Comprehensive Case Study on COPD, Heart Failure, Hypertension, and Diabetes Mellitus

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Week 6: Comprehensive Case Study on COPD, Heart Failure, Hypertension, and Diabetes Mellitus

Review the following case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separating your responses by question number. Include an introduction and a conclusion. Submit your answers using APA format, well-written sentences, and detailed explanations. Your analysis must be scientifically sound, necessary, and sufficient.

You must also include a bibliography of at least 3 sources (with at least one non Internet source). Your textbook may not be included as a source for this assignment. Refer to the rubric for more information on how your assignment will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)         Points: 300

 

Case Study

M.K. is a 45-year-old female, measuring 5’5” and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetes mellitus along with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus.

 

The following are lab findings that are pertinent to this case:

Vitals
BP 158/98 mm Hg
CBC
Hematocrit 57%
Glycosylated hemoglobin (HbA1c) 7.3 %
Arterial Blood Gas Assessment
PaCO₂ 52 mm Hg
PaO₂ 48 mm Hg
Lipid Panel
Cholesterol 242 mg/dL
HDL 32 mg/dL
LDL 173 mg/dL
Triglycerides 1000 mg/dL

 

  1. What clinical findings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis?  
  2. Which type of heart failure would you suspect with M.K.? Explain the pathogenesis of how this type of heart failure develops.  
  3. According to the B.P. value, what stage of hypertension is M. K. experiencing? Explain the rationale for her current medications for her hypertension. Also, discuss the impact of this disease in the U.S. population.  
  4. According to the lipid panel, what other condition is M.K. at risk for? According to this case study, what other medications should be given and why? What additional findings correlate for both hypertension and Type II diabetes mellitus?  
  5. Interpret the lab value for HbA1c and explain the rationale for this value in relation to normal/abnormal body function?  

 

Resources

  • https://youtu.be/GtdoMbuX84Q
  • https://www.osha.gov/SLTC/healthcarefacilities/infectious_diseases.html
  • http://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/multimedia/irritable-bowel-syndrome/vid-20084703
  • http://www.crohnsandcolitisinfo.com/Crohns/Info-Videos
  • https://youtu.be/l94f-6b8IZ4
  • https://youtu.be/C9XYnZdEIPE
  • http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6331a5.htm

 

 

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Demonstrate the integration and utilization of key concepts and knowledge from prior courses to solve the selected problem

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Assignment Objectives

Demonstrate the integration and utilization of key concepts and knowledge from prior courses to solve the selected problem

Apply critical thinking and relevant concepts to the final project

1,800 words plus tables and graphs

An organizational assessment is needed to identify the best approach for project implementation and to gauge whether or not this project will be a success in this organization. This week, you will introduce the organizational assessment component of the Key Assignment for the course.

The introduction of the organizational assessment report should include the following:

  • Introduction to the Organization
    • Provide an overview of the nature of the organization.
    • Identify the stakeholders in the organization.
    • What is the organizational culture?
    • Describe how the topic of study could benefit your organization.
  • Analysis
    • You will identify the analysis tools that you used to perform an assessment of your organization relative to your topic of study.
    • Your assessment needs to contain measurements and benchmarks.
    • Include tables and graphs to demonstrate the findings of your assessment.
  • Risk Analysis
    • Identify what risks or challenges will be identified as a result of the organizational assessment.
    • Can this project be undertaken within the boundaries of state and federal regulation?
    • Are there any potential stark or antikickback concerns?
    • Are there resources available to undertake the project?
  • Add this to your Executive Summary along with any citations and references that are used.
  • Submit a report of your organizational assessment process. This is the first part of your Executive Summary.

 

I will need at least 4 references in APA format

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Evidence-based practice will be the cornerstone of your advanced practice career. Choose a health disease process that is common in the adult population and post your choice to the discussion question area with the title “Health Disease Choice.”

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Discussion Question 1

Evidence-based practice will be the cornerstone of your advanced practice career. Choose a health disease process that is common in the adult population and post your choice to the discussion question area with the title “Health Disease Choice.” If a health disease is posted, pick another one so that there will be a discussion on a variety of health disease processes.

Once you have decided on your topic, research two evidence-based articles. Cite your references in APA format. Do not look for less common and seldom-seen diseases; instead, look for the typical problems that you anticipate seeing in your practice as an advanced practice nurse. On the basis of the literature search and adult disease process, also discuss what parts of the complete health history would be essential in understanding a patient’s current health state and work-up completed to date.

Discussion Question 2

Differential diagnoses must be considered before choosing a final diagnosis. What criteria must be met before a final diagnosis can be made? Give an example of three differential diagnoses for a patient who complains of a sore throat. Support your differential diagnoses with a brief statement of reason. You do not have to have a final diagnosis for this patient; just work up the differential diagnoses. This is a common complaint for many patients.

The post Evidence-based practice will be the cornerstone of your advanced practice career. Choose a health disease process that is common in the adult population and post your choice to the discussion question area with the title “Health Disease Choice.” appeared first on homework handlers.

 Review the following case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separating your responses by question number. Include an introduction and a conclusion.

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assignment icon Review the following case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separating your responses by question number. Include an introduction and a conclusion. Submit your answers using APA format, well-written sentences, and detailed explanations. Your analysis must be scientifically sound, necessary, and sufficient.

You must also include a bibliography of at least 3 sources (with at least one non Internet source). Your textbook may not be included as a source for this assignment. Refer to the rubric for more information on how your assignment will be graded.

Case Study 

M.K. is a 45-year-old female, measuring 5’5” and weighs 225 lbs. M.K. has a history of smoking about 22 years along with a poor diet. She has a history of Type II diabetes mellitusalong with primary hypertension. M.K. has recently been diagnosed with chronic bronchitis. Her current symptoms include chronic cough, more severe in the mornings with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night. Her current medications include Lotensin and Lasix for the hypertension along with Glucophage for the Type II diabetes mellitus.

The following are lab findings that are pertinent to this case:

Vitals
BP 158/98 mm Hg
CBC
Hematocrit 57%
Glycosylated hemoglobin (HbA1c) 7.3 %
Arterial Blood Gas Assessment
PaCO₂ 52 mm Hg
PaO₂ 48 mm Hg
Lipid Panel
Cholesterol 242 mg/dL
HDL 32 mg/dL
LDL 173 mg/dL
Triglycerides 1000 mg/dL

 

  1. What clinical findings correlate with M.K.’s chronic bronchitis? What type of treatment and recommendations would be appropriate for M.K.’s chronic bronchitis?  
  2. Which type of heart failure would you suspect with M.K.? Explain the pathogenesis of how this type of heart failure develops. 
  3. According to the B.P. value, what stage of hypertension is M. K. experiencing? Explain the rationale for her current medications for her hypertension. Also, discuss the impact of this disease in the U.S. population. 
  4. According to the lipid panel, what other condition is M.K. at risk for? According to this case study, what other medications should be given and why? What additional findings correlate for both hypertension and Type II diabetes mellitus? 
  5. Interpret the lab value for HbA1c and explain the rationale for this value in relation to normal/abnormal body function? 

The post  Review the following case study and complete the questions that follow. For this assignment, write your responses to each question as one narrative rather than separating your responses by question number. Include an introduction and a conclusion. appeared first on homework handlers.