Black and Blue with Love In this directed case study students follow a nurse practitioner and work with a diagnostics team to determine what is wrong with Tristan, an infant who comes to the clinic with multiple bruises. Students are given background and patient history, and a The Effects of Maternal Methadone Use on Neonates This interrupted case study presents the story of "Jane Paul," a year-old pregnant woman excited by the prospect of bringing a new life into the world.
Jane had been using heroin for the past seven years, but when she learns she is pregnant, she goe Caught Red-Handed Was the "Brooklyn Butcher" of a cold-blooded killer or was something less sinister at play? This interrupted case study introduces students to hemoglobin binding and carbon monoxide poisoning by working through the details of a fictionalized accou The story is true and, in this respect, similar to another case by the same author Cracking the Case In this directed case study, students shadow Dr.
Lee in diagnosing two patients with osteoporosis. The students are given patient history and an initial panel of test results, which they discuss in small groups. After diagnosis, they are asked specific This case study presents the story of an elderly woman who spent time in a hospital and Diagnosis of a Congenital Disorder This progressive disclosure case study explores the medically-related issues of a female infant born with the congenital disorder Sirenomelia, more commonly known as "Mermaid Syndrome.
The purpose of this case study is to make students aware that some patients may require individualized drug dosing regimens based on a variety of patient variables. The central classroom activity consists of small group work in which students analyze a Haskins This case study on clinical practice, preparation, and acumen follows the story of Emily, an intelligent, hard working, and motivated student who yet encounters difficulties in the clinical fieldwork component of her senior seminar.
Family, Culture, Medicine This four-part problem-based learning case examines cultural conflicts between Western medicine and non-Western traditional healing practices. Students consider notions of cultural relativism and ethnocentrism through the lens of social institutions, i Going for Gold This case study introduces students to the true story of Caster Semenya, an outstanding female mid-distance runner from South Africa.
Caster won the m race at the Track and Field World Championships when she was just While her son suspects a stroke, a quick battery of laboratory tests indicates that her current probl It is caused by the lack of heavy chain class-switching from IgM to other isotypes. Patients with hyper-IgM syndrome are susceptible to a variety of infectio A Case Study on Tachycardia in Sam the Runner "I Heart Running" is a case study in which students diagnose the cause of exercise-induced tachycardia in an otherwise healthy, year-old female.
The patient, Sam, is a long-distance runner and realizes that her exercising heart rate reaches over Living the Sweet Life In this directed case study, students assist Dr.
Gupta in his endocrinology clinic in diagnosing three patients having problems with blood glucose regulation. In Part I, students are given patient backgrounds and results from laboratory tests generated Lost in the Desert! Students learn about the interconnectedness of the body, with a particular focus on the skin as one of the most important homeostatic organ systems, in this case study in which the protagonist sets out on a three-hour drive across the Arizona desert to Hebrew Translation In this directed case study, translated from the original English into Hebrew, students read about a man who sets out on a three-hour drive across the Arizona desert to meet his fiancee in California but never shows up at his final destination.
Working in small groups, the students analyze a variety of information and then formulate a diagnosis. This case study was developed MDR Tuberculosis In this case study on multi-drug resistant MDR tuberculosis, students consider ways in which to preserve health as a human right without subjecting already marginalized communities susceptible to the disease to further discrimination. A Case of Diabetes This case teaches about the causes and effects of Type 2 diabetes by working through the various options available to a young Native American woman suffering from the disease.
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We have a team of writers who specialize in all branches of Law. Among the disciplines involved in diabetes education, nursing has played a pivotal role in the diabetes team management concept.
This was well illustrated in the Diabetes Control and Complications Trial DCCT by the effectiveness of nurse managers in coordinating and delivering diabetes self-management education. These nurse managers not only performed administrative tasks crucial to the outcomes of the DCCT, but also participated directly in patient care. The emergence and subsequent growth of advanced practice in nursing during the past 20 years has expanded the direct care component, incorporating aspects of both nursing and medical care while maintaining the teaching and counseling roles.
Both the clinical nurse specialist CNS and nurse practitioner NP models, when applied to chronic disease management, create enhanced patient-provider relationships in which self-care education and counseling is provided within the context of disease state management.
Clement 2 commented in a review of diabetes self-management education issues that unless ongoing management is part of an education program, knowledge may increase but most clinical outcomes only minimally improve. Advanced practice nurses by the very nature of their scope of practice effectively combine both education and management into their delivery of care.
At the completion of assessments, advanced practice nurses, in conjunction with patients, identify management goals and determine appropriate plans of care. Many advanced practice nurses NPs, CNSs, nurse midwives, and nurse anesthetists may prescribe and adjust medication through prescriptive authority granted to them by their state nursing regulatory body.
Currently, all 50 states have some form of prescriptive authority for advanced practice nurses. It is a crucial component in the care of people with type 1 diabetes, and it becomes increasingly important in the care of patients with type 2 diabetes who have a constellation of comorbidities, all of which must be managed for successful disease outcomes. Many studies have documented the effectiveness of advanced practice nurses in managing common primary care issues.
In diabetes, the role of advanced practice nurses has significantly contributed to improved outcomes in the management of type 2 diabetes, 5 in specialized diabetes foot care programs, 6 in the management of diabetes in pregnancy, 7 and in the care of pediatric type 1 diabetic patients and their parents.
The following case study illustrates the clinical role of advanced practice nurses in the management of a patient with type 2 diabetes. Although he was diagnosed in , he had symptoms indicating hyperglycemia for 2 years before diagnosis. Referred by his family physician to the diabetes specialty clinic, A. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide Diabeta , 2. He has tolerated this medication and adheres to the daily schedule.
He stopped these supplements when he did not see any positive results. He does not test his blood glucose levels at home and expresses doubt that this procedure would help him improve his diabetes control. He lives with his wife of 48 years and has two married children. Although both his mother and father had type 2 diabetes, A. In the past, his wife has encouraged him to treat his diabetes with herbal remedies and weight-loss supplements, and she frequently scans the Internet for the latest diabetes remedies.
During the past year, A. Since retiring, he has been more physically active, playing golf once a week and gardening, but he has been unable to lose more than 2—3 lb.
He has never seen a dietitian and has not been instructed in self-monitoring of blood glucose SMBG. His normal dinners consist of 2 cups of cooked pasta with homemade sauce and three to four slices of Italian bread. He also eats eight to ten pieces of fresh fruit per day at meals and as snacks.
He prefers chicken and fish, but it is usually served with a tomato or cream sauce accompanied by pasta. The medical documents that A. However, his medical records also indicate that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been remarkably healthy for many years.
The first task of the NP who provided his care was to select the most pressing health care issues and prioritize his medical care to address them. The patient and his wife agreed that a referral to a dietitian was their first priority. Weight loss would also be an important first step in reducing his blood pressure. The NP contacted the registered dietitian RD by telephone and referred the patient for a medical nutrition therapy assessment with a focus on weight loss and improved diabetes control.
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