Case Study for Chronic Condition

For this Assignment, you are to answer the questions regarding this  case study. Please make sure to support your answers using evidence  based practice.

56 y/o Caucasian male presents to the primary care clinic with  complaints of dizziness and nausea x 4 days. The patient reports he has  not been able to get out of bed since the symptoms started. The patient  reports symptoms are worse when he tries to get out of bed to stand. He  denies any headaches or blurry vision. He states he is urinating more  over the last few days and he has noticed an increase in thirst. He  reports he just drank a large sweet tea before he came into the clinic.

The patient reports that he is out of his Lantus and metformin  because he cannot afford the refill until he gets his disability check.  He is disabled after his second CVA that left him with generalized  weakness. His medical history includes DM, HTN, CAD.

Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5.

Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting.

1. What are the pertinent positive and negative findings in this patient assessment?
2. Create a list of differentials with rationales for this patient?
3. Discuss a medication regimen for this patient considering his financial status?
4. What is the priority concern for this patient?
5. How does this patient’s comorbid diagnosis impact his current symptoms?
6. Discuss how the patient’s health beliefs, culture and behaviors impact the potential outcomes for the patient.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section under Course Resources.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
• utilize spelling and grammar checks to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 7th Edition format.

2

>Assignment Rubric

and

in the yellow cells in the

column.

– Not submitted or largely incomplete. Work may indicate very little if any comprehension of content.

– Work shows some comprehension but errors indicating miscomprehension may be present.

– Work indicates overall progress toward comprehension. Minor errors may present.

– Work is complete and indicates full comprehension of content.

Score

– 3.9

4

25% 0.00

25% 0.00

25% 0.00

0

Rubric (everyone starts with 4’s = no deductions)

Introductory Emergent Practiced Proficient/Mastered Score Weight Final Score

2 3 4

4

4 35% 1.40

4

4

0%