Examine case studies related to the endocrine system and answer the assigned questions.

Examine case studies related to the endocrine system and answer the assigned questions. Describe the pathophysiologic manifestations of the disease(s)…

Assignment Objectives: 

· 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 the endocrine system and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills.  Assignment Description:  Answer the questions related to each of the patients provided. Your answer must follow APA 7th edition format. Submit the answer in the assignment area of your course.      

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).

See also  Discuss the APN role as a change agent. 

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
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeContent & ConceptsNU621-CO1; NU621-CO2; NU621-CO3; PRICE-P; PRICE-I50 pts5Ideas 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 pts4Ideas 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 reliable45 pts3Ideas 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 pts2Basic 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 pts1Some 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 pts0There are no developed ideas or concepts. There is no supporting research.50 pts
This criterion is linked to a Learning OutcomeAnalysisNU621-CO1; NU621-CO2; NU621-CO3; PRICE-I; PRICE-P30 pts5Organizes and synthesizes evidence to reveal insightful patterns, differences, or similarities related to focus.27 pts4Organizes and analyzes evidence to reveal insightful patterns, differences, or similarities related to focus.24 pts3Organizes evidence to reveal important patterns, differences, or similarities related to focus.21 pts2Organizes evidence, but the organization is not effective in revealing important patterns, differences, or similarities.18 pts1Describes evidence, but it is not organized and/ or is unrelated to focus.0 pts0Lists evidence, but it is not organized and/ or is unrelated to focus.30 pts
This criterion is linked to a Learning OutcomeWriting ConventionsPRICE-P; PRICE-I10 pts5The paper exhibits a superior command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.9 pts4The paper exhibits a strong command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling that impair the flow of communication.8 pts3The paper exhibits command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.7 pts2The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.6 pts1The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.0 pts0The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty discerning the meaning.10 pts
This criterion is linked to a Learning OutcomeAPAPRICE-I; PRICE-P10 pts5The required APA elements are all included with correct formatting, including in-text citations and references.8 pts4The required APA elements are all included with minor formatting errors, including in-text citations and references.6 pts3The required APA elements are all included with multiple formatting errors, including in-text citations and references.4 pts2The required APA elements are not all included. AND/OR there are major formatting errors, including in-text citations and references.2 pts1Several APA elements are missing. The errors in formatting demonstrate limited understanding of APA guidelines, in-text-citations, and references.0 pts0There is little to no evidence of APA formatting. AND/OR there are no in-text citations AND/OR references.10 pts
Total Points: 100
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