Case Study Analysis module 7

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario):

• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.
• Why prostatitis and infection happens. Also explain the causes of systemic reaction.

 Scenario : 42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO₂ 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.

ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS

 Day 7 of Week 10

Submit your Case Study Analysis Assignment by Day 7 of Week 10

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting. Case Study Analysis module 7

Module 7 Assignment: Case Study Analysis

An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient.

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. Case Study Analysis module 7

To prepare:

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

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario):

• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.
• Why prostatitis and infection happens. Also explain the causes of systemic reaction.
• Why a patient would need a splenectomy after a diagnosis of ITP.
• Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Day 7 of Week 10

Submit your Case Study Analysis Assignment by Day 7 of Week 10

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

 

Excellent	Good	Fair	Poor
Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section):  Explain the factors that affect fertility (STDs)	23 (23%) – 25 (25%)  The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed explanations of the processes related to women’s and men’s health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation. Case Study Analysis module 7	20 (20%) – 22 (22%)  The response describes the patient symptoms. The response includes accurate, explanations of the processes related to women’s and men’s health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation.	18 (18%) – 19 (19%)  The response describes the patient symptoms in a manner that is vague or inaccurate. The response includes explanations of the processes related to women’s and men’s health, infections, and hematologic disorders, with explanations that are vague or based on inappropriate evidence/research.	0 (0%) – 17 (17%)  The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. The response does not include explanations of the processes related to women’s and men’s health, infections, and hematologic disorders, or the explanations are vague or based on inappropriate evidence/research.
Explain why inflammatory markers rise in STD/PID	18 (18%) – 20 (20%)  The response includes an accurate, complete, detailed, and specific analysis of the concepts and principles of pathophysiology across the life span and is supported by evidence and/or research, as appropriate, to support the explanation.	16 (16%) – 17 (17%)  The response includes an accurate explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.	14 (14%) – 15 (15%)  The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate evidence/research.	0 (0%) – 13 (13%)  The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate or missing evidence/research.
Explain why prostatitis and infection happen. Also explain the causes of systemic reaction.	18 (18%) – 20 (20%)  The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.	16 (16%) – 17 (17%)  The response includes an accurate explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.	14 (14%) – 15 (15%)  The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate evidence/research.	0 (0%) – 13 (13%)  The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate or missing evidence/research.
Explain why a patient would need a splenectomy after a diagnosis of ITP.	5 (5%) – 10 (10%)  The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.	4 (4%) – 4 (4%)  The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.	3 (3%) – 3 (3%)  The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations are based on inappropriate evidence/research.	0 (0%) – 2 (2%)  The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.
Explain anemia and the different kinds of anemia (i.e., micro and macrocytic).	5 (5%) – 10 (10%)  The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.	4 (4%) – 4 (4%)  The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation.	3 (3%) – 3 (3%)  The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations are based on inappropriate evidence/research.	0 (0%) – 2 (2%)  The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.
Written Expression and Formatting – Paragraph Development and Organization:   Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance.  A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.	5 (5%) – 5 (5%)  Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.	4 (4%) – 4 (4%)  Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. The purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.	3 (3%) – 3 (3%)  Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time. The purpose, introduction, and conclusion of the assignment are vague or off topic.	0 (0%) – 2 (2%)  Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.
Written Expression and Formatting – English Writing Standards:  Correct grammar, mechanics, and proper punctuation	5 (5%) – 5 (5%)  Uses correct grammar, spelling, and punctuation with no errors. Case Study Analysis module 7	4 (4%) – 4 (4%)  Contains a few (1 or 2) grammar, spelling, and punctuation errors.	3 (3%) – 3 (3%)  Contains several (3 or 4) grammar, spelling, and punctuation errors.	0 (0%) – 2 (2%)  Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.	5 (5%) – 5 (5%)  Uses correct APA format with no errors.	4 (4%) – 4 (4%)  Contains a few (1 or 2) APA format errors.	3 (3%) – 3 (3%)  Contains several (3 or 4) APA format errors.	0 (0%) – 2 (2%)  Contains many (≥ 5) APA format errors.
Total Points: 100

Solution

 

 

The factors that affect fertility (STDs).

Fertility is a significant issue among persons of the reproductive age particularly those seeking to have children.  It describes the ability to produce children and it can be affected by various factors. The most common STDs causing infertility include gonorrhea and chlamydia. Gonorrhea causes painful urination, swelling and pain in one testicle and produces pus-like discharge from the penis.

Chlamydia results in genetic damage on sperms hence resulting in male fertility. The symptoms include pain during urination, pain in testicles, itching or burning urethra, white, watery or cloudy discharge from the penis tip. The client in the case study therefore could be suffering from these infections since e has the above symptoms.

Why inflammatory markers rise in STD/PID.

The presence of a chlamydia infection leads to increased level of inflammatory makers in acute pelvic inflammatory disease (PID). These include the CRP, CA-125, and ESR. This is caused by the sticking together of the protein red blood cell covers which in turn results in quick fall of red cells. A high level of ESR markers suggests an inflammation.

ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS

Why prostatitis and infection happens. Also explain the causes of systemic reaction.

Prostatitis infection describes an infection of the prostate manifested through painful urination, pain in the groin, urination difficulties among other symptoms (Khan et al., 2017). The disease is caused by common bacteria strains and can begin from a leak of urine into the prostate. It leads to an inflammation of the prostate gland.

However, it is neither an STD nor a contagious condition and can literary onset at any age. When the prostate and its surrounding environment is inflamed, a prostate infection is considered to have occurred. This is also referred to as prostatitis and can refer to a group of acute and chronic bacterial conditions. A systematic reaction is characterized by the spread of an inflammation from one localized area of the body to the other organ systems.

Why a patient would need a splenectomy after a diagnosis of ITP.

Splenectomy is the removal of spleen. A patient needs splenectomy in the event that their platelets are perceived and treated as pathogens by the immune system leading to their destruction. Removing the spleen in such cases helps in restoring and maintaining the platelets circulating in the system. In Immune thrombocytopenic purpura (ITP) patients, it is necessary to wait for at least 3 to 6 months before removing the spleen since the condition has a likelihood of resolving in some patients particularly the younger ones (Chaturvedi, Arnold & McCrae, 2018).  An earlier splenectomy can be influenced by the coexistence of peptic ulcer disease (PUD) or diabetes disorders.

Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Anemia describes the dysfunction or lack of red blood cells in the body. this condition causses reduced flow of oxygen in the organs hence causing multiple symptoms such as light-headedness, shortness of breath, fast heartbeat, dizziness, skin pallor and fatigue. Among the different kinds of anemia is microcytic which is characterized by red blood cells which are smaller than normal size.  Another type is macrocytic which describes a condition of larger than normal red blood cells. Case Study Analysis module 7

References

Chaturvedi, S., Arnold, D. M., & McCrae, K. R. (2018). Splenectomy for immune thrombocytopenia: down but not out. Blood, The Journal of the American Society of Hematology, 131(11), 1172-1182.

Khan, F. U., Ihsan, A. U., Khan, H. U., Jana, R., Wazir, J., Khongorzul, P., … & Zhou, X. (2017). Comprehensive overview of prostatitis. Biomedicine & Pharmacotherapy, 94, 1064-1076.

Park, S. T., Lee, S. W., Kim, M. J., Kang, Y. M., Moon, H. M., & Rhim, C. C. (2017). Clinical characteristics of genital chlamydia infection in pelvic inflammatory disease. BMC women’s health, 17(1), 1-7. doi:10.1186/s12905-016-0356-9