Case Study
\nStart Assignment<\/p>\n
\u2022\tPoints 100<\/p>\n
\u2022\tSubmitting a file upload
\nPurpose
\nThe purpose of this assignment is to apply endocrine pathophysiological concepts to explain assessment findings of a patient with Diabetes. Students will examine all aspects of the patient’s assessment including Chief Complaint (CC), History of Present Illness (HPI), Past Medical History (PMH), Family History (FH), Social History (SH), Review of Systems (ROS), and Medications and then answer the questions that follow on the provided Comprehensive Case Study template.
\nActivity Learning Outcomes
\nThrough this assignment, the student will demonstrate the ability to:
\n1.\tExamine the case scenario and analyze the exam and lab findings results to determine the patient’s type of diabetes. (CO1)
\n2.\tExplain the pathophysiology of the type of diabetes. (CO1)
\n3.\tDifferentiate between subjective and objective findings which support the chosen diagnosis. (CO4)
\n4.\tApply evidence-based practice guidelines to develop an appropriate treatment plan. (CO1, CO5)
\nContent Criteria:
\n1.\tRead the case study listed below.
\n2.\tRefer to the rubric for grading requirements.
\n3.\tUtilizing the Week 6 Case Study Template (Links to an external site.), provide your responses to the case study questions listed below.
\n4.\tYou must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
\n5.\tYou must use the current Clinical Practice Guideline (CPG) for the Standards of Medical Care in Diabetes -Abridged for Primary Care Providers provided by the American Diabetes Association to determine the patient’s type of diabetes and answer the treatment recommendation questions. The most current guideline can be found at the following web address: https:\/\/professional.diabetes.org\/content-page\/practice-guidelines-resources (Links to an external site.). At the website, locate the current year\u2019s CPG for use.
\n6.\tProper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
\nCase Study Scenario
\nChief Complaint
\nJ.T. is a 48-year old male who presents to the primary care clinic with fatigue, weight loss, and extreme thirst and increased appetite.
\nHistory of Present Illness
\nJ.T. has been in his usual state of health until three weeks ago when he began experiencing symptoms of fatigue, weight loss, and extreme thirst. He reports that he would like to begin a walking program, but he feels too fatigued to walk at any point during the day. Now he is very concerned about gaining more weight since he is eating more. He reports insomnia due to having to get up and urinate greater than 4 times per night.
\nPast Medical History
\n\u2022\tHypertension
\n\u2022\tHyperlipidemia
\n\u2022\tObesity
\nFamily History
\n\u2022\tBoth parents deceased
\n\u2022\tBrother: Type 2 diabetes
\nSocial History
\n\u2022\tDenies\u202fsmoking
\n\u2022\tDenies alcohol or recreational drug use
\n\u2022\tLandscaper
\nAllergies
\n\u2022\tNo Known Drug Allergies
\nMedications
\n\u2022\tLisinopril 20 mg once daily by mouth
\n\u2022\tAtorvastatin 20 mg once daily by mouth
\n\u2022\tAspirin 81 mg once daily by mouth
\n\u2022\tMultivitamin once daily by mouth
\nReview of Systems
\n\u2022\tConstitutional: – fever, – chills, – weight loss.
\n\u2022\tNeurological: denies dizziness or disorientation
\n\u2022\tHEENT: Denies nasal congestion, rhinorrhea or sore throat.
\n\u2022\tChest: (-)Tachypnea. Denies cough.
\n\u2022\tHeart: Denies chest pain, chest pressure or palpitations.
\n\u2022\tLymph: Denies lymph node swelling.
\nGeneral Physical Exam
\n\u2022\tConstitutional: Alert and oriented male in no acute distress
\n\u2022\tVital Signs:\u202fBP-136\/80, T-98.6 F, P-78, RR-20
\n\u2022\tWt. 240\u202flbs.,\u202fHt.\u202f5’8″, BMI 36.5
\nHEENT
\n\u2022\tEyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva.
\n\u2022\tEars: Tympanic membranes intact.
\n\u2022\tNose: Bilateral nasal turbinates without redness or swelling. Nares patent.
\n\u2022\tMouth: Oropharynx clear. No mouth lesions. Teeth present and intact; Oral mucous membranes and lips dry.
\nNeck\/Lymph Nodes
\n\u2022\tNeck supple without JVD.
\n\u2022\tNo lymphadenopathy, masses or carotid bruits.
