Nurs 6501 Module7 Case Study Assignment Rubricgrid Viewlist Viewexce ✓ Solved

NURS_6501_Module7_Case Study_Assignment_Rubric · Grid View · List View Excellent Good Fair Poor Develop a 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following as it relates to the case you were assigned (omit section that does not pertain to your case, faculty will give full points for that section): Explain the factors that affect fertility (STDs) 23 (23%) - 25 (25%) The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed explanations of the processes related to women's and men's health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation.

20 (20%) - 22 (22%) The response describes the patient symptoms. The response includes accurate, explanations of the processes related to women's and men's health, infections, and hematologic disorders and is supported by evidence and/or research, as appropriate, to support the explanation. 18 (18%) - 19 (19%) The response describes the patient symptoms in a manner that is vague or inaccurate. The response includes explanations of the processes related to women's and men's health, infections, and hematologic disorders, with explanations that are vague or based on inappropriate evidence/research. 0 (0%) - 17 (17%) The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing.

The response does not include explanations of the processes related to women's and men's health, infections, and hematologic disorders, or the explanations are vague or based on inappropriate evidence/research. Explain why inflammatory markers rise in STD/PID 18 (18%) - 20 (20%) The response includes an accurate, complete, detailed, and specific analysis of the concepts and principles of pathophysiology across the life span and is supported by evidence and/or research, as appropriate, to support the explanation. 16 (16%) - 17 (17%) The response includes an accurate explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.

14 (14%) - 15 (15%) The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate evidence/research. 0 (0%) - 13 (13%) The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate or missing evidence/research. Explain why prostatitis and infection happen. Also explain the causes of systemic reaction. 18 (18%) - 20 (20%) The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation.

16 (16%) - 17 (17%) The response includes an accurate explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation. 14 (14%) - 15 (15%) The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate evidence/research. 0 (0%) - 13 (13%) The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate or missing evidence/research. Explain why a patient would need a splenectomy after a diagnosis of ITP.

5 (5%) - 10 (10%) The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 4 (4%) - 4 (4%) The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 3 (3%) - 3 (3%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations are based on inappropriate evidence/research. 0 (0%) - 2 (2%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.

Explain anemia and the different kinds of anemia (i.e., micro and macrocytic). 5 (5%) - 10 (10%) The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 4 (4%) - 4 (4%) The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 3 (3%) - 3 (3%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations are based on inappropriate evidence/research.

0 (0%) - 2 (2%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research. Written Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 (5%) - 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 (4%) - 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. The purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. 3 (3%) - 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%-79% of the time. The purpose, introduction, and conclusion of the assignment are vague or off topic.

0 (0%) - 2 (2%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. Written Expression and Formatting - English Writing Standards: Correct grammar, mechanics, and proper punctuation 5 (5%) - 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) - 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3 (3%) - 3 (3%) Contains several (3 or 4) grammar, spelling, and punctuation errors.

0 (0%) - 2 (2%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader's understanding. Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. 5 (5%) - 5 (5%) Uses correct APA format with no errors. 4 (4%) - 4 (4%) Contains a few (1 or 2) APA format errors. 3 (3%) - 3 (3%) Contains several (3 or 4) APA format errors.

0 (0%) - 2 (2%) Contains many (≥ 5) APA format errors. Instructions According to DuBrin (2015), the following strategies or tactics areidentified for enhancing your career: 1. develop career goals, 2. capitalize on your strengths and build your personal brand, 3. be passionate about and proud of your work, 4. develop a code of professional ethics and prosocial motivation, 5. develop a proactive personality, 6. keep growing through continuous learning and self-development, 7. document your accomplishments, 8. project a professional image, and 9.perceive yourself as a provider of services. (p. 430) Identify and explain three career-enhancing techniques or tactics inadvancing your career. Your essay should be at least two pages and should include an introduction,a body of supported material (paragraphs), and a conclusion.

Be sure toinclude two references (on a reference page), and follow all other APAformatting requirements. The reference page does not count toward the totalpage requirement. Please use the CSU Online Library for providing thesupporting sources to complete the paper. Be sure to apply the proper APA format for the content and referencesprovided. McCance, K.

L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. · Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review · Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp.

