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NR 601 Week 5 Assignment, Chamberlain college of Nursing NR 601: Primary Care of the Maturing and Aged Family $12.99   Add to cart
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NR 601 Week 5 Assignment, Chamberlain college of Nursing NR 601: Primary Care of the Maturing and Aged Family

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NR 601 Week 5 Assignment, Chamberlain college of Nursing NR 601: Primary Care of the Maturing and Aged Family 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...

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  • June 22, 2022
  • 19
  • 2021/2022
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  • nr 601 week 5 assignment
  • chamberlain college of nursing nr 601 primary care of the maturing and aged family

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Running head: CASE STUDY ASSIGNMENT 1




Week 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

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