Description
Week 6 endocrineSystem Case Study
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Week 6 Case Study Template
Pathophysiology & Clinical Findings of the Disease
1. Based on the review of the history, physical and lab findings what is the most likely
diabetes diagnosis for this patient?
2. Explain the pathophysiology associated with the chosen diabetes diagnosis.
3. Identify at least three subjective findings from the case which support the chosen
diagnosis.
4. Identify at least three objective findings from the case which support the chosen
diagnosis
Week 6 Case Study Template
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
1. Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment
recommendations.
2. Identify two (2) “Evidence A” recommended medication classes for the treatment of this
condition and provide an example (drug name) for each.
3. Describe the mechanism of action for each of the medication classes identified above.
4. Identify two (2) “Evidence A” recommended non-pharmacological treatment options for
this patient.
Week 6 Case Study Template
References
[Must be on a separate page and in APA format]
Week 6
Case Study
Assignment
Purpose
The purpose of this assignment is to apply endocrine pathophysiological concepts to
explain assessment findings of a patient with Diabetes. Students will examine all aspects
of the patient’s assessment including: Chief Complaint (CC), History of Present Illness
(HPI), Past Medical History (PMH), Family History (FH), Social History (SH), Review of
Systems (ROS), and Medications and then answer the questions that follow on the
provided Comprehensive Case Study template.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Examine the case scenario and analyze
the exam and lab findings results to
determine the patient’s type of diabetes.
(CO1)
2. Explain the pathophysiology of the type
of diabetes. (CO1)
3. Differentiate between subjective and
objective findings which support the
chosen diagnosis. (CO4)
4. Apply evidence-based practice guidelines
to develop an appropriate treatment plan.
(CO1, CO5)
Due Date
Sunday by 11:59 PM MT of Week 6
Total Points Possible
This assignment is worth 100 points.
Preparing the Assignment
Requirements
Content Criteria
1. Read the case study listed below.
2. Refer to the rubric for grading
requirements.
3. Utilizing the Week 6 Case Study
TemplateLinks to an external site.,
provide your responses to the case study
questions listed below.
4. You must use at least one scholarly
reference to provide pathophysiology
statements. For this class, use of the
textbook for pathophysiology statements
is acceptable. You may also use an
appropriate evidence-based journal.
5. You must use the current Clinical Practice
Guideline (CPG) for the Standards of
Medical Care in Diabetes -Abridged for
Primary Care Providers provided by the
American Diabetes Association to
determine the patient’s type of diabetes
and answer the treatment
recommendation questions. The most
current guideline can be found at the
following web
address: https://professional.diabetes.org
/content-page/practice-guidelinesresourcesLinks to an external site. At the
website, locate the current year’s CPG for
use.
6. Proper APA format (in-text citations,
reference page, spelling, English language,
and grammar) must be used.
Case Study Scenario
Chief Complaint
J.T. is a 48-year old male who presents to the primary care clinic with fatigue, weight loss,
and extreme thirst and increased appetite.
History of Present Illness
J.T. has been in his usual state of health until three weeks ago when he began experiencing
symptoms of fatigue, weight loss, and extreme thirst. He reports that he would like to
begin a walking program, but he feels too fatigued to walk at any point during the day.
Now he is very concerned about gaining more weight since he is eating more. He reports
insomnia due to having to get up and urinate greater than 4 times per night.
Past Medical History
•
•
•
Hypertension
Hyperlipidemia
Obesity
•
•
Both parents deceased
Brother: Type 2 diabetes
•
•
•
Denies smoking
Denies alcohol or recreational drug use
Landscaper
•
No Known Drug Allergies
•
•
•
•
Lisinopril 20 mg once daily by mouth
Atorvastatin 20 mg once daily by mouth
Aspirin 81 mg once daily by mouth
Multivitamin once daily by mouth
•
Constitutional: – fever, – chills, – weight
loss.
