NURS 6501 Aspen University Biological and Environmental Factors Case Study

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NURS 6501 Aspen University Biological and Environmental Factors Case Study

Description

Case Study Analysis

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

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Photo Credit: Getty Images/Hero Images

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. NURS 6501 Aspen University Biological and Environmental Factors Case Study

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

THE ASSIGNMENT (1- TO 2-PAGE CASE STUDY ANALYSIS)

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described.
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.  All papers submitted must use this formatting.  NURS 6501 Aspen University Biological and Environmental Factors Case Study

Assessment description

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Discuss how organizational structure would influence staffing considerations and change management plan execution?

Assessment description

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Discuss how organizational structure would influence staffing considerations and change management plan execution?

Problem solving

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You want to propose a new way to solve a problem at your workplace. To describe your implementation for this change, use the following information to submit a business plan detailing the need for this change to the head of your department.
For this assignment, complete the “Business Plan” template. Write a 500-750 word summary detailing how implementing the business plan would be beneficial for the organization. Explain how the plan would be a good return on investment for the organization.

Provide two to four scholarly resources, in addition to information from your textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Problem solving

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You want to propose a new way to solve a problem at your workplace. To describe your implementation for this change, use the following information to submit a business plan detailing the need for this change to the head of your department.
For this assignment, complete the “Business Plan” template. Write a 500-750 word summary detailing how implementing the business plan would be beneficial for the organization. Explain how the plan would be a good return on investment for the organization.

Provide two to four scholarly resources, in addition to information from your textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Problem solving

/in /by

You want to propose a new way to solve a problem at your workplace. To describe your implementation for this change, use the following information to submit a business plan detailing the need for this change to the head of your department.
For this assignment, complete the “Business Plan” template. Write a 500-750 word summary detailing how implementing the business plan would be beneficial for the organization. Explain how the plan would be a good return on investment for the organization.

Provide two to four scholarly resources, in addition to information from your textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Assessment traits

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Identify a current change that occurred in a large health care organization (news article, journal, etc.). Based on the information available, how would you describe the return on investment of the change for that organization? Discuss both the aspects of cost and time.

NR506NP Full Course Assignments

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NR506NP Full Course Assignments

 

NR506NP Healthcare Policy and Leadership

Week 1 Discussion

Barriers to Practice

Purpose

Discuss barriers to practice as an APN in one’s state from both a state and national perspective.  Research methods to influence policy change from various forms of competition, state legislative and executive branches of government and interest groups.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Discuss the history of policy development and policy making in nursing (CO1)

Examine different types of policy and their relationships to healthcare policy (CO1)

Explain current barriers to practice for advanced practice nurses (CO2)

Discuss health policy and methods of lifting barriers to practice (CO2) NR506NP Full Course Assignments

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Requirements:

Using the readings from this week as well as outside reliable resources to:

Identify and describe practice barriers for APNs in your state and discuss these barriers on a state and national level.

Identify forms of competition on the state and national level that interfere with APN’s ability to practice independently.

Identify the lawmakers at the state level (i.e., key members of the state’s legislative branch and executive branch of government)

Discuss interest groups that exist at the state and national levels that influence APN policy.

Discuss methods used to influence change in policy in forms of competition, state legislative and executive branches of government and interest groups.

NR506NP Healthcare Policy and Leadership

Week 2 Discussion (NR506NP Full Course Assignments)

Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study

Purpose

The purpose of this discussion is to discuss organizational changes and ethical-legal influences in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and ethical and legal implications for members of the heath care team as a result of illegal behaviors.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture. NR506NP Full Course Assignments

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Demonstrate effective leadership styles in the management of organizational change (CO3)

Interpret various forms of ethical theories and application into practice (CO4)

Discuss practice guidelines and malpractice prevention (CO2)

Requirements:

You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.

Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.

Case Study Questions:

What are the potential ethical and legal implications for each of the following practice members?

Medical assistant

Nurse Practitioner

Medical Director

Practice

What strategies would you implement to prevent further episodes of potentially illegal behavior?

What leadership qualities would you apply to effect a positive change in the practice?? Be thinking about the culture of the practice.

NR506NP Healthcare Policy and Leadership

Week 3 Discussion – Review the Hedis Measures and select ONE (1) measure. Briefly discuss the measure.

Discuss how each intervention can result in improved patient outcomes and cost savings for the practice. Provide evidence to support your discussion.

Discuss how each intervention can result in improved patient ratings (an NP’s patient scorecard). Provide evidence to support your discussion.

