day, and \u00a0has always eaten 5 small meals daily. Martha has to put a lot of time \u00a0into caring for her mother, so it is almost a \u201cblessing\u201d that Martha is \u00a0sleeping and eating less. She is worried about her own health though and \u00a0wants to know why, at her age, she suddenly needs less sleep.
\nTo Prepare<\/p>\n
Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
\nIdentify the \u00a0pathophysiology of the disorders \u00a0presented in each of the three scenarios, including their \u00a0associated \u00a0alterations. Consider the adaptive responses to the alterations.
\nReview the examples of \u00a0\u201cMind Maps\u2014Dementia, \u00a0Endocarditis, and Gastro-oesophageal Reflux Disease \u00a0(GERD)\u201d media in \u00a0this week\u2019s Learning Resources. Then select one of the disorders you \u00a0identified \u00a0from the scenarios. Use the examples in the media as a guide \u00a0to construct a \u00a0mind map for the disorder you selected. Consider the \u00a0epidemiology, pathophysiology, \u00a0risk factors, clinical presentation, and \u00a0diagnosis of the disorder, as well as \u00a0any adaptive responses to \u00a0alterations.
\nReview the Application Assignment Rubric found under \u00a0Course Information\u00a0<\/p>\n
To Complete
\nWrite a 2- to 3-page paper \u00a0excluding the title page, reference page and Mind Map that addresses the \u00a0following:<\/p>\n
For each of the three scenarios explain the \u00a0pathophysiology, \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0associated alterations and the patients\u2019 adaptive \u00a0responses to the \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0alterations caused by the disease processes.\u00a0 \u00a0You are required to discuss all three \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0scenarios within the paper \u00a0component of this assignment.
\nConstruct one mind map on a selected disorder \u00a0presented in one of \u00a0the scenarios. Your Mind Map must include the epidemiology, \u00a0\u00a0pathophysiology, risk factors, clinical presentation, and diagnosis of \u00a0the \u00a0disorder, as well as any adaptive responses to alterations.<\/p>\n","protected":false},"excerpt":{"rendered":"
\u00a0 As an advanced practice nurse, you will examine patients presenting \u00a0with a variety of disorders. You must, therefore, understand how the \u00a0body normally functions\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10099,10681,7636,615,10892,10680,10891],"tags":[10553,10616,10254,10896,10897,10247,10295,10898,10893,10894,10895,10899,10551],"class_list":["post-126129","post","type-post","status-publish","format-standard","hentry","category-buy-essay","category-cheap-dissertation-help-online","category-cheap-essay-writer-usa","category-homework-help-writing-service-usa","category-page-paper","category-university-dissertation-writing-service","category-write-my-assignment-ireland","tag-1-assignment-help-online-service-for-students-in-the-usa","tag-australian-best-tutors","tag-can-someone-write-my-assignment-for-me","tag-case-study-in-nursing-writing-a-nursing-case-study-essay","tag-free-nursing-case-studies","tag-help-me-write-my-dissertation","tag-homework-for-you","tag-nursing-case-study-assignment-examples","tag-nursing-case-study-examples","tag-nursing-case-study-presentation-example","tag-nursing-case-study-questions-and-answers","tag-student-nurse-case-study-assignments","tag-write-my-assignment-help-for-college-students"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/126129","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=126129"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/126129\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=126129"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=126129"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=126129"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}