\nLungs
\n\u2022\tBilateral breath sounds clear throughout lung fields. Breathing quality deep with fruity breath odor
\nHeart
\n\u2022\tS1 and S2 regular rate and rhythm; – tachycardia; no rubs or murmurs.
\nIntegumentary System
\n\u2022\tSkin warm, dry; Nail beds pink without clubbing.
\nLabs
\nTest\tPatient\u2019s Result\tReference
\nGlucose (fasting)\t132\t60-120 mg\/dL
\nBUN\t20\t7-24 mg\/dL
\nCreatinine\t0.8\t0.7-1.4 mg\/dL
\nSodium\t141\t135-145 mEq\/L
\nPotassium\t3.7\t3.5-5.0 mEq\/L
\nChloride\t97\t95-105 mEq\/L
\nHCO3\t24\t22-28 mEq\/L
\nA1C\t7.2
\nUrinalysis
\nProtein
\nGlucose
\nKetones\tNegative
\nPositive
\nNegative
\nOral glucose tolerance test (OGTT)\t220 mg\/dL
\nJ.T. is diagnosed with diabetes. Review all information provided in the case to answer the following questions.
\nCase Study Questions
\nPathophysiology & Clinical Findings of the Disease
\n1.\tReview the lab findings and decide if the diagnosis is Type 2 or Type 1 Diabetes Mellitus.
\n2.\tExplain the pathophysiology associated with your chosen diagnosis
\n3.\tIdentify at least three subjective findings from the case which support the chosen diagnosis.
\n4.\tIdentify at least three objective findings from the case which support the chosen diagnosis.
\nManagement of the Disease
\n*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
\n1.\tIdentify two (2) “Evidence A” recommended medication classes for the treatment of this condition and provide an example (drug name) for each.
\n2.\tDescribe the mechanism of action for each of the medication classes identified above.
\n3.\tIdentify two (2) “Evidence A” recommended non-pharmacological treatment options for this patient.
\n4.\tUtilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations
\nCategory\tPoints\t%\tDescription
\nPathophysiology & Clinical Findings of the Disease\t45\u202f\t45%\tThe student:
\n\u2022\tIdentifies the likely diagnosis based on exam and lab findings.
\n\u2022\tExplains the pathophysiology associated with the chosen disorder.
\n\u2022\tSupports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).
\n\u2022\tIdentifies at least three subjective findings from the case.
\n\u2022\tIdentifies at least three objective findings from the case.
\n(5 Required Elements)
\nManagement of the Disease \t45\t45%\tThe student:
\n\u2022\tUtilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.
\n\u2022\tIdentifies two (2)\u201cEvidence A\u201d recommendedmedicationclassesfor the treatment of the condition and provides an example (drug name) for each.
\n\u2022\tIdentifies two (2) \u201cEvidence A\u201d recommended non-pharmacological treatment options for the condition.
\n\u2022\tDescribes the mechanism of action for each of the medication classes identified above.
\n(4 Required Elements)
\n90\t90%\tTotal CONTENT Points= 90 pts
\nAssignment Format
\nCategory\tPoints\t%\tDescription
\nOrganization, spelling, grammar & APA format\t10\t10%\tThe student:
\n\u2022\tUses the week 6case study template for case study responses.
\n\u2022\tProvides correct in-text citations for responses which match the reference page.
\n\u2022\tHas minimal spelling, grammar & APA format errors.
\n100\t100%\tTotal FORMAT Points= 10 pts<\/p>\n
Rubric
\nNR507 Week 6 Diabetes Case Study
\nNR507 Week 6 Diabetes Case Study
\nCriteria\tRatings\tPts
\nThis criterion is linked to a Learning OutcomePathophysiology & Clinical Findings of the Disease
\nThe student:
\n– Identifies the correct type of diabetes<\/p>\n
– Explains the pathophysiology associated with the chosen disorder.<\/p>\n
– Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).<\/p>\n
– Identifies at least three subjective findings from the case.<\/p>\n
– Identifies at least three objective findings from the case.<\/p>\n
(5 Required Elements)\t45 pts
\nAll 5 required elements are present.\t41 pts
\n1 required element is missing.\t37 pts
\n2 required elements are missing\t23 pts
\n3-4 required elements are missing.\t0 pts
\nAll 5 required elements are missing.
