Homework answers / question archive / Week 10 Assignment NURS-6501 Advanced pathoplhysiology Week 10: Concepts of Women’s and Men’s Health, Infections, and Hematologic Disorders Literature, cinema, and other cultural references have long examined differences between women and men

Week 10 Assignment NURS-6501 Advanced pathoplhysiology Week 10: Concepts of Women’s and Men’s Health, Infections, and Hematologic Disorders Literature, cinema, and other cultural references have long examined differences between women and men

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Week 10 Assignment NURS-6501 Advanced pathoplhysiology Week 10: Concepts of Women’s and Men’s Health, Infections, and Hematologic Disorders Literature, cinema, and other cultural references have long examined differences between women and men. These observations extend well beyond obvious and even inconspicuous traits to include cultural, behavioral, and biological differences that can impact pathophysiological process and, ultimately, health. Understanding these differences in traits and their impact on pathophysiology can better equip acute care nurses to communicate to patients of both sexes. Furthermore, APRNs who are able to communicate these differences can better guide care to patients, whatever their gender. This week, you examine fundamental concepts of women’s and men’s health disorders. You also explore common infections and hematologic disorders, and you apply the key terms and concepts that help communicate the pathophysiological nature of these issues to patients. Learning Objectives Students will: • • • • Analyze concepts and principles of pathophysiology across the life span Analyze processes related to women’s and men’s health, infections, and hematologic disorders Identify racial/ethnic variables that may impact physiological functioning Evaluate the impact of patient characteristics on disorders and altered physiology Module 7 Assignment: Case Study Analysis An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.. An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: TUTOR WILL ANSWER • • • • • By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Assignment (1- to 2-page case study analysis) In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided (not all may apply to each scenario): The factors that affect fertility (STDs).(google it) Why inflammatory markers rise in STD/PID. (google it, please) Why prostatitis and infection happens. (due descending infecrion to prostate gland) Also explain the causes of systemic reaction.( because immune response to toxin and infection) Why a patient would need a splenectomy after a diagnosis of Idiopathy Thrombocytopenia Purpura (ITP).( because spleen is believe to be the primary place for platelet destruction) Anemia and the different kinds of anemia (i.e., micro and macrocytic). ( microcytic are due to lack of iron or iron deficiency which it essential for hemoglobin synthesis, then macro (BIG) microcytic is secondary to malfunction of the precursor of erythroid formation at the bone marrow level as in pernicious anemia for lack of intrinsic factor (IF) which absorb vitamin B12, also anemia for lack of folate acid essential for RNA, and DNA synthesis for maturing erythrocytes. Day 7 of Week 10 TUTOR make sure to have purpose statement for the paper Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting. WEEK #10 TOPIC IMPORTANT INSTRUCTIONS FROM PROFESSOR!!!!!! Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative. Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, Neuts & Lymphs, sed rate 46 mm/hr, Creactive protein 67 mg/L CMP wnl Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2 99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci. ( My interpretation to help TUTOR this patient is infected with gonorrhea ( Neisseria gonorrhoeae) gram negative diplococcic which is a STD it is one of the most bacteria present in pelvic inflammatory disease PID together with chlamydia.This patient is having symptoms of complicated gonorrhea with peritoneal invasion as fever 103.2 F, WBC are elevated 18, severe tachycardia 120, high sedimentation rate 46, left lower quadrant abdominal pain (LLQ pain) on deep palpation, present of copious foul –smelling green drainage and reddened cervix, patient needs immediate antibiotic therapy such as Ceftriaxone 250 mg IM in a single dose, Doxycycline (chlamydial coverage) 100 mg PO BID X 14 days, metronidazole 500 mg PO BID x 14 days ) 2) Assignment (1- to 2-page case study analysis) In your Case Study Analysis related to the scenario provided, explain the following: • • • • • 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). Day 7 of Week 10 Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting. Learning Resources Required Readings McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. • • • • Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787– 788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review Chapter 27: Sexually Transmitted Infections, including Summary Review • • • Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challenges. PLoS Medicine, (12), e1002481 Kessler, C. M. (2019). Immune thrombocytopenic purpura [LK1] (ITP). Retrieved from https://emedicine.medscape.com/article/202158-overview Nagalia, S. (2019). Pernicious anemia[LK1] . Retrieved from https://emedicine.medscape.com/article/204930-overview#a3 Stauder, R., Valent, P., & Theurl, I. [LK1] (2019). Anemia at older age: Etiologies, clinical implications and management. Blood Journal, 131(5). Retrieved from http://www.bloodjournal.org/content/131/5/505?sso-checked=true Credit Line: Anemia at older age: Etiologies, clinical implications and management by Stauder, R., Valent, P., & Theurl, I., in Blood Journal, Vol. 131/Issue 5. Copyright 2019 by American Society of Hematology. Reprinted by permission of American Society of Hematology via the Copyright Clearance Center. Document: NURS 6501 Final Exam Review (PDF document) Note: Use this document to help you as you review for your Final Exam in Week 11. Required Media To watch media just copy the link in your computer browser Khan Academy. (2019a). Chronic disease vs iron deficiency anemia[LK1] . Retrieved from https://www.khanacademy.org/science/health-and-medicine/hematologic-system-diseases-2/irondeficiency-anemia-and-anemia-of-chronic-disease/v/chronic-disease-vs-iron-deficiency-anemia Note: The approximate length of the media program is 5 minutes. Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children In addition to this week's media, it is highly recommended that you access and view the resources included with the course text, Pathophysiology: The Biologic Basis for Disease in Adults and Children. Focus on the videos and animations in Chapters 24, 26, 28, and 30 that relate to the reproductive and hematological systems. Refer to the Learning Resources in Week 1 for registration instructions. If you have already registered, you may access the resources at https://evolve.elsevier.com/ See Rubric Detail for grading Name: NURS_6501_Module7_Case Study_Assignment_Rubric Exit • Excellent Develop a 1- to 2-page case study analysis, make sure to have purpose statement for the paper 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) Explain why inflammatory markers rise in STD/PID 23 (23%) - 25 (25%) 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. 18 (18%) - 20 (20%) 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. Excellent Explain why prostatitis and infection happen. Also explain the causes of systemic reaction. 18 (18%) - 20 (20%) Explain why a patient would need a splenectomy after a diagnosis of ITP. 5 (5%) - 10 (10%) Explain anemia and the different kinds of anemia (i.e., micro and macrocytic). 5 (5%) - 10 (10%) Written Expression and Formatting Paragraph Development and Organization: 5 (5%) - 5 (5%) 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 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. 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. 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. 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. Excellent that delineate all required criteria. Written Expression and Formatting English Writing Standards: Correct grammar, mechanics, and proper punctuation 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. 5 (5%) - 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 5 (5%) - 5 (5%) Uses correct APA format with no errors. Total Points: 100 Name: NURS_6501_Module7_Case Study_Assignment_Rubric