Neurological: denies dizziness or
disorientation
HEENT: Denies nasal congestion,
rhinorrhea or sore throat.
Chest: (-)Tachypnea. Denies cough.
Heart: Denies chest pain, chest pressure
or palpitations.
Family History
Social History
Allergies
Medications
Review of Systems
•
•
•
•
•
Lymph: Denies lymph node swelling.
•
Constitutional: Alert and oriented male in
no acute distress
Vital Signs: BP-136/80, T-98.6 F, P-78,
RR-20
Wt. 240 lbs., Ht. 5’8″, BMI 36.5
General Physical Exam
•
•
HEENT
•
•
•
•
Eyes: Pupils equal, round and reactive to
light and accommodation, normal
conjunctiva.
Ears: Tympanic membranes intact.
Nose: Bilateral nasal turbinates without
redness or swelling. Nares patent.
Mouth: Oropharynx clear. No mouth
lesions. Teeth present and intact; Oral
mucous membranes and lips dry.
Neck/Lymph Nodes
•
•
Neck supple without JVD.
No lymphadenopathy, masses or carotid
bruits.
•
Bilateral breath sounds clear throughout
lung fields. Breathing quality deep with
fruity breath odor
•
S1 and S2 regular rate and rhythm; tachycardia; no rubs or murmurs.
•
Skin warm, dry; Nail beds pink without
clubbing.
Lungs
Heart
Integumentary System
Labs
Test
Patient’s Result
Reference
Glucose (fasting)
132
60-120 mg/dL
BUN
20
7-24 mg/dL
Creatinine
0.8
0.7-1.4 mg/dL
Sodium
141
135-145 mEq/L
Sodium
141
135-145 mEq/L
Chloride
97
95-105 mEq/L
HCO3
24
22-28 mEq/L
A1C
7.2
Urinalysis
Protein
Negative
Glucose
Positive
Ketones
Negative
Oral glucose tolerance test
(OGTT)
220 mg/dL
J.T. is diagnosed with diabetes. Review all information provided in the case to answer the
following questions.
Case Study Questions
Pathophysiology & Clinical Findings of the Disease
1. Review the lab findings and decide if the
diagnosis is Type 2 or Type 1 Diabetes
Mellitus.
2. Explain the pathophysiology associated
with your chosen diagnosis
3. Identify at least three subjective findings
from the case which support the chosen
diagnosis.
4. Identify at least three objective findings
from the case which support the chosen
diagnosis.
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment
recommendations.
1. Identify two (2) “Evidence A”
recommended medication classes for the
treatment of this condition and provide
an example (drug name) for each.
2. Describe the mechanism of action for
each of the medication classes identified
above.
3. Identify two (2) “Evidence A”
recommended non-pharmacological
treatment options for this patient.
4. Utilizes the required Clinical Practice
Guideline (CPG) to support the chosen
treatment recommendations
ASSIGNMENT CONTENT
Category
Points
%
Description
The student:
•
Pathophysiology & Clinical
Findings of the Disease
45
45%
Identifies the likely diagnosis based on exam
and lab findings.
• Explains the pathophysiology associated with
the chosen disorder.
• Supports the pathophysiology statement with at
least one appropriate, scholarly reference
(textbook is acceptable for pathophysiology
statements only).
• Identifies at least three subjective findings from
the case.
• Identifies at least three objective findings from
the case.
(5 Required Elements)
The student:
•
Management of the
Disease
45
45%
Utilizes the required Clinical Practice Guideline
(CPG) to support the chosen treatment
recommendations.
• Identifies two (2)“Evidence A”
recommendedmedicationclassesfor the
treatment of the condition and provides an
example (drug name) for each.
• Identifies two (2) “Evidence A” recommended
non-pharmacological treatment options for the
condition.
• Describes the mechanism of action for each of
the medication classes identified above.
