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NR601 Week 5 Case Study Assignment / NR 601 Week 5 Case Study Assignment: Primary Care of the Maturing and Aged Family (Latest update, ): Chamberlain College of Nursing | Download to Score “A”| $13.49
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NR601 Week 5 Case Study Assignment / NR 601 Week 5 Case Study Assignment: Primary Care of the Maturing and Aged Family (Latest update, ): Chamberlain College of Nursing | Download to Score “A”|
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NR601 Week 5 Case Study Assignment / NR 601 Week 5 Case Study Assignment: Primary Care of the Maturing and Aged Family (Latest update, ): Chamberlain College of Nursing | Download to Score “A”|

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  • 17 augustus 2023
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WEEK 5 CASE STUDY ASSIGMENT 1




Week 5 Case Study Assignment

NR-601- Primary Care of the Maturing and Aged Family

Chamberlain College of Nursing

,WEEK 5 CASE STUDY 1


Week 5 Case Study Assignment

This paper will develop an accurateprimary and secondary diagnosis for Mr. Jones

utilizing the subjective and objective data provided and will also include a brief discussion of the

pathophysiology of the chosen diagnoses.It will include common signs and symptoms; pertinent

positives and negatives as they relate to the patient and the disease processes. Additionally, it

willinclude evidenced-based rationales to support the chosen diagnoses and a detailed

management plan that is individualized; consisting of diagnostics, medications, education,

referrals, as well as follow-up-care. This paper will include assessment and identification of one

comorbidity; with a discussion on the significance and impact that comorbidity has on health

outcomes. Anticipated monthly medication costs will be included for all prescription and over

the counter (OTC)medications, as well as,where the patient can obtainmedications for the best

price, and end with a discussion of how this future nurse practitioner will utilize medication

pricing resource in future practice.

Assessment

Mr. Jones is a 60-year-old African American male that presents to the clinic for a 6

month follow up for hyperlipidemia and weight loss. Although he reports that he has been going

to the gym 3 to 4 times a week, walking on the treadmill, and lifting weights as recommended,

and adhering to dietary modifications “as good as he could remember” he has not lost any weight

and has gained 7 pounds. He reports increased fatigue for approximately 10 weeks, with

increased hunger and thirst. Over the past 2 months he has been experiencing an increase of

urinary frequency during the day, as well as having to get up during the night.He is concerned

about his increase in fatigue and his inability to lose weight.

, WEEK 5 CASE STUDY 1


His vital signs are: BP: 119/77; P: 80 & regular; R: 16 & regular; Ht.: 5’9.5”, Wt.: 210

lbs., BMI: 30.6 (U.S. Department of Health & Human Services, n.d.). Pertinent laboratory

findings include urinalysis with 1+ glucose; fasting blood glucose (FBG) 135, HgA1C of 6.9%,

as well as total cholesterol of 202 mg/dl, LDL 134 mg/dl, HDL 32 mg/dl, and triglycerides of

225. He has a PMH significant for hyperlipidemia and osteoarthritis of the right knee. Based on

the HPI, ROS, and objective findings an appropriate primary and secondary diagnosis can be

determined.

Primary Diagnosis: new onset Type 2 Diabetes Mellitus (T2DM), ICD-10 (E11.9)

PathophysiologyT2DM is a chronic condition that impairs the way the body metabolizes

glucose. In T2DM the body either resists the effects of insulin or does not produce

enough insulin. Common signs and symptoms of T2DM include polydipsia, polyuria,

polyphagia, as well as fatigue (ADA, 2020b).


Pertinent positive findings: Polyuria, polydipsia, polyphagia, increased fatigue, a 7-

pound weight gain, as well as 1+ glucose in urine, FBG 135, and HgbA1C of 6.9%(ADA,

2020b). African American adults are 60% more likely to be diagnosed with T2DM than

non-Hispanic white adults (U.S. Department of Helath & Human Services Office of

Minority Health, 2019). Mr. Jones has a BMI of 30.6 and obesity is a known risk factor

for the development of T2DM (ADA, 2020b).


Pertinent negative findings: He exercises regularly and tries to adhere to dietary

restrictions; he does not have a sedentary lifestyle. Negative ketones on urinalysis and he

has no known family history (ADA, 2020b). Skin is warm dry and intact with no

evidence of yeast like rashes or acanthosis nigricans. Acanthosis nigricans typically

occurs in persons who are obese or are diabetic; it is characterized by dark, velvety, areas

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