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Assignment (2- to 3-page case study analysis) Scenario: 67-year-old female presents with chief comp

  

Assignment (2- to 3-page case study analysis)

Scenario: 

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- hemoglobin (hgb), hematocrit (hct), reticulocyte count, serum B12 levels low, mean corpuscle volume (MCV), plasma iron, and ferritin levels high, folate, Total Iron Binding Capacity (TIBC) are normal.

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all bullet points below may apply to each scenario- only include those that apply.):

  • The factors that affect fertility (STDs).
  • Why inflammatory markers rise in STD/PID.
  • Why prostatitis and infection happens. Also explain the causes of systemic reaction.
  • Why a patient would need a splenectomy after a diagnosis of ITP.
  • Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Rubric:

 Develop a 1- to 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)

Points Range:23 (23.00%) – 25 (25.00%)

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.

Points Range:20 (20.00%) – 22 (22.00%)

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.

Points Range:18 (18.00%) – 19 (19.00%)

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.

Points Range:0 (0.00%) – 17 (17.00%)

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

Points Range:18 (18.00%) – 20 (20.00%)

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.

Points Range:16 (16.00%) – 17 (17.00%)

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.

Points Range:14 (14.00%) – 15 (15.00%)

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.

Points Range:0 (0.00%) – 13 (13.00%)

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.

Points Range:18 (18.00%) – 20 (20.00%)

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.

Points Range:16 (16.00%) – 17 (17.00%)

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.

Points Range:14 (14.00%) – 15 (15.00%)

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.

Points Range:0 (0.00%) – 13 (13.00%)

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.

Points Range:5 (5.00%) – 10 (10.00%)

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.

Points Range:4 (4.00%) – 4 (4.00%)

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.

Points Range:3 (3.00%) – 3 (3.00%)

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.

Points Range:0 (0.00%) – 2 (2.00%)

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).

Points Range:5 (5.00%) – 10 (10.00%)

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.

Points Range:4 (4.00%) – 4 (4.00%)

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.

Points Range:3 (3.00%) – 3 (3.00%)

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.

Points Range:0 (0.00%) – 2 (2.00%)

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.

Points Range:5 (5.00%) – 5 (5.00%)

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.

Points Range:4 (4.00%) – 4 (4.00%)

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.

Points Range:3 (3.00%) – 3 (3.00%)

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.

Points Range:0 (0.00%) – 2 (2.00%)

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

Points Range:5 (5.00%) – 5 (5.00%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

Points Range:3 (3.00%) – 3 (3.00%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

Points Range:0 (0.00%) – 2 (2.00%)

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.

Points Range:5 (5.00%) – 5 (5.00%)

Uses correct APA format with no errors.

Points Range:4 (4.00%) – 4 (4.00%)

Contains a few (1 or 2) APA format errors.

Points Range:3 (3.00%) – 3 (3.00%)

Contains several (3 or 4) APA format errors.

Points Range:0 (0.00%) – 2 (2.00%)

Contains many (≥ 5) APA format errors.

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