Our Services

Get 15% Discount on your First Order

case study Exercise Content 1. Top of Form Week 6 Case Study III Patient With Fatigue EM is a 74-year-old male with a

June 4, 2024

case study

Exercise Content

Top of Form

Week 6 Case Study III

Patient With Fatigue

EM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.

Past Medical History

· RA for 35 years, affecting hands, feet, knees, hips, and cervical spine

· Systolic hypertension

· Presbycusis

Medications

· Ibuprofen, 600 mg three to four times per day as needed

· Methotrexate, 7.5 mg weekly

· Atenolol, 25 mg daily

· Hydrocodone/acetaminophen, 5 mg/500 mg every 6 hours as needed for pain

Physical Examination

· Height: 71 inches; weight: 160 lbs.; BMI: 22.3; blood pressure: 162/60; pulse: 84; respiration rate: 16; temperature: 98.6 °F

· Well-developed, well-nourished elderly male in no distress; pale

· Lungs: bibasilar rales

· Heart: regular rate and rhythm, grade 3/6 systolic murmur, audible S3; positive carotid bruit on the left

· Abdomen: no masses, nontender

· Rectal: prostate 3+ enlarged, hemoccult negative brown stool

· Extremities: marked ulnar deviation of MCP and IP joints in both hands

Labs and Imaging

· Hemoglobin: 8.9 g/dL

· Mean corpuscular volume (MCV): 80 fL

· White blood cell count: 10.7 × 10

9
/L

· Platelets: 250,000/L

· Reticulocyte count: 0.8%

· Ferritin: 415 mcg/L

· Electrocardiogram: no acute findings; some evidence of left ventricular hypertrophy

Discussion Questions

1.What is EM’s diagnosis?

2.What is the underlying pathophysiology of EM’s condition?

3.What is the best therapeutic approach to the treatment of EM’s condition?

Bottom of Form

>Nursing homework help

Share This Post

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Every artist has a person who they admire or take as a model for themselves – Everyone! No one creates in a vacuum. Who inspires you and why? Is your

Every artist has a person who they admire or take as a model for themselves – Everyone! No one creates in a vacuum. Who inspires you and why? Is your favorite artist a well-known person or an unknown? What kind of art do they make? What part of their art

Draft a cover letter that you would send to the employer. You can address it to Hugh S. Chain, Hiring Manager, [name of company] [don’t worry about

Draft a cover letter that you would send to the employer. You can address it to Hugh S. Chain, Hiring Manager, [name of company] [don’t worry about the address unless it’s given]. Use one of the job descriptions. Review the job description, including the skills and experience requirements. Make sure

Discuss how advanced practice nurses use population health competencies to identify and address the needs of their client population. Describe how

Discuss how advanced practice nurses use population health competencies to identify and address the needs of their client population. Describe how advanced practice nurses can collaborate with other healthcare professionals and community stakeholders to address the needs of populations. Discuss challenges advanced practice nurses face when integrating population health competencies

Read the JOURNAL article and critique addressing the following 5 areas: Comment on the need for this study and its importance. How effectively does

Read the JOURNAL article and critique addressing the following 5 areas: Comment on the need for this study and its importance. How effectively does the author tie the study to relevant theory and prior research? Critique the appropriateness and adequacy of the study’s design in relation to the research questions

Your final project is to present a leadership training plan that includes cultural sensitivity. Your organization plans to adopt cultural humility in place

Your final project is to present a leadership training plan that includes cultural sensitivity. Your organization plans to adopt cultural humility in place of cultural competency as a framework. Create a cultural humility policy with procedures for your organization. You can then include the new policy in your leadership training

Description ‫المملكة العربية السعودية‬ ‫وزارة التعليم‬ ‫الجامعة السعودية اإللكترونية‬ Kingdom of Saudi Arabia Ministry of Education Saudi

Description ‫المملكة العربية السعودية‬ ‫وزارة التعليم‬ ‫الجامعة السعودية اإللكترونية‬ Kingdom of Saudi Arabia Ministry of Education Saudi Electronic University College of Administrative and Financial Sciences Assignment 2 Business Ethics and Organization Social Responsibility (MGT 422) Due Date: 3/8/2024 @ 23:59 Course Name: Business ethics and organization social responsibility Course Code:

