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Instructions of NURS 650 4-1 Case Study Analysis
Case Study Analysis – Due Week 4 Respiratory Case
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So, you can work ahead and prepare the the Midterm, here is the Week 4 Case Study. Due Sunday, December 25th.
Use the following information to formulate your analysis
An 11-year-old boy complains of wheezing and difficulty “getting enough air.”
He notices it more when he is playing baseball and symptoms improve when exercise activity stops. He says that the symptoms are getting worse and the symptoms are even occurring at rest.
His mother says the child is allergic to cat dander and his next-door neighbor in their apartment building recently began sheltering cats for the local humane society.
Auscultation demonstrates wheezes on forced expiration throughout all lung fields.
Answer and Analysis these topics
The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
Answer the questions using APA format – title page, introduction, body of the paper, conclusion, and a Reference page.
Include two scholarly references.
See the attached template for Walden MSN students. Submit your answers in 1-2 pages (not including the Reference page).
CASE STUDY ANALYSIS
An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.
Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. 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 cardiovascular and respiratory systems 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
In your Case Study Analysis related to the scenario provided, explain the following
The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables that may impact physiological functioning.
How these processes interact to affect the patient.
BY DAY 7 OF WEEK 4
Submit your Case Study Analysis Assignment by Day 7 of Week 4
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 MD2Assgn_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 4-1 Case Study Analysis
Introduction To NURS 650 4-1 Case Study Analysis
This Owlidom assignment of NURS 650 4-1 Case Study Analysis involves analysing a case study to understand the underlying pathophysiological processes, identify contributing factors to the patient’s condition and explain the potential implications for patient health. This NURS 650 4-1 Case Study Analysis guide provides a structured approach to dissecting the case, ensuring a comprehensive analysis.
Introduction
- Provide a brief overview of the patient’s case and outline the main goals of the case study analysis.
- Summarise the patient’s symptoms, medical history, and any relevant lifestyle factors.
- Ensure clarity and completeness when presenting the case details.
Example
A 38-year-old female presenting with dyspnea and unilateral leg pain, coupled with a background of systemic lupus erythematosus (SLE), recent air travel, and oral contraceptive use, provides a complex case highlighting the interconnectedness of the cardiovascular and respiratory systems. The analysis delves into the pathophysiological processes behind her symptoms, considers potential racial or ethnic variables that could influence physiological functioning, and explores the interaction of these processes.
Explain the pulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Pathophysiological Processes
This section of NURS 650 4-1 Case Study Analysis will discuss Pathophysiological Processes.
- Describe the suspected conditions (e.g., DVT leading to PE).
- Explain the mechanisms behind these conditions and how they cause the symptoms observed.
Example
The patient’s primary symptoms of dyspnea and left leg heaviness, redness, and swelling suggest a potential diagnosis of deep vein thrombosis (DVT) leading to pulmonary embolism (PE), which is a common yet grave complication. Dyspnea, or shortness of breath, in this context, likely results from a PE, where a blood clot formed in the leg’s deep veins becomes dislodged and travels to the pulmonary arteries, obstructing blood flow to the lungs (Duffett et al., 2020). The obstruction impairs gas exchange and increases pulmonary arterial pressure, causing hypoxia and dyspnea.
The presence of SLE, an autoimmune disorder that increases the risk of hypercoagulability, significantly contributes to the likelihood of DVT. Autoimmune disorders can cause inflammation and damage the endothelial cells lining the blood vessels, enhancing clot formation. Moreover, the patient’s history of recent air travel is a recognised risk factor for DVT, often referred to as “economy class syndrome,” due to prolonged periods of immobility.
Oral contraceptives are known to augment further the risk of clotting by increasing blood levels of clotting factors and decreasing anticoagulant factors. Combined with SLE and recent aeroplane travel, these factors create a perfect storm for developing DVT and subsequent PE.
Explain any racial/ethnic variables that may impact physiological functioning.