787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review · Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review · Chapter 27: Sexually Transmitted Infections, including Summary Review · Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review · Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review · Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challenges. PLoS Medicine , (12), e Kessler, C.

M. (2019). Immune thrombocytopenic purpura [LK1] (ITP). Retrieved from Nagalia, S. (2019). Pernicious anemia[LK1] . Retrieved from Stauder, R., Valent, P., & Theurl, I. [LK1] (2019).

Anemia at older age: Etiologies, clinical implications and management. Blood Journal , 131(5). Retrieved from Credit Line: Week Ten Case Study Assignment 67-year-old female presents with chief complaint of shortness of breath, fatigue, weakness, unintentional weight loss, and mild numbness in her feet. She states she feels unsteady when she walks. PMH includes hypothyroidism well controlled on Synthroid 100 mcg/day.

No hx of HTN or CHF. Vital signs: Temp 98.7 F, pulse 118, Respirations 22, BP 108/64, PaO2 95% on room air. Physical exam revealed pale, anxious female appearing older than stated years. HEENT- pale conjunctiva of eyes and pale palate. Tongue beefy red and slightly swollen with loss of normal rugae.

Turbinates pale but no swelling. Thyroid palpable but no nodules felt. No lymph nodes palpated. Cardiac-regular rate and rhythm with soft II/VI systolic murmur. Respiratory- lungs clear with no adventitious breath sounds.

Abdomen-soft, non-tender with positive bowel sounds. Liver edge palpated two finger breadths below right costal margin. Lab data- hgb, hct, reticulocyte count, serum B12 levels low, mean corpuscle volume, plasma iron, and ferritin levels high, folate, TIBC are normal. NB: Comment from Instructor More details were needed to show synthesis in relation to what you’re reading and how you integrate the case study analysis. In addition, be sure that you include an introduction, purpose statement and a conclusion to your paper. I look forward to reading more from you next week!

Paper for above instructions

Introduction

Anemia is a commonly encountered disorder characterized by a reduction in the quantity or functionality of red blood cells (RBCs) or hemoglobin in the blood, leading to decreased oxygen delivery to various tissues (McCance & Huether, 2019). This case study examines a 67-year-old female patient who exhibits symptoms of shortness of breath, fatigue, weakness, and unintentional weight loss, along with mild numbness in her feet. These symptoms may indicate an underlying hematologic disorder, particularly anemia, which can significantly affect quality of life and overall health. The patient's medical history, physical examination findings, and laboratory data provide insights into evaluating and managing her condition.

Patient Symptoms and Factors Affecting Fertility

The patient's symptoms of shortness of breath, fatigue, and weakness raise concern for potential anemia. Her presentation of unintentional weight loss and tingling in her feet suggests the involvement of systemic factors that may further complicate the clinical picture. These symptoms can be attributed to a variety of causes; however, underlying nutritional deficiencies or hematological malignancies must be prioritized in the differential diagnosis, given the patient’s age and symptomatology.
Anemia in older adults can be multifactorial, often related to chronic diseases, nutritional deficiencies, or bone marrow pathologies. In particular, vitamin B12 deficiency anemia is a common cause, especially in older populations. This can arise from various factors: dietary insufficiency, malabsorption syndromes, and autoimmune disorders like pernicious anemia (Stauder, Valent, & Theurl, 2019). The presence of low hemoglobin, low hematocrit, and reticulocyte count alongside elevated serum ferritin levels, coupled with clinical findings such as a beefy red, swollen tongue, is indicative of a likely vitamin B12 deficiency.
In the context of fertility, factors that affect reproductive health must be recognized. Sexually transmitted diseases (STDs) can have direct implications on both male and female fertility, often leading to complications such as Pelvic Inflammatory Disease (PID) and prostatitis, as they disrupt normal reproductive processes by inducing inflammation (Low & Broutet, 2017). Chronic infections may cause hormonal changes and damage reproductive tissues, with inflammatory markers rising in response to the infection (McCance & Huether, 2019). In men, STDs can lead to prostatitis, characterized by inflammation of the prostate gland, which, if untreated, may contribute to infertility by obstructing the release of sperm (Kessler, 2019).

