Case Study Christina Hinson
Chamberlain College of Nursing
NR 601: Primary Care of the Maturing and Aged Family Practicum
This case study implies
... [Show More] to Mrs. G whom is a 56-year-old Hispanic female with complaints of fatigue, weight gain, hunger, thirst, and frequent urination. A primary, secondary and differential diagnoses for Mrs. G will be identified and discussed throughout the paper based on symptoms and laboratory results. Specifically, diabetes mellitus type II (primary), hyperlipidemia (secondary), and possible hormonal imbalance such as estrogen deficiency (differential diagnosis) are among the specific diagnoses to be mentioned along with a brief pathophysiology, pertinent positives, and pertinent negatives. Additionally, an assessment, evidence-based practice, plan of diagnostics, medications, education, referrals, follow ups, and medication cost will be included in the case study.
Assessment
Diabetes mellitus type II (E11) is a metabolic disorder characterized by hyperglycemia, polyuria, polydipsia, polyphagia, weight loss or weight gain, blurred vision, dry skin, itchiness, fatigue, poor wound healing, abdominal pain, and peripheral neuropathy. Type II diabetes mellitus is insulin resistance and insufficient insulin production by pancreatic beta cells (Katsu et al., n.d.). In the insulin resistance setting, the liver inappropriately releases glucose into the blood, increases breakdown of fat, and leads to decreased glucose transported into muscle cells (Zaccardi, Webb, Yates, & Davies, 2016). Pertinent positives presented by Mrs. G are fatigue for three months, weight gain, polyuria, polyphagia, and polydipsia. Additional, pertinent positive findings are a fasting glucose level of 126 mg/dL, a hemoglobin A1c of 6.9%, and presence of glucose in urine. Pertinent negatives are complaints of blurred or changes in vision, no evidence of poor wound healing, weight loss, peripheral neuropathy, and abdominal pain. Diabetes mellitus type II was the selected primary diagnosis, because all the pertinent positives presented
the disease and was supported with laboratory findings of hyperglycemia. According to Hirsch et al. (2018), a hemoglobin A1c greater than 6.5% indicate diabetes. [Show Less]