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NR601 Week 5 Case Study Assignment / NR 601 Week 5 Case Study Assignment: Primary Care of the Maturing and Aged Family (Latest update, ): Chamberlain College of Nursing | Download to Score “A”|$13.49
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NR601 Week 5 Case Study Assignment / NR 601 Week 5 Case Study Assignment: Primary Care of the Maturing and Aged Family (Latest update, ): Chamberlain College of Nursing | Download to Score “A”|
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Course
NR 601
Institution
NR 601
NR601 Week 5 Case Study Assignment / NR 601 Week 5 Case Study Assignment: Primary Care of the Maturing and Aged Family (Latest update, ): Chamberlain College of Nursing | Download to Score “A”|
lbs., BMI: 30.6 (U.S. Department of Health & Human Services, n.d.). Pertinent laboratory
findings include urinalysis with 1+ glucose; fasting blood glucose (FBG) 135, HgA1C of 6.9%,
as well as total cholesterol of 202 mg/dl, LDL 134 mg/dl, HDL 32 mg/dl, and triglycerides of
225. He has a PMH significant for hyperlipidemia and osteoarthritis of the right knee. Based on
the HPI, ROS, and objective findings an appropriate primary and secondary diagnosis can be
determined.
Primary Diagnosis: new onset Type 2 Diabetes Mellitus (T2DM), ICD-10 (E11.9)
PathophysiologyT2DM is a chronic condition that impairs the way the body metabolizes
glucose. In T2DM the body either resists the effects of insulin or does not produce
enough insulin. Common signs and symptoms of T2DM include polydipsia, polyuria,
polyphagia, as well as fatigue (ADA, 2020b).
Pertinent positive findings: Polyuria, polydipsia, polyphagia, increased fatigue, a 7-
pound weight gain, as well as 1+ glucose in urine, FBG 135, and HgbA1C of 6.9%(ADA,
2020b). African American adults are 60% more likely to be diagnosed with T2DM than
non-Hispanic white adults (U.S. Department of Helath & Human Services Office of
Minority Health, 2019). Mr. Jones has a BMI of 30.6 and obesity is a known risk factor
for the development of T2DM (ADA, 2020b).
Pertinent negative findings: He exercises regularly and tries to adhere to dietary
restrictions; he does not have a sedentary lifestyle. Negative ketones on urinalysis and he
has no known family history (ADA, 2020b). Skin is warm dry and intact with no
evidence of yeast like rashes or acanthosis nigricans. Acanthosis nigricans typically
occurs in persons who are obese or are diabetic; it is characterized by dark, velvety, areas
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