NR 601 Week 5 Case Study Assignment: Subjective, Objective Info Using National Diabetes Guidelines(GRADED)

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Week 5 Case Study Assignment Chamberlain University NR601: Primary Care of the Maturing and Aged Family Week 5 Case Study Assignment The intent of this paper is to examine ... subjective and objective findings of a case study patient to appropriately diagnose and formulate an individualized management plan that utilizes evidence-based practice guidelines. The case study patient is a 55-year-old Hispanic female who presents to the office for her annual exam complaining of fatigue, weight gain, polyuria, polydipsia, and polyphagia for the past 3 months. This paper will identify applicable primary, secondary, and differential diagnoses; and apply national guidelines from the American Diabetes Association’s (ADA) 2019 Standards of Medical Care in Diabetes to develop a management plan that will include the appropriate diagnostics, affordable medications, education, referrals, and follow-up. Assessment Primary Diagnosis Type 2 diabetes mellitus without complications (E11.9). Pathophysiology. Type 2 diabetes mellitus (T2DM) is characterized by high levels of plasma glucose due to a decreased function of pancreatic beta cells, which causes insulin resistance and impaired insulin secretion (Dunphy, Winland-Brown, Porter, & Thomas, 2015). The most common manifestations of T2DM include the following: fatigue, polyuria (increased urination), polydipsia (increased thirst), polyphagia (increased appetite) with weight loss (Dunphy et al., 2015). Pertinent positive findings. Very fatigued and low energy, increased hunger and thirst with exercise, increased urination at night and more frequently during the day; which all have been occurring for the past 3 months and a weight gain of 3 pounds (subjective). Mrs. G is 55 years old, Hispanic, and obese according to the calculated BMI of 33.3 kg/m2; elevated hemoglobin A1C of 6.9%, urinalysis showed 1+ glucose and small protein, and dyslipidemia according to lipid panel (objective) (Dunphy et al., 2015). Pertinent negative findings. No family history of diabetes and exercising twice a week for at least 30 minutes (subjective). Glucose 95 and urinalysis negative for ketones (objective) (Dunphy et al., 2015). [Show More]

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