CASE STUDY TITLE 1
Week 5 Case Study
Chamberlain College of Nursing
Nr601: Primary Care of the Maturing and Aged Family Practicum
, Week 5 Case Study
In healthcare, there are many different patients that present with a variety of symptoms. It is the
duty of the practitioner to assess new findings, and link them with subjective and objective findings,
patient history and risk factors to assess and treat each unique patient properly. This paper will do just
that, as a case study is reviewed of a patient who presents to the office with new complaints; The
patient’s possible diagnoses will be reviewed with rationale, as well as a plan of care that would be
implemented for the patient, including testing, medication, education, referrals, and follow up; Lastly, the
an assessment of comorbidities will be reviewed along with the patient’s average medications costs. By
performing this case study, it creates an example of how each patient who presents to an office must be
assessed and treated in the primary care setting.
Assessment
Primary Diagnosis: Diabetes type II without complications (E11.9)
Pathophysiology: Skyler et al. (2017) detailed that when a person has type II diabetes, the body
develops insulin resistance when excess fat is deposited in different areas of the body, including the
muscles, liver and pancreas, which overtime, impairs B-cell function. When this occurs, it is explained
that the body does not produce enough insulin in response to increased blood glucose levels, resulting in
the signs and symptoms of hyperglycemia; These symptoms include polyuria, polydipsia, increased
appetite, fatigue, vision changes, weight changes (initially weight loss) and skin changes.
Pertinent positive findings: The patient in this case study presented with complaints of
difficulty losing weight, increased hunger and thirst during exercise, polyuria, nocturnal polyuria, and
fatigue. The patient’s urinalysis was positive for 1+ glucose and the bloodwork resulting a fasting blood
glucose of 135 and a hemoglobin a1c of 6.9%. The patient had a 7lb weight gain after attempting weight
loss exercises and diet. Skyler et al. (2017) detailed that having increased hunger, thirst, urination and
fatigue are all common symptoms of diabetes. It was also explained that when blood glucose levels are
elevated, the kidneys cannot absorb all of the excess and therefore excretes the glucose through the urine.
This
Week 5 Case Study
Chamberlain College of Nursing
Nr601: Primary Care of the Maturing and Aged Family Practicum
, Week 5 Case Study
In healthcare, there are many different patients that present with a variety of symptoms. It is the
duty of the practitioner to assess new findings, and link them with subjective and objective findings,
patient history and risk factors to assess and treat each unique patient properly. This paper will do just
that, as a case study is reviewed of a patient who presents to the office with new complaints; The
patient’s possible diagnoses will be reviewed with rationale, as well as a plan of care that would be
implemented for the patient, including testing, medication, education, referrals, and follow up; Lastly, the
an assessment of comorbidities will be reviewed along with the patient’s average medications costs. By
performing this case study, it creates an example of how each patient who presents to an office must be
assessed and treated in the primary care setting.
Assessment
Primary Diagnosis: Diabetes type II without complications (E11.9)
Pathophysiology: Skyler et al. (2017) detailed that when a person has type II diabetes, the body
develops insulin resistance when excess fat is deposited in different areas of the body, including the
muscles, liver and pancreas, which overtime, impairs B-cell function. When this occurs, it is explained
that the body does not produce enough insulin in response to increased blood glucose levels, resulting in
the signs and symptoms of hyperglycemia; These symptoms include polyuria, polydipsia, increased
appetite, fatigue, vision changes, weight changes (initially weight loss) and skin changes.
Pertinent positive findings: The patient in this case study presented with complaints of
difficulty losing weight, increased hunger and thirst during exercise, polyuria, nocturnal polyuria, and
fatigue. The patient’s urinalysis was positive for 1+ glucose and the bloodwork resulting a fasting blood
glucose of 135 and a hemoglobin a1c of 6.9%. The patient had a 7lb weight gain after attempting weight
loss exercises and diet. Skyler et al. (2017) detailed that having increased hunger, thirst, urination and
fatigue are all common symptoms of diabetes. It was also explained that when blood glucose levels are
elevated, the kidneys cannot absorb all of the excess and therefore excretes the glucose through the urine.
This
