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Instructions of NURS 650 10-1 Case Study Analysis
CASE STUDY ANALYSIS
2) Case Study Analysis – Anemia Case
Due Sunday, February 5th.
Use the following information to formulate your analysis
A 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks.
PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day. No hx of HTN or CHF.
Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air.
Physical exam revealed pale, anxious female appearing older than stated years.
HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae. Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated.
Cardiac-regular rate and rhythm with soft II/VI systolic murmur.
Respiratory– lungs clear with no adventitious breath sounds.
Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin.
Normal | Low | High |
Folate | Hemoglobin | MCV |
TIBC | Hematocrit | Iron |
| Reticulocyte count | Ferritin |
| Serum B12 |
|
Explain the anemia presented in the case scenario. In addition, explain two other types of anemia (i.e., microcytic and macrocytic anemias). Include pathophysiology and laboratory findings of each the anemias.
Include any racial or ethnic variables which may contribute to anemias.
Answer the questions using APA format – title page, introduction, body of the paper, conclusion, and a Reference page. Include two scholarly references.
*****Regarding the Rubric >> Since this is an Anemia case, you are not expected to address STI, Prostatitis, or ITP elements. You will be given full points for these sections.
Dr. Baltz
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.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
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 “Announcements” section of the classroom for your assignment from your Instructor.
The Assignment (1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following:
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).
BY 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/templatesLinks to an external site.). All papers submitted must use this formatting.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as MD7Assgn1_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
PRACTICUM APPLICATION ASSIGNMENT
Practicum Applications must be submitted in a timely manner to ensure that your Preceptor and Practicum Site meet the requirements of the College of Nursing and Walden University. For this Assignment, you will either submit your Practicum Application or you will submit a revised/updated Practicum Plan that indicates when you plan to take the Practicum courses.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
To prepare:
Review the Practicum Application Deadlines found on the College of Nursing Field ExperienceLinks to an external site. website to determine when you need to submit your Practicum Application.
Review the Practicum Application TutorialLinks to an external site. for submitting applications in Meditrek.
Meditrek Credentials (Username and Password):
Your credentials have been emailed to your Walden student email address. Search your Walden student issued email to locate the email from support@meditrek.info. (Note: Do not email Meditrek directly, please use the following methods if you are unable to locate your Meditrek credentials.)
If you are unable to find your email, you may request your credentials emailed to you online by requesting a password reset online: https://edu.meditrek.com/public/ForgotPassword.aspxLinks to an external site.
If you are unable to reset your password online, call the Customer Care Team Support at 800-925-3368 or live chat via your student portal.
The Assignment
You must complete either Part 1 or Part 2 of this Assignment:
Part 1: Practicum Application
Login into Meditrek and complete your Practicum Application. When the application is complete, submit it and create a PDF of the confirmation email you received.
Part 2: Practicum Plan
Using the affiliation agreement search within Meditrek and identify potential Practicum Sites that are in your area to assist you in identifying potential Preceptors.
Complete the Practicum Plan form found in Meditrek, submit it and create a PDF of the confirmation email you received.
BY DAY 7 OF WEEK 10
Submit either your Practicum Application or Practicum Plan submission confirmation email PDF.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as MD7Assgn2_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Step-By-Step Guide on NURS 650 10-1 Case Study Analysis
Introduction To NURS 650 10-1 Case Study Analysis
This Owlisdom assignment of NURS 650 10-1 Case Study Analysis involves analyzing a case study to identify the elements that may be factors in the diagnosis and explain the implications to patient health. This NURS 650 10-1 Case Study Analysis will provide insights into the pathophysiological processes, the impact of these processes on different body systems, and the considerations necessary for effective diagnosis and treatment.
Introduction
- Provide a brief overview of the patient’s case and outline the main goals of the case study analysis.
- Explain the relevance of analyzing the symptoms and pathophysiological processes to improve diagnostic and treatment skills.
Example
In the medical examination of a 30-year-old female presenting with symptoms indicative of a sexually transmitted disease (STD), such as yellow, creamy vaginal discharge and difficulty with urination, an understanding of the differential impacts based on the patient’s sex is critical. This case study delves into the pathophysiology associated with STDs, the implications of these infections on fertility, and the systemic reactions they can provoke, including conditions such as prostatitis in males.
Explain the factors that affect fertility (STDs).
Factors That Affect Fertility (STDS)
This section of NURS 650 10-1 Case Study Analysis will discuss Factors That Affect Fertility (STDS).
- Explain the pathophysiology of STDs and their progression to conditions like pelvic inflammatory disease (PID).
- Discuss how STDs cause inflammation and scarring in the reproductive tract, leading to infertility.
Example
The patient’s symptoms of mucopurulent discharge and erythema of the cervix point towards an infectious process, likely caused by pathogens like Chlamydia trachomatis or Neisseria gonorrhoeae (Goje, 2020). These infections are particularly notorious for ascending from the lower genital tract to the upper reproductive organs, leading to pelvic inflammatory disease (PID), a significant cause of infertility. The bacteria instigate an inflammatory response that can result in scarring of the fallopian tubes, obstructing the passage of ova and preventing successful conception (McCarthy, 2022). The severity of the inflammation and subsequent scarring often correlates with repeated or untreated infections, highlighting the importance of prompt and effective treatment.
Why inflammatory markers rise in STD/PID.
Reasons For Elevated Inflammatory Markers In STD/PID
This section of NURS 650 10-1 Case Study Analysis will discuss Reasons For Elevated Inflammatory Markers In STD/PID.
- Discuss the body’s immune response to infection, leading to increased levels of markers like C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR).
- Explain the role of cytokines and other inflammatory mediators in the immune response.