Racial/Ethnic Variables
This section of NURS 650 4-1 Case Study Analysis will discuss Racial/Ethnic Variables.
- Discuss any known variations in disease prevalence or severity among different racial/ethnic groups.
- Relate these factors to the patient’s condition if applicable.
Example
While the patient’s racial or ethnic background is not specified, it is essential to note that certain racial and ethnic groups display higher predispositions to both SLE and thrombotic events. For instance, African Americans and Hispanics with SLE are known to have a higher incidence of thrombotic events compared to Caucasians, possibly due to genetic variations in clotting factors and the immune response (Barber et al., 2021). These variations could influence the severity and presentation of symptoms and should be considered when developing a management and treatment strategy.
How these processes interact to affect the patient.
Interaction Of Processes
In this section of NURS 650 4-1 Case Study Analysis, we will discuss the Interaction Of Processes.
- Discuss the interplay between the cardiovascular and respiratory systems in this case.
- Highlight compensatory mechanisms and their impacts.
Example
The interaction between the respiratory and cardiovascular systems is evident here, as the impairment in the pulmonary arteries directly affects oxygenation and, thus, the overall cardiovascular function. The increase in heart rate and respiratory rate are compensatory mechanisms to maintain oxygen saturation and cardiac output in the face of reduced lung function.
The immediate concern for patient management would involve confirming the diagnosis of DVT and PE. Diagnostic tests would include a D-dimer test, a Doppler ultrasound of the legs, and a CT pulmonary angiography, which are critical in confirming the presence of thrombi (Patel et al., 2020). Given the diagnosis, treatment would commence with anticoagulation therapy to prevent further clotting, along with consideration for thrombolytic therapy, depending on the severity and stability of the patient.
Long-term management for this patient would involve addressing her SLE, possibly adjusting or reconsidering her use of oral contraceptives due to her increased risk of thrombosis, and regular monitoring for recurrent thrombotic events. Patient education would focus on recognising symptoms of DVT and PE, understanding the interplay between her conditions and the risks associated, and adhering to a treatment regimen that addresses both her immediate and chronic health needs.
Conclusion
In this section of NURS 650 4-1 Case Study Analysis, we will discuss the Conclusion.
- Recap the main findings of the analysis.
- Emphasise the importance of considering multiple factors in diagnosing and treating complex medical conditions.
Example
In conclusion, this case highlights the complexities involved in diagnosing and treating conditions that span the cardiovascular and respiratory systems, influenced by autoimmune conditions, lifestyle factors, and potentially genetic predispositions associated with race or ethnicity. Understanding these interconnected factors is crucial in effectively managing and guiding patients through their treatment plans, aiming to improve outcomes and quality of life.
CLOSING
By following these guidelines of NURS 650 4-1 Case Study Analysis, students can effectively complete the case study analysis, demonstrating a thorough understanding of the interconnected pathophysiological processes, the impact of racial/ethnic variables, and the importance of comprehensive diagnostic and treatment approaches in managing cardiovascular and respiratory conditions. In the next module of NURS 650, we will explore the 5-1 Concept Map Template.
REFERENCES
Barber, M. R., Drenkard, C., Falasinnu, T., Hoi, A., Mak, A., Kow, N. Y., Svenungsson, E., Peterson, J., Clarke, A. E., & Ramsey-Goldman, R. (2021). Global epidemiology of systemic lupus erythematosus. Nature Reviews Rheumatology, 17(9), 515–532.
Duffett, L., Castellucci, L. A., & Forgie, M. A. (2020). Pulmonary embolism: Update on management and controversies. Bmj, 370. https://www.bmj.com/content/370/bmj.m2177.short
Patel, P., Patel, P., Bhatt, M., Braun, C., Begum, H., Wiercioch, W., Varghese, J., Wooldridge, D., Alturkmani, H., & Thomas, M. (2020). Systematic review and meta-analysis of test accuracy for the diagnosis of suspected pulmonary embolism. Blood Advances, 4(18), 4296–4311.