Assignment Overview This essay exam requires you to reflect critically on the texts we have read in the first three modules

Assignment Overview This essay exam requires you to reflect critically on the texts we have read in the first three modules of this course. You will choose TWO texts that we have read and develop three paragraphs that help you to differentiate the works based on a thematic issue. Be sure to

I need help please Module 4 – SLP Leadership and Decision-Making Styles For this assignment

I need help please Module 4 – SLP Leadership and Decision-Making Styles For this assignment think about a specific decision that was made by your supervisor in the organization you currently work for or have worked for in the past. Review the background materials carefully on the Vroom-Yetton model and

Week6_Test Plan Instructions: The Test Plan for each project includes the Pseudocode, Flowchart, Goals and Objectives, Functional Requirements, and Test

Week6_Test Plan Instructions: The Test Plan for each project includes the Pseudocode, Flowchart, Goals and Objectives, Functional Requirements, and Test Matrix including Actual Output column. Below the table are screenshots verifying the actual output for each case. Week 6 Notes – Methods/Functions Let us recall our Week 5 Notes: We

Accounting 2 Fill in the missing information Fill in the missing information from the following

Accounting 2 Fill in the missing information Fill in the missing information from the following schedules: image1.jpeg image2.jpeg image3.jpeg image4.jpeg

Instructions: Construct a social media webpage, a media flyer, or a video in which you act as an influencer of social change

Instructions: Construct a social media webpage, a media flyer, or a video in which you act as an influencer of social change in the field of nursing. In your medium of choice, do the following: · Explain the nurses’ responsibility in promoting health via social media. · Identify ethical and

Throughout this course, you will develop a project plan for a custom homebuilding course project. Each unit builds on the previous unit, thereby resulting

Throughout this course, you will develop a project plan for a custom homebuilding course project. Each unit builds on the previous unit, thereby resulting in a project plan for a home. You will determine the style of home and use this to develop the project scope and requirements. The plan

Discuss the significance of social support and relationships in stress management and Analyze the role of the environment in stress

Discuss the significance of social support and relationships in stress management and Analyze the role of the environment in stress management

Description Writing the final training report according to the attached instructions Major: E-commerce, Below you will find the directed tasks that

Description Writing the final training report according to the attached instructions Major: E-commerce, Below you will find the directed tasks that I perform in this training, and you can add some that are related to the Major. Collaborating with sellers to gather accurate and comprehensive product information, including descriptions, specifications,

Sales Strategy, Customer Relationship Management (CRM), and Analytics In Unit VII, you will complete part of a marketing plan by creating the sales

Sales Strategy, Customer Relationship Management (CRM), and Analytics In Unit VII, you will complete part of a marketing plan by creating the sales strategy (including CRM and analytics) and channel strategy for your entrepreneurial venture. As a reminder, keep the plan realistic and feasible. You have limited resources as an

Overview: For this assignment, you will prepare a creative deliverable that explains the concept of federalism. You will be able to choose whichever

Overview: For this assignment, you will prepare a creative deliverable that explains the concept of federalism. You will be able to choose whichever format you wish for your deliverable. Please follow the instructions below and be sure to follow AP Instructions: In Module 2, we learned about federalism. For

Activity 1 National Health Coverage Plans, Reimbursements, and Quality Instructions Baccalaureate education includes learning opportunities of healthcare

Activity 1 National Health Coverage Plans, Reimbursements, and Quality Instructions Baccalaureate education includes learning opportunities of healthcare policy, finance, and regulatory environments (AACN, 2008). Introduction & Healthcare Coverage and Vulnerable Populations Describe the importance of healthcare coverage (insurance). End with a clearly worded purpose statement for this project. Discuss two ways

What are the global implications for the product or service you are marketing? What are the global implications of your marketing strategy and

What are the global implications for the product or service you are marketing? What are the global implications of your marketing strategy and recommendations? You should consider whether there are any global factors related to the marketing environment in which you operate, your targeting and segmentation strategy, and any

Our Services

case study Exercise Content 1. Top of Form Week 6 Case Study III Patient With Fatigue EM is a 74-year-old male with a

Share This Post

Related Questions

Use Our 6 Free Tools