\n45 pts
\nThis criterion is linked to a Learning OutcomeManagement of the Disease
\nThe student:<\/p>\n
– Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.<\/p>\n
– Identifies two (2) \u201cEvidence A\u201d recommended medication classes for the treatment of the condition and provides an example (drug name) for each.<\/p>\n
– Identifies two (2) \u201cEvidence A\u201d recommended non-pharmacological treatment options for the condition.<\/p>\n
– Describes the mechanism of action for each of the medication classes identified above<\/p>\n
(4 Required Elements)\t45 pts
\nAll 4 elements are present\t41 pts
\n1 required element is missing\t37 pts
\n2 required elements are missing\t23 pts
\n3 required elements are missing\t0 pts
\nAll 4 required elements are missing
\n45 pts
\nThis criterion is linked to a Learning OutcomeOrganization, spelling, grammar & APA format
\nThe student:<\/p>\n
– Uses the week 6 case study template for case study responses.<\/p>\n
– Provides correct in-text citations for responses which match the reference page.<\/p>\n
– Has minimal spelling, grammar & APA format errors.\t10 pts
\nCase study template is used for responses AND In-text citations are correct which match the reference page AND There are 0-2 errors in spelling, grammar or APA format.\t9 pts
\nCase study template is used for responses AND In-text citations are correct which match the reference page AND There are 3-5 errors in spelling, grammar or APA format.\t8 pts
\nCase study template is used for responses AND In-text citations are correct which match the reference page AND There are 6-8 errors in spelling, grammar or APA format.\t5 pts
\nCase study template is not used for responses OR In-text citations are incorrect or do not match the reference page AND There are 0-5 errors in spelling, grammar or APA format.\t0 pts
\nCase study template is not used for responses AND\/OR In-text citations are incorrect or do not match the reference page AND There are 6 or more errors in spelling, grammar or APA format.
\n10 pts
\nThis criterion is linked to a Learning OutcomeLate penalty deductions
\nStudents are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.\t0 pts
\nManual Deductions\t0 pts
\nManual Deductions
\n0 pts
\nTotal Points: 100
\nPreviousNext<\/p>\n
—-<\/p>\n
Study of a Case
\nBegin the Assignment<\/p>\n
\u2022 100 points<\/p>\n
\u2022 Making a file upload<\/p>\n
Purpose<\/p>\n
The goal of this assignment is to explain assessment findings of a diabetic patient using endocrine pathophysiological ideas. Students will examine all aspects of the patient’s assessment, including the Chief Complaint (CC), the History of Present Illness (HPI), the Past Medical History (PMH), the Family History (FH), the Social History (SH), the Review of Systems (ROS), and the Medications, and then answer the questions that follow on the provided Comprehensive Case Study template.<\/p>\n
Outcomes of Activity Learning<\/p>\n
The student will exhibit the ability to: through this assignment, the student will demonstrate the ability to:<\/p>\n
1.<\/p>\n
Examine the case scenario and the physical and test results to determine the type of diabetes in the patient. (CO1)<\/p>\n
2.<\/p>\n
Explain the pathophysiology of the type of diabetes. (CO1)<\/p>\n
3.<\/p>\n
Differentiate<\/p>\n","protected":false},"excerpt":{"rendered":"
Case Study Start Assignment \u2022 Points 100 \u2022 Submitting a file upload Purpose The purpose of this assignment is to apply endocrine pathophysiological concepts to\u2026<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7724,7548,8080,8079,8077,8078,8081],"tags":[187,22,181,175,186,177,180,97,179,91,73,9,7,178,182,77,184,183,185],"class_list":["post-98440","post","type-post","status-publish","format-standard","hentry","category-best-dissertation-writing-services","category-dissertation-writing-services-cost","category-master-thesis-writing-service","category-online-thesis-writing-services","category-phd-dissertation-help-and-editing-helper-in-usa","category-professional-dissertation-writing-service","category-write-my-dissertation","tag-best-assignment-help-websites-in-canada","tag-best-nursing-paper-writing-service","tag-buy-psychology-essay","tag-cheap-psychology-essay-writing-service","tag-dissertation-assignment-help","tag-history-dissertation-writing-services-by-uk-writers","tag-nursing-assignment-acers","tag-nursing-assignment-help","tag-nursing-assignment-help-canada","tag-nursing-assignment-writers","tag-nursing-dissertation-writing-help-online","tag-nursing-paper-writing-service","tag-online-nursing-essay-writing-service","tag-online-nursing-papers","tag-online-psychology-assignment-help-writing-services","tag-pay-for-nursing-essay","tag-psychology-assignment-topics","tag-psychology-homework-market","tag-write-my-history-essay-for-me"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/98440","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=98440"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/98440\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=98440"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=98440"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=98440"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}