NR 601 Week 5 case study graded A
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WEEK 5 CASE STUDY 1
Week 5 Case Study
Casey Yourex
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged Family
January 2019
This study source was downloaded by 100000832558064 from CourseHero.com on 02-04-2022 09:27:22 GMT -06:00
https://www.coursehero.com/file/42023590/NR601-week-5-case-study-2019docx/
, NR 601 Week 5 case study graded A
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Week 5 Case Study
The intent of this case study is to present Mr. Jones, a 57-year old African American male who
presents for his 6-month follow-up. He complains that he has been experiencing new symptoms for 3
months now; such as, increased fatigue, weight gain despite regular exercise, and polydipsia/polyphagia.
He also reports polyuria and nocturia. The patient presents requesting more education as well as an
evaluation for new symptoms.
In this case study, I will discuss the subjective and objective findings. From the findings I will
discuss my primary, secondary, and differential diagnosis for Mr. Jones. I will also discuss the intended
diagnostics, medications, education, referral, and follow-up for the patient. Medication cost an be a
barrier for patient adherence so I will also research the most affordable mediation cost.
Assessment
Primary Diagnosis: Diabetes Mellitus II (E11.9)
Pathophysiology: Diabetes Mellitus Type 2 is a metabolic condition that ca be a result of
decreased insulin production or increased insulin resistance. Due to the insufficient amount of
insulin, hyperglycemia results, this can result in fatigue, polydipsia/polyphagia, and un-
intentional weight loss (Morrison, Shubina, Goldberg, & Turchin, 2013).
Pertinent positive findings: polydipsia/polyphagia, polyuria, HGA1C 6.8%, glucose 136, 1+
glucose in urine, BMI of 30.6, and fatigue. Per the ADA, these are all hallmark signs to Type 2
DM (2018).
Pertinent negative findings: Weight gain, nocturia, no previous history or diagnosis of DM II,
regular exercise on the treadmill.
Rationale for the diagnosis: Per ADA guidelines, the patient is experiencing multiple symptoms
that are diagnostic of type 2 DM. These symptoms include all of the positive findings listed
above. Per the ADA (2018) the patient’s labs that are indictive of a DM II diagnosis include a
This study source was downloaded by 100000832558064 from CourseHero.com on 02-04-2022 09:27:22 GMT -06:00
https://www.coursehero.com/file/42023590/NR601-week-5-case-study-2019docx/
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WEEK 5 CASE STUDY 1
Week 5 Case Study
Casey Yourex
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged Family
January 2019
This study source was downloaded by 100000832558064 from CourseHero.com on 02-04-2022 09:27:22 GMT -06:00
https://www.coursehero.com/file/42023590/NR601-week-5-case-study-2019docx/
, NR 601 Week 5 case study graded A
\\\\\\\\\\\\\
Week 5 Case Study
The intent of this case study is to present Mr. Jones, a 57-year old African American male who
presents for his 6-month follow-up. He complains that he has been experiencing new symptoms for 3
months now; such as, increased fatigue, weight gain despite regular exercise, and polydipsia/polyphagia.
He also reports polyuria and nocturia. The patient presents requesting more education as well as an
evaluation for new symptoms.
In this case study, I will discuss the subjective and objective findings. From the findings I will
discuss my primary, secondary, and differential diagnosis for Mr. Jones. I will also discuss the intended
diagnostics, medications, education, referral, and follow-up for the patient. Medication cost an be a
barrier for patient adherence so I will also research the most affordable mediation cost.
Assessment
Primary Diagnosis: Diabetes Mellitus II (E11.9)
Pathophysiology: Diabetes Mellitus Type 2 is a metabolic condition that ca be a result of
decreased insulin production or increased insulin resistance. Due to the insufficient amount of
insulin, hyperglycemia results, this can result in fatigue, polydipsia/polyphagia, and un-
intentional weight loss (Morrison, Shubina, Goldberg, & Turchin, 2013).
Pertinent positive findings: polydipsia/polyphagia, polyuria, HGA1C 6.8%, glucose 136, 1+
glucose in urine, BMI of 30.6, and fatigue. Per the ADA, these are all hallmark signs to Type 2
DM (2018).
Pertinent negative findings: Weight gain, nocturia, no previous history or diagnosis of DM II,
regular exercise on the treadmill.
Rationale for the diagnosis: Per ADA guidelines, the patient is experiencing multiple symptoms
that are diagnostic of type 2 DM. These symptoms include all of the positive findings listed
above. Per the ADA (2018) the patient’s labs that are indictive of a DM II diagnosis include a
This study source was downloaded by 100000832558064 from CourseHero.com on 02-04-2022 09:27:22 GMT -06:00
https://www.coursehero.com/file/42023590/NR601-week-5-case-study-2019docx/
