Exam (elaborations)
NR 601 Week 5 Case Study Paper Final, NR 601: Care of the Maturing and Aged Family, Chamberlain
- Course
- Institution
NR 601 Week 5 Case Study Paper Final, NR 601: Care of the Maturing and Aged Family, Chamberlain
[Show more]
Seller
Follow
HIGHSCORE
Reviews received
Content preview
Running head: WEEK 5 CASE STUDY 1Week 5 Case Study
Assignment
Chamberlain University
NR601: Primary Care of the Maturing and Aged Family
,Running head: WEEK 5 CASE STUDY 2
Week 5 Case Study Assignment
The intent of this paper is to examine subjective and objective findings of a case study
patient to appropriately diagnose and formulate an individualized management plan that utilizes
evidence-based practice guidelines. The case study patient is a 55-year-old Hispanic female who
presents to the office for her annual exam complaining of fatigue, weight gain, polyuria,
polydipsia, and polyphagia for the past 3 months. This paper will identify applicable primary,
secondary, and differential diagnoses; and apply national guidelines from the American
Diabetes Association’s (ADA) 2019 Standards of Medical Care in Diabetes to develop a
management plan that will include the appropriate diagnostics, affordable medications,
education, referrals,
and follow-up.
Assessment
, WEEK 5 CASE STUDY 3
Primary Diagnosis
Type 2 diabetes mellitus without complications (E11.9).
Pathophysiology. Type 2 diabetes mellitus (T2DM) is characterized by high levels of
plasma glucose due to a decreased function of pancreatic beta cells, which causes insulin
resistance and impaired insulin secretion (Dunphy, Winland-Brown, Porter, & Thomas, 2015).
The most common manifestations of T2DM include the following: fatigue, polyuria (increased
urination), polydipsia (increased thirst), polyphagia (increased appetite) with weight loss
(Dunphy et al., 2015).
Pertinent positive findings. Very fatigued and low energy, increased hunger and thirst
with exercise, increased urination at night and more frequently during the day; which all have
been occurring for the past 3 months and a weight gain of 3 pounds (subjective). Mrs. G is 55
years old, Hispanic, and obese according to the calculated BMI of 33.3 kg/m2; elevated
hemoglobin A1C of 6.9%, urinalysis showed 1+ glucose and small protein, and dyslipidemia
according to lipid panel (objective) (Dunphy et al., 2015).
Pertinent negative findings. No family history of diabetes and exercising twice a week
for at least 30 minutes (subjective). Glucose 95 and urinalysis negative for ketones (objective)
(Dunphy et al., 2015).
Rationale for the diagnosis. T2DM was selected as the primary diagnosis based on the
aforementioned pertinent positive findings, which include the following: fatigue, polyuria,
polyphagia, and polydipsia; along with several risk factors for T2DM, such as age, Hispanic
ethnicity, obesity (BMI ≥25), and lack of physical activity (ADA, 2019). Additionally, the
laboratory results showed conflicting results, a normal FPG of 95 and an elevated A1C of 6.9%.
Therefore, according to the criteria for diagnosing diabetes, an A1C ≥6.5% with obvious signs
and symptoms of hyperglycemia can confirm the diagnosis of T2DM without repeat testing
(ADA, 2019). Lastly, the urinalysis showed 1+ glucose and small protein (albumin), which is
an
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)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now
Recently viewed by you
Exam (elaborations) ·
Advanced Auditing - Final Exam 2024 Questions and Answers 100% Verified.
Exam (elaborations) ·
PA Notary Public Exam latest complete verified solution 2023 UPDATED
Exam (elaborations) ·
OPOTA SPO's Exam 2023 Questions and Answers with complete solution
Package deal ·
Defense Acquisition University: ACQ- ACQ 1010 All modules Exams
Exam (elaborations) ·
HLTH 1100 Final Exam With Complete Solutions Latest upload
