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2 pages/β‰ˆ550 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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Topic:

Case Study for Chronic Condition

Essay Instructions:

Case Study for Chronic Condition


Task: you are to answer the questions regarding this case study. Please make sure to support your answers using evidence-based practice.


56 y/o Caucasian male presents to the primary care clinic with complaints of dizziness and nausea x 4 days. The patient reports he has not been able to get out of bed since the symptoms started. The patient reports symptoms are worse when he tries to get out of bed to stand. He denies any headaches or blurry vision. He states he is urinating more over the last few days and he has noticed an increase in thirst. He reports he just drank a large sweet tea before he came into the clinic.


The patient reports that he is out of his Lantus and metformin because he cannot afford the refill until he gets his disability check. He is disabled after his second CVA that left him with generalized weakness. His medical history includes DM, HTN, CAD.


Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5.


Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting.


 



  1. What are the pertinent positive and negative findings in this patient assessment?

  2. Create a list of differentials with rationales for this patient?

  3. Discuss a medication regimen for this patient considering his financial status?

  4. What is the priority concern for this patient?

  5. How does this patient’s comorbid diagnosis impact his current symptoms?

  6. Discuss how the patient's health beliefs, culture and behaviors impact the potential outcomes for the patient.


 


 


 


 


 


 


 


 



Discussed pertinent postives and negatives for the case study

Clearly and thoroughly presents pertinent positives and negatives. More than 4 items addressed from the case study

Create a list of differentials and provided rationales

Correct differential and provided rationales to support list.

Discussed medication regimen

Addresses all potential medication regimens and their rationale

Developed plan of care

Correct plan of care. Thoroughly addressed (diagnostic studies, meds, education, health promotion, developmental stages, ethical and cultural considerations, follow up, and referrals). All eight components addressed.


 


Require: 2 pages 7th edition APA format. 4-5 refences within 3 years and in US only.

Essay Sample Content Preview:

Case Study for Chronic Condition
Name
Institutional Affiliate
Case Study for Chronic Condition
Introduction
The case study for chronic condition herein is for a 56 year old Caucasian male who presents primary care providers with complaints of nausea and dizziness from which he has suffered for 4 days. The patient further states that he has spent the past 4 days in bed as any form of movement led to the escalation of the symptoms presented. The patient denies suffering any headaches or blurred vision but notices the fact that he is urinating more than normal over the past few days coupled with increasing thirst. The clinic records the patient’s vital signs as follows; Blood Sugar 405, B/P 190/101, HR 102, R-20, and T- 98.5. Provided herein is an assessment of the patient’s underlying conditions for the chronic condition under investigation.
Pertinent Positive and Negative Findings From the Patient’s Assessment
The patient’s assessment highlights a range of positive and negative findings that form the basis for development and provision of the appropriate diagnosis of the patient. The positive findings include the fact that the patient presents with complaints of nausea and dizziness lasting the past 4 days as well as increased rate of urination in the same period. Pertinent negative findings from the patient’s assessment include absence of headaches and any instances of blurred vision as well as the elevated body temperatures of T- 88.5k. Another pertinent negative finding is the fact the patient had missed his intake of insulin that impacted his pre-existing DM condition. The development of the differential diagnosis is dependent on both the pertinent positive and negative findings from the patient’s assessment.
Differentials with Rationales for the Patient
Among the differentials for the patient’s diagnosis is hyperglycemia as characterized by dizziness and dehydration. The differential diagnosis puts more emphasis on hyperosmolar hyperglycemia, which is evidenced by the patient’s increased urination and heightened thirst or dehydration CITATION Lam17 \l 1033 (Lam, 2017). The patient’s failure to take the required dosage of Lantus and Metformin further presents Diabetes Ketoacidosis as another differential diagnosis due to the subsequent insulin imbalance on the patient. The differential diagnosis is indicated by the patient feeling of nausea and dizziness that reflect the chara...
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