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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) $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 (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)
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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