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Pages:
8 pages/≈2200 words
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Check Instructions
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 38.88
Topic:

Pathophysiologic Dimension, Physiological Reactions Concerning Endocrine Medical Framework

Case Study Instructions:

Unit 3 Assignment: Endocrine Case Study
Due Nov 21 by 11:59pm Points 100 Submitting a text entry box, a website url, a media recording, or a file upload
Instructions
Assignment Objectives:
Describe the pathophysiologic manifestations of the disease(s).
Identify and select appropriate interventions including diagnostic tests and nursing interventions.
Analyze physiological and psychological responses to illness and treatment modalities
Purpose: Examine case studies related to endocrine system and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.
Assignment Description: Answer the questions related to each of the patients provided. Your answer must follow APA 7th edition format. Submit the answer in the assignment area of your course.
Patient 1 – The parents of an 11 year old girl bring her for an office visit. She has been developing normally and has been healthy and active. Her parents report that for the past several weeks, she has been feeling tired and weak, drinking more fluids than normal, and has been urinating so much she has wet the bed at night. Two days ago, they noticed that her breath smelled "like fruit" and she lost 8 pounds these last weeks. Yesterday she began breathing fast and deep.
a. Present your initial diagnosis.
b. Describe the pathophysiologic explanation(s) to support your diagnosis and the clinical symptoms presented.
c. List the test(s) you would perform to confirm your diagnosis, the rationale for each test ordered, and the results you would expect if your diagnosis is correct.
d. Describe your recommended treatment(s) and the rationale to support your recommendation(s).
Patient 2– A 45 year old man is being seen because he has been experiencing vision changes, a burning sensation in his feet, and decreasing amounts of urine when he uses the bathroom. He has a long-standing history of hypertension and hyperlipidemia. Your physical exam reveals retinal hemorrhages in both eyes, and decreased sensation to moderate touch in the soles of his feet. A spot urinalysis shows microalbuminuria and a stat Basic Metabolic Profile (BMP) shows decreased Glomerular Filtration Rate (GFR).
a. Present your initial diagnosis.
b. Describe the pathophysiologic processes related to your diagnosis that explain the signs/symptoms, and lab results obtained.
c. State the effect of his symptoms on his life expectancy and the rationale for your answer.
Estimated time to complete: 6 hours
Rubric
NU621 Unit 3 Case Study
NU621 Unit 3 Case Study
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContent & Concepts
NU621-CO1; NU621-CO2; NU621-CO3; PRICE-P; PRICE-I
50 pts
5
Ideas and concepts are consistently clear and always well explained. Relationships between concepts and ideas are always discussed fairly and always synthesized in a logical fashion with strong, well-founded supporting arguments. All discussion and arguments are thoroughly supported with research and/or resource materials that are pertinent, valid, and reliable.
48.34 pts
4
Ideas and concepts are clear and well explained. Relationships between concepts and ideas are discussed fairly and synthesized in a logical fashion with well-founded supporting arguments. Discussion and arguments are supported with research and/or resource materials that are pertinent, valid, and reliable
45 pts
3
Ideas and concepts are reasonably well explained. Discussion and arguments are, for the most part, supported with research and/or resource materials that are pertinent, valid, and reliable relationships between concepts, and ideas are discussed. These could be further strengthened with additional research or resource materials.
38.34 pts
2
Basic ideas and concepts are presented; however, they are under-developed and poorly explained. There is minimal evidence of a relationship between ideas and concepts. Discussion and arguments are not supported with additional research or research that is pertinent and valid.
33.34 pts
1
Some basic ideas and concepts are started, but not developed. There is no identifiable relationship between ideas and concepts. There is little or no discussion and/or argument with supporting research.
0 pts
0
There are no developed ideas or concepts. There is no supporting research.
50 pts
This criterion is linked to a Learning OutcomeAnalysis
NU621-CO1; NU621-CO2; NU621-CO3; PRICE-I; PRICE-P
30 pts
5
Organizes and synthesizes evidence to reveal insightful patterns, differences, or similarities related to focus.
27 pts
4
Organizes and analyzes evidence to reveal insightful patterns, differences, or similarities related to focus.
24 pts
3
Organizes evidence to reveal important patterns, differences, or similarities related to focus.
21 pts
2
Organizes evidence, but the organization is not effective in revealing important patterns, differences, or similarities.
18 pts
1
Describes evidence, but it is not organized and/ or is unrelated to focus.
0 pts
0
Lists evidence, but it is not organized and/ or is unrelated to focus.
30 pts
This criterion is linked to a Learning OutcomeWriting Conventions
PRICE-P; PRICE-I
10 pts
5
The paper exhibits a superior command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.
9 pts
4
The paper exhibits a strong command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling that impair the flow of communication.
8 pts
3
The paper exhibits command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.
7 pts
2
The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.
6 pts
1
The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.
0 pts
0
The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.
10 pts
This criterion is linked to a Learning OutcomeAPA
PRICE-I; PRICE-P
10 pts
5
The required APA elements are all included with correct formatting, including in-text citations and references.
8 pts
4
The required APA elements are all included with minor formatting errors, including in-text citations and references.
6 pts
3
The required APA elements are all included with multiple formatting errors, including in-text citations and references.
4 pts
2
The required APA elements are not all included. AND/OR there are major formatting errors, including in-text citations and references.
2 pts
1
Several APA elements are missing. The errors in formatting demonstrate limited understanding of APA guidelines, in-text-citations, and references.
0 pts
0
There is little to no evidence of APA formatting. AND/OR there are no in-text citations AND/OR references.
10 pts
Total Points: 100

