NURS 6501 Module 1 Case Study Analysis

Sample Answer for NURS 6501 Module 1 Case Study Analysis Included After Question

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor.

The Assignment

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described.
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems.

A Sample Answer For the Assignment: NURS 6501 Module 1 Case Study Analysis

Title: NURS 6501 Module 1 Case Study Analysis

Advanced Pathophysiology Module 1 Assignment: Case Analysis

One of the most useful components of patient care is a correct diagnosis which leads to offering a patient the correct treatment. Central to correct diagnosis and treatment is an understanding of the cell, and cell behavior as come conditions may have various circumstances and factors affecting their onset, hence making them more complex (Karaca & Aslan, 2018). Therefore, understanding the cells and cell behavior needs to be integrated with ethnic and racial variables, patient characteristics, environment, and genes. This week’s assignment deals with a patient cases study where the symptoms presented by the patient will be analyzed using various discussion questions.

Why the Patient Presented With the Symptoms

The patient has presented with various symptoms such as fevers, constipation, and crampy left lower quadrant pain. After refusing colonoscopy for some time, the patient eventually went for one, which revealed a positive test for adenocarcinoma of the colon. Even though the patient went for colonoscopy after resolution of the acute diverticulitis, the symptoms presented at the clinic point to a recurring case of acute diverticulitis. The patient has the three most common symptoms of diverticulitis (fever, constipation, and pain in the lower left quadrant). The condition is more an individual’s lifetime and therefore could be troubling the patient. The patient also eats a diet lacking in fiber and is obese, which are all factors leading to the development of the condition.

NURS 6501 Module 1 Case Study Analysis
NURS 6501 Module 1 Case Study Analysis

Genes That May Be Associated With the Development of the Condition

According to Strate & Morris (2019), diverticulitis may result from a complex interaction of gut microbiome, genetics, medications, lifestyle factors, and diet. Even though it has been agreed that genetics play a substantial role in the development of the condition, only a few genes have been implicated. However, a recent study reported that one of the genes that can be implicated in the development of diverticulitis is the laminin β 4 gene (LAMB4) (Coble et al.,2017). Prior to the findings regarding LAMB4, the Tumor necrosis factor superfamily member 15 (TNFSF15) gene was also found to be associated with the development of diverticulitis.

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The Process of Immunosuppression and the Effect It Has On Body Systems

Immunosuppression refers to reduced immune system activation. While some parts of the immune system may possess immunosuppressive effects, immunosuppression can be also be induced (Xe, 2020). The process can be induced by the administration of medications belonging to the class of antidepressants, in some cases to allow organ transplant or bone marrow transplant to prevent a possible rejection. The process of immunosuppression may come from the blockage of intracellular pathways necessary for recognizing antigen or other immune response systems or when the immune effector cells are killed (Xe, 2020).

Immunosuppression, especially when persistent, exposes an individual to the risk of cancer, especially virus-connected cancers. The effects of immunosuppression induced by ultraviolet ratio or ionizing or pharmaceutical drugs depend on the dosage or the intensity used as higher dosage or intensity lead to enhanced effects on the body systems (Xe, 2020). Even though not common, immunosuppression induced for an organ transplant can lead to metastatic tumor cells or occult tumors within the organs or tissues. The occult metastatic melanoma is dangerous for the individual receiving the transplanted organ and tissue.

Conclusion

In conclusion, as an APRN, it is important to understand effective patient diagnosis for effective treatment. It allows careful analysis of symptoms to come up with the best management strategy. This write-up has explored a case study of a patient presenting with various symptoms. After an analysis, it was noted that the symptoms could be coming from recurring diverticulitis.

References

Coble, J. L., Sheldon, K. E., Yue, F., Salameh, T. J., Harris, III, L. R., Deiling, S., … & Broach, J. R. (2017). Identification of a rare LAMB4 variant associated with familial diverticulitis through exome sequencing. Human molecular genetics26(16), 3212-3220. https://doi.org/10.1093/hmg/ddx204.

