• 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.
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.
