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NR 601 Week 5 Case study _ DeLost, 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 Case study _ DeLost, Chamberlain college of Nursing NR 601: Primary Care of the Maturing and Aged Family

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NR 601 Week 5 Case study _ DeLost, Chamberlain college of Nursing NR 601: Primary Care of the Maturing and Aged Family Week 5 Case Study In healthcare, there are many different patients that present with a variety of symptoms. It is the duty of the practitioner to assess new findings, and l...

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  • June 22, 2022
  • 13
  • 2021/2022
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CASE STUDY TITLE 1




Week 5 Case Study


Chamberlain College of Nursing


Nr601: Primary Care of the Maturing and Aged Family Practicum

, Week 5 Case Study

In healthcare, there are many different patients that present with a variety of symptoms. It is the

duty of the practitioner to assess new findings, and link them with subjective and objective findings,

patient history and risk factors to assess and treat each unique patient properly. This paper will do just

that, as a case study is reviewed of a patient who presents to the office with new complaints; The

patient’s possible diagnoses will be reviewed with rationale, as well as a plan of care that would be

implemented for the patient, including testing, medication, education, referrals, and follow up; Lastly, the

an assessment of comorbidities will be reviewed along with the patient’s average medications costs. By

performing this case study, it creates an example of how each patient who presents to an office must be

assessed and treated in the primary care setting.

Assessment

Primary Diagnosis: Diabetes type II without complications (E11.9)

Pathophysiology: Skyler et al. (2017) detailed that when a person has type II diabetes, the body

develops insulin resistance when excess fat is deposited in different areas of the body, including the

muscles, liver and pancreas, which overtime, impairs B-cell function. When this occurs, it is explained

that the body does not produce enough insulin in response to increased blood glucose levels, resulting in

the signs and symptoms of hyperglycemia; These symptoms include polyuria, polydipsia, increased

appetite, fatigue, vision changes, weight changes (initially weight loss) and skin changes.


Pertinent positive findings: The patient in this case study presented with complaints of

difficulty losing weight, increased hunger and thirst during exercise, polyuria, nocturnal polyuria, and

fatigue. The patient’s urinalysis was positive for 1+ glucose and the bloodwork resulting a fasting blood

glucose of 135 and a hemoglobin a1c of 6.9%. The patient had a 7lb weight gain after attempting weight

loss exercises and diet. Skyler et al. (2017) detailed that having increased hunger, thirst, urination and

fatigue are all common symptoms of diabetes. It was also explained that when blood glucose levels are

elevated, the kidneys cannot absorb all of the excess and therefore excretes the glucose through the urine.

This

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