Identify the pathophysiology of the disorders presented

Assignment Help Other Subject
Reference no: EM131429110 , Length: 3

Assignment: Adaptive Response

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes.

Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been "running a temperature" for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today's high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation.

A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts "a lot" and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel "a little bit hot," but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream.

Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a "racing heartbeat," and she is losing her appetite.

She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip.

Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother.

Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a "blessing" that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.

Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.

Review the examples of "Mind Maps-Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)" media in this week's Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

Review the Application Assignment Rubric found under Course Information

To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

For each of the three scenarios explain the pathophysiology, associated alterations and the patients' adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.

Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

Reference no: EM131429110

Previous Q& A

  Relationship between power and energy

1. Determine the NPV for discount rates between 1% to 5% with an increment of 1% (this is the opportunity cost of your money-say what you would get in a money market account)

  Determine the period of vibration

A 15-lb uniform cylinder can roll without sliding on an incline and is attached to a spring AB as shown. If the center of the cylinder is moved 0.4 in. down the incline and released,

  What is the pretax cost of debt

DL Trucking has a cost of equity of 14.4 percent and an unlevered cost of capital of 13 percent. The company has $20,000 in debt that is selling at par value. The levered value of the firm is $46,000 and the tax rate is 35 percent. What is the pre..

  Find centroidal radius of gyration of the connecting rod

A connecting rod is supported by a knife edge at point A; the period of its small oscillations is observed to be 1.03 s. Knowing that the distance ra is 150 mm, determine the centroidal radius of gyration of the connecting rod.

  Receive an annual retirement payment

EZ Leifer plans to retire at the age of 65 and believes he will live to be 90. EZ wants to receive an annual retirement payment of $ 50,000 at the beginning of each year. He sets up a retirement account that is estimated to earn 6 percent annually..

  Which health care laws are still in practice

Medicaid became law (Fremgen, 2012). The growth rate of the older adult population and the remarkable technological discoveries and applications, such as heart and kidney transplants and mobile mammogram units, are just a few of the developments t..

  What is the current stock price

The Jackson-Timberlake Wardrobe Co. just paid a dividend of $1.80 per share on its stock. The dividends are expected to grow at a constant rate of 6 percent per year indefinitely. Investors require a return of 11 percent on the company's stock.

  How would the price change

How would the price change if there were 30 years left to maturity instead of 8? You must explain your answer and show your calculator inputs (Ex: N=?, I=?, PV=?,PMT=?,FV=?) to receive full credit.

  Determine the speed at which resonance will occur

For speeds between 600 and 1200 rpm the object is observed to "dance" and actually to lose contact with the beam. Determine the speed at which resonance will occur

  Define quality of life in a city

Post a 250-word response that explains the best perspective through which to define quality of life in a city(NewJersey). Choose from the perspectives - Commerce and Public Health


Write a Review


Similar Q& A

  Horror genre and comedy genre in film

How did the at the film (Jaws 1975) components match with the horror genre? How did the at the film (50 First Dates 2004) components match with the comedy genre?

  Different variations of disengagement

Critically discuss the different variations of disengagement that old people go through as designated by Cummings & Henry's Disengagement theory.

  Social-political outcome be if that approach were implement

The proper method of judging when or whether one should help another person is by reference to one’s own rational self-interest and one’s own hierarchy of values:

  Responsibility of brain structure

What brain structure is responsible for raising or lowering the thresholds of conscious awareness, such that Crystal reacts to the sound of the lamp falling and Jess is unaware of it?

  What is social disorganization

What is social disorganization. How does social disorganization relate to organized crime and its evolution

  The awakening essay 4-6 pages double-spaced times new roman

the awakening essay 4-6 pages double-spaced times new roman font. please include page numbers a title reflective of the

  Government healthcare organization

Identify and describe how a government healthcare organization accomplishes such tasks.

  I just don''t seem to have any appetite at all for past few

The patient says, "I can't explain it. I just don't seem to have any appetite at all for the past few weeks, and that's not like me at all." You write: The patient is complaining of anorexia that has been present for the past few weeks.

  Find two sources on critical thinking

Find two sources on critical thinking. Explain in your words the definition of critical thinking.

  Explain how purposeful movement enhances learning

Explain how purposeful movement enhances learning? a brief explanation and Discuss how Montessori Nurturesabstract thought, or the imagination in young children

  What were the middle grounds during colonial times

Having assessed the reasons behind England's attitude toward Massachusetts and vice versa, explain England's policy toward the Bay colony and how the Puritans reacted to the various attempts to control them.What were the "middle grounds" during colon..

  Identify three possible risks that exist in your workplace

Identify at least three possible risks that exist in your workplace or home. For each of the three or more risks. Describe the task being performed when the risk might occur (washing dishes, moving a desk, etc.).

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd