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NR 601 Week 5 Case Study / NR601 Week 5 Case Study_Primary Care of the Maturing and Aged Family (V4)(NEWEST, 2021) : Chamberlain College of Nursing(Download to score A) CA$17.95   Add to cart
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NR 601 Week 5 Case Study / NR601 Week 5 Case Study_Primary Care of the Maturing and Aged Family (V4)(NEWEST, 2021) : Chamberlain College of Nursing(Download to score A)

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  • Course
  • NR 601 / NR601 (NR601/NR601)
  • Institution
  • Chamberlain College Of Nursing

NR 601 Week 5 Case Study / NR601 Week 5 Case Study_Primary Care of the Maturing and Aged Family (V4)(NEWEST, 2021) : Chamberlain College of Nursing(Download to score A)

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  • July 29, 2021
  • 21
  • 2021/2022
  • Other
  • Unknown

Subjects

  • nr 601 week 5 case study nr601 week 5 case studyprimary care of the maturing and aged family v4newest
  • 2021 chamberlain college of nursing

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  • Chamberlain College Of Nursing
  • NR 601 / NR601 (NR601/NR601)
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1
Running Head: WEEK 5 CASE STUDY




NR 601 Week 5 Case Study

Sara Martinez

Chamberlain College of Nursing

Primary Care of the Maturing and Aged Family

,2
WEEK 5 CASE STUDY



Week 5 Case Study

The purpose of this case study is to present Mrs. R., a 56- year old Hispanic female,

follow up visit in the clinic with the chief complaint of fatigue and weight gain. The onset of

Mrs. R’s symptoms began three months ago. She reports going to the gym and exercising twice a

week, at the gym she walks on the treadmill for 30 minutes in the effort of losing weight in

which she has not lost any weight. The purpose of this case study is the analysis of objective and

subjective findings in order to diagnose and construct a plan of management of Mrs. R’s chief

complaint. To include the National Diabetes Guidelines which will be applied to the patient’s

management plan.

This paper will comprise of primary diagnosis, secondary diagnosis and differential

diagnosis for Mrs. R, along with a plan for management and treatment of the primary diagnosis,

secondary diagnosis, and the differential diagnosis. Involving diagnostics, medications,

education, referrals and follow-up care. Furthermore, this paper will include the discussion of

medication cost of all prescribed and ( OTC) over- the- counter medications.

Assessment

The following information provided by Mrs. R., reports does not understand why she has weight

gain despite working out twice a week on the treadmill for 30 minutes each time, fatigue,

increased thirst, hunger, and urination. She is 5’2.5, and 165 pounds according to the Center for

Disease Control and Prevention BMI calculator (CDC) (2015), Mrs. R’s BMI is 29.7indicating

she is overweight for her height of 5’2.5. The outcome of her urinalysis indicated 1+ glucose and

a small amount of protein. Fasting glucose 126 mg/dl and HgbA1C 6.9%, according to the

American Diabetes Association (ADA) (2018), meets the criteria for a primary diagnosis of

, 3
WEEK 5 CASE STUDY
diabetes. Lipid panel reveals her secondary diagnosis of hyperlipidemia and her raised

cholesterol indicates the probability of increased risk for a stroke and cardiovascular disease

(AACE, 2017). Differential diagnosis obesity due to her BMI of 29.7 for her weight and height

her BMI should be 18.5 to 24.9 according to the Center for Disease Control and Prevention BMI

calculator (CDC) (2015).

Primary Diagnosis

Diabetes Mellitus Type 2 (DM) (E11.9) Type 2 Diabetes is identified as adult-onset

diabetes as specified by hyperglycemia, insulin deficiency and insulin resistance leading to the

increased risk for developing vascular and neurologic complications (American Diabetes

Association, 2018). Goroll (2014) states an insufficient amount of insulin that is expelled by the

pancreas in order to meet the needs of a metabolic state resulting in hyperglycemia; this disease

becomes evident as aging occurs in most cases. Indications of Type 2 Diabetes involve fatigue as

the prime indicator. An indication of Type 2 Diabetes is polyuria, polydipsia, polyphagia and

weight increase (Goroll, 2014).

Pertinent positives for Mrs. R involve thirsty all the time (polydipsia), hungry all the time

( polyphagia), increase in urination particularly during the day (polyuria), increase in fatigue,

inability to lose weight despite exercise, overweight, the patient's age and of Hispanic ethnicity.

The lab work for her contains Hemoglobin A1C as 6.9%, fasting blood glucose as 126, small

amount of protein with 1+ glucose and elevated cholesterol in which reveal a diagnosis of

Diabetes Mellitus Type 2. Complications of Diabetes Type 2 such as renal failure, cardiovascular

and peripheral vascular disease, glaucoma and blindness (Pippitt, Li, and Gurgle, 2016).

Pertinent negatives no family history of Diabetes, no history of tobacco use, usually walk on the

treadmill twice a week for 30 min. No personal history of Diabetes, or hyperlipidemia. No

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