ASSIGNMENT CONTENT
Category
Points
%
Description
(4 Required Elements)
90
90%
Total CONTENT Points = 90 pts
%
Description
ASSIGNMENT FORMAT
Category
Organization, spelling,
grammar & APA format
Points
10
10%
The student:
•
Uses the week 6 case study template for case
study responses.
• Provides correct in-text citations for responses
which match the reference page.
• Has minimal spelling, grammar & APA format
errors.
•
10
10%
Total FORMAT Points = 10 pts
100
100%
ASSIGNMENT TOTAL= 100 points
Rubric
NR507 Week 6 Diabetes Case Study
NR507 Week 6 Diabetes Case Study
Criteria
Ratings
This criterion is linked to a
Learning
OutcomePathophysiology &
Clinical Findings of the
Disease
The student:
– Identifies the correct type
of diabetes
– Explains the
pathophysiology associated
with the chosen disorder.
– Supports the
pathophysiology statement
with at least one
appropriate, scholarly
reference (textbook is
acceptable for
pathophysiology statements
only).
– Identifies at least three
subjective findings from the
case.
– Identifies at least three
objective findings from the
case.
(5 Required Elements)
45 pts
All 5 required
elements are
present.
41 pts
1 required
element is
missing.
37 pts
2 required
elements are
missing
23 pts
3-4 required
elements are
missing.
0 pts
All 5 required
elements are
missing.
NR507 Week 6 Diabetes Case Study
Criteria
Ratings
This criterion is linked to a
Learning
OutcomeManagement of the
Disease
The student:
– Utilizes the required
Clinical Practice Guideline
(CPG) to support the chosen
treatment recommendations.
– Identifies two (2)
“Evidence A” recommended
medication classes for the
treatment of the condition
and provides an example
(drug name) for each.
– Identifies two (2)
“Evidence A” recommended
non-pharmacological
treatment options for the
condition.
– Describes the mechanism
of action for each of the
medication classes
identified above
(4 Required Elements)
45 pts
All 4
elements are
present
41 pts
1 required
element is
missing
37 pts
2 required
elements are
missing
23 pts
3 required
elements are
missing
0 pts
All 4 required
elements are
missing
NR507 Week 6 Diabetes Case Study
Criteria
This criterion is linked to a
Learning
OutcomeOrganization,
spelling, grammar & APA
format
The student:
– Uses the week 6 case study
template for case study
responses.
– Provides correct in-text
citations for responses
which match the reference
page.
– Has minimal spelling,
grammar & APA format
errors.
Ratings
10 pts
Case study
template is
used for
responses
AND In-text
citations are
correct which
match the
reference page
AND There
are 0-2 errors
in spelling,
grammar or
APA format.
9 pts
Case study
template is
used for
responses
AND In-text
citations are
correct which
match the
reference page
AND There
are 3-5 errors
in spelling,
grammar or
APA format.
8 pts
Case study
template is
used for
responses
AND In-text
citations are
correct which
match the
reference page
AND There
are 6-8 errors
in spelling,
grammar or
APA format.
5 pts
Case study
template is not
used for
responses OR
In-text
citations are
incorrect or do
not match the
reference page
AND There
are 0-5 errors
in spelling,
grammar or
APA format.
0 pts
Case study
template is not
used for
responses
AND/OR Intext citations
are incorrect
or do not
match the
reference page
AND There
are 6 or more
errors in
spelling,
grammar or
APA format.
NR507 Week 6 Diabetes Case Study
Criteria
This criterion is linked to a
Learning OutcomeLate
penalty deductions
Students are expected to
submit assignments by the
time they are due.
Assignments submitted after
the due date and time will
receive a deduction of 10%
of the total points possible
for that assignment for each
day the assignment is late.
Assignments will be
accepted, with penalty as
described, up to a maximum
of three days late, after
which point a zero will be
recorded for the assignment.
Quizzes and discussions are
not considered assignments
and are not part of the late
assignment policy.
Total Points: 100
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Ratings
0 pts
Manual Deductions
0 pts
Manual Deductions
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