Health Care > CASE STUDY > Case Study Primary Care of the Maturing Adult by Shontiaya Patterson, Chamberlain College of Nursing (All)
Running head: CASE STUDY 1 Primary Care of the Maturing Adult Shontiaya Patterson Chamberlain College of Nursing NR 601 Introduction The purpose of this paper is to review the patie... nt’s subjective and objective information from the visit, and analyze the information to formulate an appropriate diagnosis; then develop an evidence based plan of care for the patient, by applying the National Diabetes Guidelines to the care for mature and aging families. I will include patient’s values, health and cultural beliefs; use screening tools and observe pharmacological needs as well as address polypharmacy issues, when anticipating a plan of care for the patient. Through this assignment I will demonstrate comprehensive knowledge and proficiency on my ability to correctly write a SOAP note. Assessment Primary Diagnosis: Diabetes (E10.9) Pathophysiology of diabetes type I is insulin dependent, this is the inability of the pancreatic beta cells to produce insulin due to autoimmune destruction; type II, the pancreas does not produce enough insulin needed by the body, or the body is unable to use insulin properly (American Diabetes Association, 2017). Symptoms: fatigue, excessive thirst, hunger, and frequent urination. Secondary Diagnosis: Hyperlipidemia (E78.5) Pathophysiology of hyperlipidemia is the increase in the plasma lipid levels by the over production of TG-rich lipoproteins in the liver (Shattat, 2014). Symptoms: Typically does not have any symptoms Hypertension (I15.2) Pathophysiology of hypertension is the increase in the vascular resistance, stiffness, and the vascular system to respond to stimuli (Delacroix, Chokka & Worthley, 2014). Symptoms: Typically have no symptoms. [Show More]
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