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NR 601 Week 5 Case Study / NR601 Week 5 Case Study_Primary Care of the Maturing and Aged Family (V5)(NEWEST, 2021) : Chamberlain College of Nursing(Download to score A) $12.49
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NR 601 Week 5 Case Study / NR601 Week 5 Case Study_Primary Care of the Maturing and Aged Family (V5)(NEWEST, 2021) : Chamberlain College of Nursing(Download to score A)
NR 601 Week 5 Case Study / NR601 Week 5 Case Study_Primary Care of the Maturing and Aged Family (V5)(NEWEST, 2021) : Chamberlain College of Nursing(Download to score A)
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
, WEEK 5 CASE STUDY 3
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
indication of diabetes and/or early sign of kidney disease; as well as, an indication for
dyslipidemia, a common condition associated with T2DM (Dunphy et al., 2015; ADA, 2019).
Secondary Diagnosis.
Hyperlipidemia, unspecified (E78.5).
Pathophysiology. Hyperlipidemia is an acquired or genetic metabolic condition
comprising of various lipids and lipoproteins that increase the risk of atherosclerosis, or plaque
sticking to the inner walls of arteries (Dunphy et al., 2015). Lipoproteins are molecules that carry
cholesterol in the bloodstream and are separated by the following groups: VLDL, LDL, and
HDL; and triglycerides are large lipid molecules from dietary fats (Dunphy et al., 2015).
Characteristically, patients do not exhibit manifestations of hyperlipidemia, but often this
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