Case Study Sample Content Preview:

Endocrine Case Study
Student Name
Department, University
Course Number and Name
Instructor Name
Due Date
Endocrine Case Study The two patients’ case studies aim to define and explore the pathophysiologic dimension of their ailments, assessing the physiological and physiological reactions to the illnesses concerning the endocrine medical framework. The selected patients are of different ages and experiences and have distinct diseases, making their diagnosis, pathologic processes, and recommendations for management different. Patient 1 Description The parents of the 11-year-old girl took her to the physician to have her condition assessed. They claim she has grown up healthy and active throughout her life and has developed within expectations. They add that she has been tired and weak for a couple of weeks, has been consuming more liquids than usual, and has been peeing to the point that she has wet her bed at night. The parents also observed that she had a “fruity” breath two days earlier, and she had dropped an estimated 8 pounds in the previous weeks. She started breathing quickly and deeply the day before yesterday. Initial Diagnosis             The initial diagnosis would be a new-onset diabetes mellitus (D.M.) type 1 based on the parents’ information and the patient’s symptoms. Type 1 diabetes, or juvenile diabetes, is a chronic condition in which the pancreas secrets minimal levels or no insulin. It arises from a variety of reasons, including genetic malformations and virus attacks. Although type 1 diabetes most commonly manifests in infancy or adolescence, it can also manifest in adulthood. Type 1 diabetes is the most common chronic condition in children, affecting 0.2 percent of children in the United States (Kamata et al., 2017). Due to the presence of the “fruity” breath and deep and rapid-paced breathing, a worry about diabetic ketoacidosis (DKA) is indicated based on the information acquired. Diabetic ketoacidosis is a chronic diabetic condition that manifests when the body creates excessive amounts of blood acids called ketones. The scenario occurs once the body becomes compromised to create enough insulin, leading to the development of the disease. Generally, diabetic ketoacidosis develops in insufficient insulin to transport glucose into cells for metabolism or the Krebs cycle process. Pathophysiologic Explanation of the Clinical Symptoms             Ketosis, hyperglycemia, and metabolic acidosis are the symptoms of DKA depicted by a patient (Evans, 2019). DKA is present in people with diabetes and with a low level of circulating insulin in the body in contrast to their physiologic needs, such as those with type 1 diabetes (T1DM). As a result, the patient’s clinical and physical symptoms showcase the beginning of T1DM because she cannot manufacture insulin. As a result, she has an unusually high amount of glucose in her system, meaning that she has hyperglycemia. Since a shortage of insulin exists, the body has a low capacity to utilize glucose and push it into the cells. Th...
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