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Running Head: WEEK 5 CASE STUDY
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Running Head: WEEK 5 CASE STUDY
Week 5 Case Study
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged
Family
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WEEK 5 CASE STUDY
Week 5 Case Study
The purpose of this case study is to present Mrs. R., a 56- year old Hispanic female,
follow up visit in the clinic with the chief complaint of fatigue and weight gain. The onset of
Mrs. R’s symptoms began three months ago. She reports going to the gym and exercising twice
a week, at the gym she walks on the treadmill for 30 minutes in the effort of losing weight in
which she has not lost any weight. The purpose of this case study is the analysis of objective and
subjective findings in order to diagnose and construct a plan of management of Mrs. R’s chief
complaint. To include the National Diabetes Guidelines which will be applied to the patient’s
management plan.
This paper will comprise of primary diagnosis, secondary diagnosis and differential
diagnosis for Mrs. R, along with a plan for management and treatment of the primary diagnosis,
secondary diagnosis, and the differential diagnosis. Involving diagnostics, medications,
education, referrals and follow-up care. Furthermore, this paper will include the discussion of
medication cost of all prescribed and ( OTC) over- the- counter medications.
Assessment
The following information provided by Mrs. R., reports does not understand why she has weight
gain despite working out twice a week on the treadmill for 30 minutes each time, fatigue,
increased thirst, hunger, and urination. She is 5’2.5, and 165 pounds according to the Center for
Disease Control and Prevention BMI calculator (CDC) (2015), Mrs. R’s BMI is 29.7indicating
she is overweight for her height of 5’2.5. The outcome of her urinalysis indicated 1+ glucose
and a small amount of protein. Fasting glucose 126 mg/dl and HgbA1C 6.9%, according to the
American Diabetes Association (ADA) (2018), meets the criteria for a primary diagnosis of
Running Head: WEEK 5 CASE STUDY
,2
Running Head: WEEK 5 CASE STUDY
Week 5 Case Study
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged
Family
, 3
WEEK 5 CASE STUDY
Week 5 Case Study
The purpose of this case study is to present Mrs. R., a 56- year old Hispanic female,
follow up visit in the clinic with the chief complaint of fatigue and weight gain. The onset of
Mrs. R’s symptoms began three months ago. She reports going to the gym and exercising twice
a week, at the gym she walks on the treadmill for 30 minutes in the effort of losing weight in
which she has not lost any weight. The purpose of this case study is the analysis of objective and
subjective findings in order to diagnose and construct a plan of management of Mrs. R’s chief
complaint. To include the National Diabetes Guidelines which will be applied to the patient’s
management plan.
This paper will comprise of primary diagnosis, secondary diagnosis and differential
diagnosis for Mrs. R, along with a plan for management and treatment of the primary diagnosis,
secondary diagnosis, and the differential diagnosis. Involving diagnostics, medications,
education, referrals and follow-up care. Furthermore, this paper will include the discussion of
medication cost of all prescribed and ( OTC) over- the- counter medications.
Assessment
The following information provided by Mrs. R., reports does not understand why she has weight
gain despite working out twice a week on the treadmill for 30 minutes each time, fatigue,
increased thirst, hunger, and urination. She is 5’2.5, and 165 pounds according to the Center for
Disease Control and Prevention BMI calculator (CDC) (2015), Mrs. R’s BMI is 29.7indicating
she is overweight for her height of 5’2.5. The outcome of her urinalysis indicated 1+ glucose
and a small amount of protein. Fasting glucose 126 mg/dl and HgbA1C 6.9%, according to the
American Diabetes Association (ADA) (2018), meets the criteria for a primary diagnosis of