Use the provided APA Paper Template to complete the assignment.

Review writing for grammar and mechanics. Consider using academic writing resources to support writing. Your paper should include a title page, introduction with a purpose statement, body with citations to support assertions, conclusion addressing the findings of the paper, and reference page.

Review APA formatting. Consider using APA resources to support citation and reference formation.

Enjoy the learning and reach out to me if you have questions. Cphillips2@chamberlain.edu  or 260-417-2889

NR506NP Healthcare Policy and Leadership

Week 4 Discussion

This is a required, but not graded open forum. Your post should add further clarity to the assignment and content of the readings and lessons for the week. Please feel free to post questions related to content or assignments.

NR506NP Healthcare Policy and Leadership

Week 5 Discussion (NR506NP Full Course Assignments)

Ethical and Legal Implications

Purpose

Discuss potential complications in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and implications for members of the heath care team as a result of conflict among the healthcare team.  Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture. NR506NP Full Course Assignments

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Recognize potential areas of conflict in NP clinical practice (CO1)

Determine methods of data collection to assess the conflict (CO3)

Examine corporate compliance and its effect on clinical practice (CO2)

Understand risk management in clinical practice (CO4)

Requirements:

You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Case Study Responses:

Analyze the case study for potential issues for members of the healthcare team from office conflict. Contrast the potential effects for each member of the healthcare team based upon the required readings from the week. Discuss the potential ethical and legal implications for each of the following practice members:

Medical assistant

Nurse Practitioner

Medical Director

Practice

What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?

What leadership qualities would you apply to effect positive change in the practice? Focus on the culture of the practice.

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NR506NP Healthcare Policy and Leadership

Week 6 Discussion (NR506NP Full Course Assignments)

Scope of Practice and Patient’s Healthcare Accessibility

Purpose

The purpose of this assignment is to identify the scope of practice in one’s state including level of independence of practice, prescribing authority, any limitations of practice, process for obtaining licensure in your state, certification and education requirements for licensure.  Next, students will discuss how the level of independence of practice in their state, i.e., reduced, restricted or full practice, affects patient’s access to care in their local community.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Understand NP practice as defined by law (CO2)

Determine legislation as defined by legislation, statutes and regulations (CO2)

Identify barriers to ensuring patient’s rights (CO3)

Requirements:

Discuss your state NP community in terms of scope of practice. Include the your state’s scope of practice for NPs including:

Level of independence of practice

Prescribing authority

Any limitations of practice

Process for obtaining licensure in your state

Certification and education requirements for licensure.

If you live in a restricted or reduced practice state, how has patient care been impacted in your local community from these barriers?  For instance, is the ED used for primary care?  Are the EDs overcrowded with long wait times?  Are there urgent care clinics readily available? Is there adequate access to primary care?  If you live in a full practice, how has independent practice of the APN resulted in improved patient access to healthcare?

How does access to NPs impacts any healthcare disparities?

NR506NP Healthcare Policy and Leadership

Week 7 Discussion (NR506NP Full Course Assignments)

APNs as Healthcare Policy Leaders

Purpose

The purpose of this assignment is to discuss healthcare policy of the APN profession and how Transformational Leadership can help to influence policy changes. This week’s assignment focuses on the APN as a Health Policy Leader, one of the nine NONPF NP competencies.  Students will analyze how health policy may affect NP practice and how Transformational Leadership can help to influence policy changes.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)

Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)

Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO4)

Requirements:

Criteria for Content

Explanation of how healthcare policy can impact the advanced practice nurse profession

Explanation of why advocacy is considered an essential component of the advance practice nurse’s role

Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change

NR506NP Healthcare Policy and Leadership

Week 8 Discussion – Reflection on Achievement of Outcomes

Purpose

The final week will focus on Global Policy Reform and the impact on patient care.  Students read the Berwick article and respond to the required discussions.  In addition, students reflect on what they have learned in NR506NPNP and how it is applicable to their upcoming clinical courses.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Understand the role of advanced practice nursing in the International Context (CO2)

Research global aspects of healthcare and the effect on the US healthcare system (CO5)

Discuss the implications of global health on your clinical practice (CO5)

Berwick, D., Snair, M., & Nishtar, S. (2018). Crossing the global health care quality chasm: A key component of universal health coverage. Journal of American Medical Association, 320(13), 1317-1318.

