Gastrointestinal
Function:
R.H. is a 74-year-old black woman, who presents to the family practice
clinic for a scheduled appointment. She complains of feeling bloated and
constipated for the past month, some-times going an entire week with only one
bowel movement. Until this episode, she has been very regular all of her life,
having a bowel movement every day or every other day. She reports straining
most of the time and it often takes her 10 minutes at a minimum to initiate a
bowel movement. Stools have been extremely hard. She denies pain during
straining. A recent colonoscopy was negative for tumors or other lesions. She
has not yet taken any medications to provide relief for her constipation.
Furthermore, she reports frequent heartburn (3–4 times each week), most often
occur-ring soon after retiring to bed. She uses three pillows to keep herself
in a more upright position during sleep. On a friend’s advice, she purchased a
package of over-the-counter aluminum hydroxide tablets to help relieve the
heartburn. She has had some improvement since she began taking the medicine.
She reports using naproxen as needed for arthritic pain her hands and knees.
She states that her hands and knees are extremely stiff when she rises in the
morning. Because her arthritis has been getting worse, she has stopped taking
her daily walks and now gets very little exercise.
Case Study Questions
1. In your
own words define constipation and name the risk factors that might lead to
develop constipation. List recommendations you would give to a patient who is
suffering from constipation. You might use a previous experience you might
have.
2. Based
on the clinical manifestations on R.H. case study, name and explain signs and
symptoms presented that are compatible with the constipation diagnosis.
Complement your list with signs and symptoms not present on the case study.
3. Sometimes
as an associate diagnosis and a complication, patients with constipation could
have anemia. Would you consider that possibility based on the information
provided on the case study?
Endocrine Function:
C.B. is a significantly overweight, 48-year-old woman from the
Winnebago Indian tribe who had high blood sugar and cholesterol levels three
years ago but did not follow up with a clinical diagnostic work-up. She had
participated in the state’s annual health screening program and noticed that
her fasting blood sugar was 141 and her cholesterol was 225. However, she felt
“perfectly fine at the time” and could not afford any more medications. Except
for a number of “female infections,” she has felt fine until recently. Today,
she presents to the Indian Hospital general practitioner complaining that her
left foot has been weak and numb for nearly three weeks and that the foot is
difficult to flex. She denies any other weakness or numbness at this time.
However, she reports that she has been very thirsty lately and gets up more
often at night to urinate. She has attributed these symptoms to the extremely
warm weather and drinking more water to keep hydrated. She has gained a total
of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6
months alone.
Case Study Questions
1. In
which race and ethnic groups is DM more prevalent? Based on C.B. clinical
manifestations, please compile the signs and symptoms that she is exhibiting
that are compatible with the Diabetes Mellitus Type 2 diagnosis.
2. If C.B.
develop a bacterial pneumonia on her right lower lobe, how would you expect her
Glycemia values to be? Explain and support your answer.
3. What
would be the best initial therapy non-pharmacologic and pharmacologic to be
recommended to C.B?
Submission
Instructions:
·
Include both case studies in your
post.
·
Your initial post should be 500 words per each case study, formatted
and cited in current APA 7th
style with support from at least 3 academic sources.
Turnitin similarity should be less
than 14%
Each student must adhere to the formatting rules
which include but is not limited to in-text citations and
references outlined in the 7th Edition of the APA
handbook. For example, this tool does not italicize journals or
book names.
Analyze your assessment findings
and the family’s answers to your questions.
Quotes “…” cannot
be used at a higher
learning level for your assignments, so sentences need to be paraphrased
and referenced.
Acceptable
references include scholarly journal articles or primary legal sources
(statutes, court opinions), journal articles, and books published in the last five years. No websites to be referenced without prior
approval.
Textbook(s)
Delugash, L., Story, L. (2020).
Applied Pathophysiology for the Advanced Practice Nurse. Burlington, MA: Jones and Bartlett
Learning. ISBN: 978-1284150452
Read
·
Delugash, L., Story, L. (2020).
o Chapter 9
CH09.pptx
Download
CH09.pptx
o Chapter 10
CH10.pptx Download
CH10.pptx
Watch
·
Chapter 9: Gastrointestinal Function (45:42)
STU.
(2021). Chapter 9: Gastrointestinal
function [Video]. Studio.
·
Chapter 10: Endocrine Function (24:46)
STU.
(2021). Chapter 10: Endocrine
function [Video]. Studio.
Online Materials & Resources
1. Diabetes Tutorial (Links to an external
site.)
Klatt, E. C. (n.d.). Diabetes tutorial. Pathology
images and text for medical education – WebPath.
https://webpath.med.utah.edu/TUTORIAL/DIABETES/DIABETES.html
2.
Complementary and Alternative Medicine (Links to an external
site.)
Complementary and alternative medicine (CAM).
(2019, September 30). National Cancer Institute.
https://www.cancer.gov/cancertopics/cam
3.
Facts about cleft lip and
cleft palate (Links to an external
site.)
Facts about cleft lip and cleft palate. (2019,
December 5). Centers for Disease Control and Prevention.
https://www.cdc.gov/ncbddd/birthdefects/cleftlip.html
4.
Creating
a world free of celiac disease (Links to an external site.)
Creating a world free of celiac disease.
(n.d.). Celiac Disease Foundation. https://celiac.org/
5.
Gastritis & Gastropathy (Links to an external
site.)
Gastritis & Gastropathy. (2019,
August 1). National Institute of Diabetes and Digestive and Kidney Diseases.
https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis
6.
Your digestive system and
how it works (Links to an external
site.)
Your digestive system & how it works. (2017, December 30). National
Institute of Diabetes and Digestive and Kidney Diseases.
https://www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-works
7.
Cushing’s syndrome/Disease –
Causes, symptoms, diagnosis and treatments (Links to an external site.)
Cushing’s syndrome/Disease – Causes, symptoms,
diagnosis and treatments. (n.d.).
https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Cushings-Disease
8.
American Diabetes Association (Links to an external
site.)
Home. (2020). American Diabetes
Association. https://www.diabetes.org/
9.
Difference between type 1
and type 2 diabetes (Links to an external
site.)
Difference between type 1 and type 2 diabetes –
JDRF, the type 1 charity. (2020, July 8). JDRF, the type 1 diabetes
charity.
10.
Cushing syndrome | Lab tests
online (Links to an external
site.)
Cushing syndrome | Lab tests online.
(2019, October 28). Patient Education on Blood, Urine, and Other Lab Tests| Lab
Tests Online. https://labtestsonline.org/conditions/cushing-syndrome
11.
Comparison of type 1 and
type 2 diabetes (Links to an external
site.)
Table 1, comparison of type 1 and type 2
diabetes – The genetic landscape of diabetes – NCBI bookshelf.
(2004, July 7). National Center for Biotechnology Information.
https://www.ncbi.nlm.nih.gov/books/NBK1671/table/A580/
12.
Diabetes mellitus (DM) –
Endocrine and metabolic disorders (Links to an external site.)
Diabetes mellitus (DM) – Endocrine and
metabolic disorders – Merck manuals professional edition. (2020).
Merck Manuals Professional Edition.
https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/diabetes-mellitus-and-disorders-of-carbohydrate-metabolism/diabetes-mellitus-dm?query=Diabetes%20Mellitus%20(DM)
Last Completed Projects
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