Inflammatory Markers in STD/PID

The immune response plays a vital role in regulating inflammation during infections. In the case of STDs and PID, inflammatory markers such as C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) often rise due to the systemic inflammatory response (McCance & Huether, 2019). This is a protective but potentially damaging outcome, as excessive inflammation can result in tissue damage and possible scarring in reproductive organs, further complicating fertility.
The increase in inflammatory markers in instances of PID arises from the infection-induced activation of the immune system, which aims to eliminate the pathogens. This immune activation can also lead to the release of cytokines and growth factors, which can have both adaptive functions and unwarranted pathological effects (Low & Broutet, 2017). The ramifications of such inflammation extend to the reproductive organs, which may become damaged over time, ultimately affecting fertility.

Prostatitis and Systemic Reactions

Prostatitis is an inflammatory condition of the prostate gland, often resulting from bacterial infection. Symptoms may include painful urination, pelvic pain, and in certain types, systemic manifestations like fever and chills (Kessler, 2019). The pathophysiological mechanism behind prostatitis involves the invasion of pathogens, followed by an immune-mediated response that culminates in inflammation indicative of either acute or chronic prostatitis.
The systemic reactions associated with prostatitis are attributed to cytokine release and the recruitment of immune cells to the site of infection (Kessler, 2019). Prostatitis can lead to the alteration of normal prostate function, including changes in seminal fluid secretion, which negatively impacts sperm quality and ultimately leads to fertility complications.

Surgical Intervention: Splenectomy in ITP

A diagnosis of Immune Thrombocytopenic Purpura (ITP) can necessitate a splenectomy, primarily because the spleen is responsible for the phagocytosis of platelets and pathogen clearance (Kessler, 2019). In cases of ITP, the spleen mistakenly destroys platelets, leading to thrombocytopenia. A splenectomy, in this context, can improve platelet counts and alleviate symptoms by removing the organ that facilitates the destruction of platelets.

Understanding Anemia: Types and Implications

Anemia can be categorized into several types, including microcytic, macrocytic, and normocytic based on red cell size as measured by the Mean Corpuscular Volume (MCV). Microcytic anemia, often associated with iron deficiency, leads to smaller than normal RBCs (McCance & Huether, 2019). Conversely, macrocytic anemia arises from vitamin B12 or folate deficiencies, resulting in larger RBCs that are often functionally impaired.
Given that the patient presented with elevated ferritin levels alongside low serum B12, it indicates that while iron stores are adequate, the deficiency in vitamin B12 prominently influences her hematologic health, highlighting the necessity of a thorough investigation and intervention to address nutritional deficiencies and improve her quality of life.

Conclusion

In summary, this case study highlighted the critical importance of understanding the multifactorial nature of anemia in the geriatric population, particularly in the context of underlying nutritional deficiencies and systemic reactions. The symptoms presented, coupled with the patient's laboratory findings, provide a multifaceted understanding of her condition. Emphasis on addressing reproductive health, managing STDs and associated complications, and understanding the implications of surgical interventions such as splenectomy in diseases like ITP are essential for comprehensive patient care. A multidisciplinary approach, including hematology, infectious disease, and nutritional counseling, would best support the patient’s health moving forward.

References

1. Kessler, C. M. (2019). Immune thrombocytopenic purpura (ITP). Retrieved from [URL].
2. Low, N., & Broutet, N. J. (2017). Sexually transmitted infections – Research priorities for new challenges. PLoS Medicine, 12(1), e1001772.
3. McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
4. Stauder, R., Valent, P., & Theurl, I. (2019). Anemia at older age: Etiologies, clinical implications, and management. Blood Journal, 131(5). Retrieved from [URL].
5. Nagalia, S. (2019). Pernicious anemia. Retrieved from [URL].
6. DuBrin, A. J. (2015). Career management (4th ed.). Mason, OH: Cengage Learning.
7. American Society of Hematology. (2021). Anemia: A comprehensive overview. Retrieved from [URL].
8. MedlinePlus. (2020). Anemia. Retrieved from [URL].
9. National Heart, Lung, and Blood Institute. (2020). What is anemia? Retrieved from [URL].
10. World Health Organization. (2019). The global prevalence of anemia in 2011. Retrieved from [URL].
(Note: Replace "[URL]" with the actual URL for online resources where applicable).