Read the Berwick article and reflect on the concepts and practices you have learned in NR506NP on healthcare systems, politics, and health policy. Reflections should include:

How to make informed decisions on nursing practice and patient outcomes on a global basis.? In addition, state how you will apply what you have learned in this course to your upcoming practicum experience.?

Describe how one will apply content from NR506NPNP to the upcoming clinical courses.

NR506NP Healthcare Policy and Leadership

Week 3 Assignment  (NR506NP Full Course Assignments)

Quality Healthcare: Measuring NP Performance

Purpose

The purpose of this assignment is to have students research the measurement tools of NP performance.  Through the use of quality patient outcomes, student will l ist and discuss three different patient interventions and how  they would specifically measure the outcomes and h o w these primary care interventions result in improved patient outcomes and cost savings for the practice .  In addition,  students will discuss how these interventions result in improved patient ratings . NR506NP Full Course Assignments

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1)

Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)

Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3)

Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4)

Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5)

Requirements:

The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

Effectiveness of Care.

Access/Availability of Care.

Experience of Care.

Utilization and Risk Adjusted Utilization.

Health Plan Descriptive Information.

Measures Collected Using Electronic Clinical Data Systems

You may access the 6 domains of care by clicking this link:

(NCQA, n.d. https://www.ncqa.org/hedis/ (Links to an external site.))

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care.

Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page.

You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and cost savings for the practice?

How can these interventions result in improved NP patient ratings? NR506NP Full Course Assignments

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NR506NP Healthcare Policy and Leadership

Week 4 Assignment  – Kaltura Health Policy Analysis

Purpose

This assignment will focus on developing a health policy analysis presentation that includes a problem statement, background, landscape, options and recommendations from the week’s readings.  The health policy analysis presentation is based upon an identified healthcare issue in one’s local community.

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1)

Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2)

Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4)

Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5)

Requirements:

Research healthcare issues that have been identified in your local community. Develop a power point presentation offline. Structure a health policy analysis presentation that addresses the following topics particular to your health problem.

Problem Statement

Background

Landscape

Options

Recommendations

Next, record your Kaltura presentation and upload it into the week 4 assignment. How to use Kaltura resources are in Home/Resources/Technology Resources

Posting your recording:

Go to the week four assignment tab and hit Submit Assignment

Use the Text Entry Tab. You will have the option of selecting the Kaltura icon

It will take you to your My Media Gallery and upload it from there, example below. NR506NP Full Course Assignments

Case Study: Contraception Options

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Case Study: Contraception Options

Case Study: Contraception Options

 

Scenario 1

Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to your clinic today to discuss contraceptive options.  She states that she is not interested in having more children but her new partner has never fathered a child. Her medical history is remarkable for exercise-induced asthma, migraines, and IBS. Her surgical history is remarkable only for tonsils as a child. Her social history is negative for alcohol, tobacco, and recreational drugs.  She has no known drug allergies and takes only vitamin C. Hospitalizations were only for childbirth. Family history reveals that her maternal grandmother is alive with dementia, while her maternal grandfather is alive with COPD. Her paternal grandparents are both deceased due to an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell). Elaine has one older sister with no medical problems and one younger brother with no reported medical problems. Case Study: Contraception Options

 

  • Height 5’ 7” Weight 148 (BMI 23.1), BP 118/72 P 68
  • HEENT:  wnl
  • Neck: supple without adenopathy
  • Lungs/CV: wnl
  • Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge
  • Abd: soft, +BS, no tenderness
  • VVBSU: wnl, except 1st degree cystocele
  • Cervix: firm, smooth, parous, without CMT
  • Uterus: RV, mobile, non-tender, approximately 10 cm,
  • Adnexa: without masses or tenderness

QUESTION:

What other information do you need?

MORE QUESTIONS:

  1. What has she used in the past?  Why did she stop a method?  How many partners in past 12 months?
  2. What are her current cycles like?
  3. When was her last gyn exam and what were the results of the tests?
  4. Are her migraines with or without auras?
  5. What method has she considered.

QUESTIONS:

•What are your next steps/considerations?

•;What teaching should you do?

•What methods are appropriate for Elaine?

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NRNP 6552: Advanced Nurse Practice in Reproductive Health Care

Episodic/Focused SOAP Note Template

 

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint): This is a brief statement identifying why the patient is here in the patient’s own words, for instance, “headache,” not “bad headache for 3 days.”

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start every HPI with age, race, and gender (e.g., 34-year-old African American male). You must include the seven attributes of each principal symptom in paragraph form, not a list. If the CC was “headache,” the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/relieving factors: light bothers eyes, Naproxen makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include over-the-counter (OTC) or homeopathic products.