Karaca, T., & Aslan, S. (2018). Effect of ‘nursing terminologies and classifications’ course on nursing students’ perception of nursing diagnosis. Nurse education today67, 114-117. https://doi.org/10.1016/j.nedt.2018.05.011

Strate, L. L., & Morris, A. M. (2019). Epidemiology, pathophysiology, and treatment of diverticulitis. Gastroenterology156(5), 1282-1298. https://doi.org/10.1053/j.gastro.2018.12.033.

He, X. (Ed.). (2020). Immunosuppression. BoD–Books on Demand.

A Sample Answer For the Assignment: NURS 6501 Module 1 Case Study Analysis

Title: NURS 6501 Module 1 Case Study Analysis

Case Study Analysis

Cellulitis is a common bacterial skin infection that can spread rapidly if not promptly treated. The infection is primarily caused by Streptococcus and Staphylococcus bacteria (Chew, Kwek, Anicete, & Low, 2022)

. This case study analysis focuses on a 42-year-old male patient presenting with symptoms indicative of cellulitis. The aim is to elucidate the reasons behind the patient’s symptoms, discuss the microbiological elements associated with the disease, and explain the body’s inflammatory response and its systemic effects.

Scenario

A 42-year-old man presents at the clinic complaining of pain, redness, and swelling in his right calf. He reports that he was injured by a string trimmer while working in his yard. He cleaned the wound with garden hose water and covered it with a Band-Aid. Days later, he developed a fever and chills, noticed that his leg was swollen and red, and sought definitive care at the emergency department.

Explain why you think the patient presented the symptoms described

The patient’s symptoms of localized pain, redness, and swelling in conjunction with a fever and chills are indicative of a bacterial infection, likely cellulitis (Brown, 2023). The initial injury with the string trimmer, followed by potentially inadequate wound care, could have introduced bacteria into the skin, causing infection and subsequent inflammation (Long & Gottlieb, 2022).

Identify the bacteria that may be associated with the development of the disease

The most common bacteria associated with cellulitis are Streptococcus and Staphylococcus species. In this case, it’s likely that one of these bacteria, present in the environment, was introduced into the skin through the initial wound and subsequently caused the infection (Mayo Clinic, 2023).

Explain the process of inflammation and the effect it has on body systems

In response to bacterial invasion, the immune system triggers an inflammatory response marked by increased blood flow to the affected area, resulting in redness, heat, and swelling. Fever and chills are systemic signs of this immune response, indicating the body’s attempt to fight off the infection. Prolonged inflammation can affect various body systems and can result in sepsis if the bacteria spread into the bloodstream (Adkins et al., 2023).

Conclusion

Understanding the bacterial pathogenesis and inflammatory responses associated with cellulitis is critical for effective disease management (Rangel et al., 2023). By recognizing these elements and their impact on the patient’s symptoms, healthcare professionals can provide appropriate treatments and preventative measures.

References

Adkins, A. M., Colby, E. M., Kim, W.-K., Wellman, L. L., & Sanford, L. D. (2023). Stressor control and regional inflammatory responses in the brain: regulation by the basolateral amygdala. Journal of Neuroinflammation, 20(1), 1–14. https://doi.org/10.1186/s12974-023-02813-x

Brown, A. (2023). Differentiating between cellulitis/erysipelas and alternative causes of “red legs.” Journal of Community Nursing, 37(2), 30–37.

Chew, W. C. D., Kwek, J. W. M., Anicete, R., & Low, M.-Y. (2022). Pediatric orbital cellulitis: Case report of an unusual etiology and pathogen. Ear, Nose, & Throat Journal, 1455613211064002. https://doi.org/10.1177/01455613211064002

Long, B., & Gottlieb, M. (2022). Diagnosis and Management of Cellulitis and Abscess in the Emergency Department Setting: An Evidence-Based Review. Journal of Emergency Medicine (0736-4679), 62(1), 16–27. https://doi.org/10.1016/j.jemermed.2021.09.015

Rangel, T., Pham, S., Senger, B., Daratha, K., Fitzgerald, C., Mallo, R., & Daratha, K. (2023). Pharmacologic Pain Management Trends among Adults Hospitalized with Cellulitis: An Evidence-Based Practice Project. Pain Management Nursing, 24(2), 222–228. https://doi.org/10.1016/j.pmn.2022.09.003