Example
The patient’s symptoms of mucopurulent discharge and erythema of the cervix point towards an infectious process, likely caused by pathogens like Chlamydia trachomatis or Neisseria gonorrhoeae (Goje, 2020). These infections are particularly notorious for ascending from the lower genital tract to the upper reproductive organs, leading to pelvic inflammatory disease (PID), a significant cause of infertility. The bacteria instigate an inflammatory response that can result in scarring of the fallopian tubes, obstructing the passage of ova and preventing successful conception (McCarthy, 2022). The severity of the inflammation and subsequent scarring often correlates with repeated or untreated infections, highlighting the importance of prompt and effective treatment.
In the context of STDs and PID, inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) rise due to the body’s immune response against the infection. These markers help assess the intensity of the inflammation and guide therapeutic decisions (Baruah et al., 2022). While necessary to combat the infection, the immune response can paradoxically harm tissues. In PID, cytokines and other inflammatory mediators released to fight the infection can damage the reproductive tract tissues, potentially leading to chronic pain and infertility.
Why do prostatitis and infection happen? Also, explain the causes of systemic reaction.
Prostatitis And Systemic Infection Causes
In this section of NURS 650 10-1 Case Study Analysis, we will discuss the causes of Prostatitis And Systemic Infection.
- Explain how bacterial infections can lead to prostatitis in males.
- Discuss the causes of systemic reactions, including the spread of bacteria and the resulting inflammatory response.
Example
Systemic reactions in STDs occur when the infection disseminates beyond the primary site, potentially leading to life-threatening conditions like sepsis. Symptoms of systemic infections include fever, malaise, and, in severe cases, organ failure. The spread of bacteria into the bloodstream or lymphatic system initiates a widespread inflammatory response, resulting in elevated systemic inflammatory markers and acute phase reactants.
In males, similar bacterial infections can lead to prostatitis, an inflammation of the prostate gland often caused by the same pathogens responsible for STDs. The prostate can become infected through the urethra, leading to painful urination, pelvic pain, and sometimes systemic symptoms such as fever and body aches. The pathophysiology of prostatitis involves bacterial invasion and an immune response that causes significant prostate tissue inflammation (Yebes et al., 2023). If untreated, this can lead to chronic prostatitis, which is challenging to manage and can severely affect quality of life.
For this patient, comprehensive STD testing is essential, including nucleic acid amplification tests (NAATs) for chlamydia and gonorrhoea. Given the diagnosis of PID, treatment would typically involve a regimen of antibiotics such as doxycycline and possibly ceftriaxone. It is critical to treat both the patient and her sexual partner(s) to prevent reinfection and further spread of the disease. Additionally, patient education on the use of barrier protection and regular STD screening should be part of the management plan (Grubb et al., 2020). The patient should also be informed about the potential complications of untreated STDs, including the risk of infertility and possible chronic pain.
Conclusion
In this section of NURS 650 10-1 Case Study Analysis, we will discuss the Conclusion.
- Recap the main points covered in the analysis.
- Highlight the importance of early diagnosis and treatment in preventing severe complications.
Example
To sum up, this case emphasises the importance of recognising and managing STDs effectively to prevent their progression to more severe complications such as PID, which can have profound implications for a woman’s reproductive health and overall well-being. A comprehensive approach involving prompt diagnosis, effective treatment, and thorough patient education is essential in managing STDs. The approach addresses the immediate health concerns and contributes to preventing long-term reproductive complications and systemic effects associated with these infections.
CLOSING
By following these guidelines of NURS 650 10-1 Case Study Analysis, students can effectively complete the case study analysis, demonstrating a thorough understanding of the pathophysiological processes in STDs and their implications for patient health. This Owlisdom NURS 650 10-1 Case Study Analysis exercise emphasises the importance of prompt diagnosis, effective treatment, and comprehensive patient education in managing these conditions. You can also read NURS 650 complete modules to ace the course!
REFERENCES
Baruah, M. P., Bhattacharya, B., & Baruah, U. M. (2022). C-Reactive protein level can be a better indicator than erythrocyte sedimentation rate in assessing the severity of inflammation and guiding glucocorticoid therapy in subacute thyroiditis. Indian Journal of Endocrinology and Metabolism, 26(4), 328–333.
Goje, O. (2020). Genitourinary Infections and Sexually Transmitted Diseases. https://books.google.com/books?hl=en&lr=&id=HZFTEAAAQBAJ&oi=fnd&pg=PA377&dq=The+patient%27s+symptoms+of+mucopurulent+discharge+and+erythema+of+the+cervix+point+towards+an+infectious+process,+likely+caused+by+pathogens+like+Chlamydia+trachomatis+or+Neisseria+gonorrhoeae&ots=LNuW9Uyea6&sig=XS_PYBYoPsgp_YSbO9rkaEXdwQQ
Grubb, L. K., Alderman, E. M., Chung, R. J., Lee, J., Powers, M. E., Rahmandar, M. H., Upadhya, K. K., & Wallace, S. B. (2020). Barrier protection is used by adolescents during sexual activity. Pediatrics, 146(2). https://publications.aap.org/pediatrics/article/146/2/e2020007245/36891?utm_source=TrendMD&utm_medium=TrendMD&utm_campaign=Pediatrics_TrendMD_1
McCarthy, H. W. (2022). The role of inflammasomes during Chlamydia infection. https://nova.newcastle.edu.au/vital/access/services/Download/uon:55429/ATTACHMENT01
Yebes, A., Toribio-Vazquez, C., Martinez-Perez, S., Quesada-Olarte, J. M., Rodriguez-Serrano, A., Álvarez-Maestro, M., & Martinez-Piñeiro, L. (2023). Prostatitis: A Review. Current Urology Reports, 24(5), 241–251. https://doi.org/10.1007/s11934-023-01150-z
