Exam (elaborations)
NR 601 Week 5 Assignment, NR 601: Care of the Maturing and Aged Family, Chamberlain
- Course
- Institution
NR 601 Week 5 Assignment, NR 601: Care of the Maturing and Aged Family, Chamberlain
[Show more]
Seller
Follow
HIGHSCORE
Reviews received
Content preview
Running head: CASE STUDY ASSIGNMENT 1Week 5 Case Study Assignment
Chamberlain college of
Nursing
NR 601: Primary Care of the Maturing and Aged
Family
,CASE STUDY ASSIGNMENT
Week 5 Case Study Assignment
Mrs. Wong is 59 years old Asian female presents to the office for follow up after three
months, and complaints of increasing fatigue over the last 12 weeks. She also reported after her
menopause 4 years ago she had experiencing a gradual weight gain. She has been exercise at
least twice a week, but unsuccessful.
The purpose of this paper is to use subjective and objective data that is provided to
develop an appropriate diagnosis and plan for Mrs. Wong. This assignment will discuss the
assessment of the primary diagnosis, secondary diagnosis, and the differential diagnoses for Mrs.
Wong, and the management plan for treatment of the above diagnosis. It will consist of
diagnostics, medications, education, referrals, and follow-up care. This paper also includes a
discussion on medication costs of all prescribed and over the counter (OTC) medications.
Assessment
Mrs. Wong came to the office complains of fatigue. Despite exercising twice a week, she
is unable to lose weight. She also reported an increase of hunger for past two months. Per
morning lab result, urine analysis is positive for glucose, total cholesterol is elevated, a decreased
in low-high density lipoprotein, and HbA1c is 6.6%. According to Cash and Glass (2017), fasting
blood glucose greater than 126 and HbA1c of 6.5% is considered diabetic.
Primary Diagnosis Diabetes Mellitus Type 2 (DM2) (E11.9).
Pathophysiology: The primary diagnostic for Mrs. Wong is diabetes mellitus type two. Diabetes
Mellitus is a chronic disease, which is due to a decrease or lack of insulin secretion, or/and
inability of cells to utilize insulin (Ramachandran, 2014). According to Goroll (2014), diabetes
type two occurs when pancreas is unable to produce enough insulin to meet the metabolic needs
, CASE STUDY ASSIGNMENT
of the body. Common signs and symptoms include polydipsia, polyuria, polyphagia and extreme
fatigue (Dunphy, 2015).
Pertinent Positive findings: Weight gain, polyuria, polydipsia, fatigue, fasting blood glucose
of 127, HbA1c of 6.6, positive glucose in urine, and elevated CO2 of 29. According to the
ADA, 2019 guidelines, Asian American population age of 45 or greater with a BMI more than
23 kg/m2, and HbA1c equal or greater to 6.5% on initial testing is considered diabetes (ADA,
2018.p 29).
Pertinent Negative Findings: Patient exercise regularly, former smoker, normal BUN,
creatinine and GFR, skin dry and intact, negative ketones in urine analysis, (ADA, 2018).
Rationale for the diagnosis: Diabetes mellitus type two is the chosen primary diagnosis for
Mrs. Wong is based on her laboratory results of fasting plasma glucose of 127, and hemoglobin
A1C level above 6.5 percent, and clinical presentation of fatigue, hunger and thirst. Also Mrs.
Wong’s BMI put her at greater risk to develop diabetes because data has shown that in Asian
Americans a BMI greater than 23 kg/m2 puts an individual at increased risk of diabetes mellitus
(ADA, 2019).
Secondary Diagnosis: Hyperlipidemia, unspecified (E78.5)
Pathophysiology: Hyperlipidemia is a major cardiovascular risk factor that increases the
rate of atherosclerosis disease in the general population (Kennedy- Malone, Plank &
Duffy, 2019). The primary cause of hyperlipidemia is genetic mutations that result in the
overproduction or defective elimination of triglycerides and LDL or the underproduction
of excessive elimination of HDL (Dunphy, 2015). The secondary cause of hyperlipidemia
is a sedentary lifestyle with dietary choices that consist of saturated and trans fats and
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHSCORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now