Allergies: Include medication, food, and environmental allergies separately. Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction versus intolerance.

PMHx: Include immunization status (note date of last tetanus for all adults), past major illnesses, and surgeries. Depending on the CC, more info is sometimes needed. Soc & Substance Hx: Include occupation and major hobbies, family status, tobacco and alcohol use (previous and current use), and any other pertinent data. Always add some health promotion questions here, such as whether they use seat belts all the time or whether they have working smoke detectors in the house, the condition of the living environment, text/cell phone use while driving, and support systems available.

Fam Hx: Illnesses with possible genetic predisposition, contagious illnesses, or chronic illnesses. The reason for death of any deceased first-degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

Surgical Hx: Prior surgical procedures.

Mental Hx: Diagnosis and treatment. Current concerns: (Anxiety and/or depression). History of self-harm practices and/or suicidal or homicidal ideation.

Violence Hx: Concern or issues about safety (personal, home, community, sexual—current and historical).

Reproductive Hx: Menstrual history (date of last menstrual period [LMP]), pregnant (yes or no), nursing/lactating (yes or no), contraceptive use (method used), types of intercourse (oral, anal, vaginal, other), and any sexual concerns.

ROS: This covers all body systems that may help you include or rule out a differential diagnosis. You should list each system as follows: General: Head: EENT: and so forth. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL: No weight loss, fever, chills, weakness, or fatigue.

HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.

SKIN: No rash or itching.

CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.

RESPIRATORY: No shortness of breath, cough, or sputum. Case Study: Contraception Options

GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.

GENITOURINARY: Burning on urination. Pregnancy. LMP: MM/DD/YYYY.

NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL: No muscle pain, back pain, joint pain, or stiffness.

HEMATOLOGIC: No anemia, bleeding, or bruising.

LYMPHATICS: No enlarged nodes. No history of splenectomy.

PSYCHIATRIC: No history of depression or anxiety.

ENDOCRINOLOGIC: No reports of sweating or cold or heat intolerance. No polyuria or polydipsia.

REPRODUCTIVE: Not pregnant and no recent pregnancy. No reports of vaginal or penile discharge. Not sexually active.

ALLERGIES: No history of asthma, hives, eczema, or rhinitis.

O.

Physical exam: From head to toe, include what you see, hear, and feel when conducting your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and history. Do not use “WNL” or “normal.” You must describe what you see. Always document in head-to-toe format (i.e., General: Head: EENT:).

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).

A.

Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence-based guidelines.

P.

Includes documentation of diagnostic studies that will be obtained, referrals to other health care providers, therapeutic interventions, education, disposition of the patient, and any planned follow-up visits. Each diagnosis or condition documented in the assessment should be addressed in the plan. The details of the plan should follow an orderly manner. Also included in this section is the reflection. The student should reflect on this case and discuss whether or not they agree with their preceptor’s treatment of the patient and why or why not. What did they learn from this case? What would they do differently?

Also include in your reflection a discussion related to health promotion and disease prevention, taking into consideration patient factors (e.g., age, ethnic group), PMH, and other risk factors (e.g., socioeconomic, cultural background).

References

You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting. Case Study: Contraception Options

DQ Bariatric surgery for his obesity

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DQ Bariatric surgery for his obesity

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center. DQ Bariatric surgery for his obesity

Objective Data

1. Height: 68 inches; Weight 134.5 kg

2. BP: 172/96, HR 88, RR 26

 

3. Fasting Blood Glucose: 146/mg/dL

 

4. Total Cholesterol: 250mg/dL

 

5. Triglycerides: 312 mg/dL

 

6. HDL: 30 mg/dL

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Critical Thinking Questions

What health Risks Associated with Obesity does Mr. C. have?

Is Bariatric Surgery an appropriate intervention? Why or Why not?

Mr. C. has been diagnosed with Peptic Ulcer Disease and the following medications have been ordered:

1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.

2. Ranitidine (Zantac) 300 mg PO at bedtime.

3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. DQ Bariatric surgery for his obesity

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m.

Plan an Administration Schedule that will be Most Therapeutic and Acceptable to the patient.

1. Assess each of Mr. C.’s Functional Health Patterns using the information given. (Hint: Functional Health Patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)

 

2. What Actual or Potential Problems can you Identify? Describe at Least Five Problems and Provide the Rationale for Each. DQ Bariatric surgery for his obesity