Gastrointestinal Function: R.H. is a 74-year-old black woman, who presents

0
(0)

 

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:

  • You must complete both case studies.
  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources for each case study.

How useful was this post?

Click on a star to rate it!

Average rating 0 / 5. Vote count: 0

No votes so far! Be the first to rate this post.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

The information that is gathered every day in healthcare drives

0 (0) The information that is gathered every day in healthcare drives patient care and the improvement of the quality of care. Each staff member within a healthcare institution has a role in improving patient care. In this short paper, complete the following:  Chief of Medicine Managers: Identifies a

Create a nutritional care plan for your client.(old- malnutrition)

0 (0) Create a nutritional care plan for your client.(old- malnutrition) This will include an evaluation of nutritional risk, a list of interventions, and a list of expected outcomes. List the goals of medical nutrition therapy for your patient and suggest an appropriate diet. Does your patient/client require a dietary

Introduction Jones Carolyn Denise is 35 years an old female with

0 (0) Introduction       Jones Carolyn Denise is 35 years an old female with a height of 162.6cm ( 5’4”) and weight of 108kg ( 237 lb ) with a medical condition of acid reflex and Vitamin D deficiency. Mrs. Jones was admitted on February 7, 2023, with a diagnosis of

5 questions to answer separately! All relate to Implementing the ABCDE

0 (0) 5 questions to answer separately! All relate to Implementing the ABCDE Bundle to decrease hospital length of stay in a long-term acute care hospital. You may reference the three primary articles attached – must read them to use them   question 1 Describe the primary quantitative literature upon which

Scientific Study Analysis Prior to beginning work on this assignment,

0 (0) Scientific Study Analysis Prior to beginning work on this assignment, read the article The Relationship Between Multiple Forms of Discrimination, Neighborhood Characteristics, and Depression Among Illicit Drug Users in New York CityLinks to an external site. and address the following questions in a three to four page (excluding title and

How will you use the processes from ARDP 6-22 to improve the ABCT and

0 (0) What is the critical leadership problem facing the 4th ABCT? How will you use the processes from ARDP 6-22 to improve the ABCT and achieve your vision? Clearly and comprehensively explain, defend, and justify your answer. If something is not your original thought, you need to cite your

Early Childhood and Special Education Lesson Plan

0 (0) All materials needed for the lesson must be used or referred to during the PPT presentation including anchor charts, visual supports and manipulatives needed for the presentation. So please take a picture of materials yo used, and also make anchor charts… What you need to do is a

Research the differences in conducting business in the Dominican

0 (0) Research the differences in conducting business in the Dominican Republic as compared to the United States. Consider culture, customs, predominate religions, type of government, natural resources, infrastructure, modes of shipping, stability of economy, currency used internationally, trade relationships/agreements with the United States, living/working conditions, restrictions placed on foreign

Brand Assessment & Shopping Research Paper

0 (0) At the beginning of the assignment due class session, submit a summary of your research compared to your experience in physically visiting and shopping in a retail business. Discuss the business’s strengths and weaknesses in the branding factors you have learned in this course-to-date (class lectures and reading

Nonverbal Research Paper

0 (0) General Instructions Conduct a participant observation of nonverbal communication during a structured period of time (e.g., sitting at a café, during a sports event, while at work, at the gym, etc.). Take field notes throughout the course of your observation. Spend time looking through your field notes and

Marketing – Search Engine Optimization (Footer Writing)

0 (0) Write a Footer for 5 different web pages. Each footer should be approximately 330 words. The footer should briefly describe the Brand and what type of products the brand is selling, and how those products can benefit the customer. There is no specific paper format. Make sure that

a firm/company/store, identifying its product or service, and

0 (0) The project consists of selecting a firm/company/store, identifying its product or service, and analyzing its current market environment. This includes identifying competitors, analyzing nature of the product or service, and examining ease of entry into or exit from the market. It involves examining the market demand and supply,

WNEU ME 322 Spring 2019 Take‐Home Project

0 (0) Find 2 manufacturers within 25 miles of your home town or the town you would like to live in after graduation.  For each manufacturer, gather and compare the following information (as much as is available publicly, or with a little digging – a polite email and/or phone call and/or

Accounting for the iPhone at Apple Inc

0 (0) Please answer 3 case Questions: 1. Compared to the typical point-of-sale accounting method, what are likely effects on income statement, balance sheet, and statement of cash flow of Apple’s choice to use a subscription method for revenue recognition for its iPhone? Also discuss advantages and disadvantages of subscription

IBM Financial Reporting and Analysis

0 (0) Please answer the 19 questions listed below. The questions below are based on the 2017 financial statements of IBM which I provided as a pdf. (Page number references below refer to document page numbers, not .pdf page numbers.) Please only use the financial statements provided to answer the

Proving the Existence of the Traditional Judeo-Christian God

0 (0) You must write about the following 6 items below and defend your thesis. You must explain them all in detail in section 2 of your paper and then critically discuss each of them in section 3 using separate paragraphs. Use paragraphs — at least one for each idea.

Analysis and Presentation of Data

0 (0) Resources: Ch. 15, 16, & 17 of Business Research Methods (all chapters will be attached). Review question four in the “Discussion Questions” of Chapter 15; review question 4 in the “Discussion Questions” of Chapter 16; and review question 10 in the “Discussion Questions” of Chapter 17 of Business

Social and Professional Issues in Computing

0 (0) Select five from the following seven vocations. Which ones do you believe are a true “profession”? Briefly defend your position for each one with facts and references to definitions of a profession from sources such as authors and philosophers. Consider certification, licensing, codes of ethics, education, and enforcement