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MN610 NP III Clinical – Primary Care Focus

Unit 7 Assignment

Assignment—Case Study for Chronic Condition

For this Assignment, you are answer the questions regarding this case study. Please make sure to support your answers using evidence based practice.

56 y/o Caucasian male presents to the primary care clinic with complains of dizziness and nausea x 4 days. The patient reports he has not been able to get out of bed since the symptoms started. The patient reports symptoms are worse when he tries to get out of bed to stand. He denies any headaches or blurry vision. He states he is urinating more over the last few days and he has noticed increase in thirst. He reports he just drank a large sweet tea before he came into the clinic.

The patient reports that he is out of his Lantus and metformin because he cannot afford the refill until he gets his disability check. He is disabled after his second CVA that left his with generalized weakness. His medical history includes DM, HTN, CAD.

Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5.

Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting.

What is the pertinent positive and negative findings in this patient assessment?

Create a list of differentials with rationales for this patient?

Discuss a medication regimen for this patient considering his financial status?

What is the priority concern for this patient?

How does this patient’s comorbid diagnosis impact his current symptoms?

Discuss how the patient’s’ health beliefs, culture and behaviors impact the potential outcomes for the patient.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section under Course Resources.

Assignment Requirements

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);

consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and

utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);

be well ordered, logical, and unified, as well as original and insightful;

display superior content, organization, style, and mechanics; and

use APA 6th Edition format.

How to Submit

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

When you are ready to submit your Assignment, click the Dropbox tab and select this unit’s basket from the dropdown menu, then attach your file. Make sure to save a copy of your work and be sure to confirm that your file uploaded correctly.

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