Excelsior NUR505 2021 September Module 8 Assignment Latest

NUR505 ADVANCED PATHOPHYSIOLOGY

Module 8 Assignment  

Case Study – Mr. Hindawi

The Case

Mr. Hindawi is a 66-year-old Egyptian male who is brought in by paramedics to the emergency department with abdominal pain. He is confused, and his extremities are cold with cyanosis. His blood pressure (BP) is 75/50-millimeter mercury (mm Hg), his heart rate (HR) is 125 beats per minute, and his temperature is 35.6° Celsius. A computed tomography (CT) scan of the abdomen showed extraluminal gas and suspected extraluminal feces consistent with a perforated sigmoid colon.

Based on the clinical presentation of Mr. Hindawi:

List 3 differential diagnoses starting with the most likely diagnosis.

Explain the approach or criteria you use to reach to the most likely diagnosis.

Describe, at an advanced level, the pathophysiology of:

Hypotension

Confusion

Cyanosis

What data would you obtain from Mr. Hindawi’s family to identify his risk factors that are relevant to the diagnosis?

To confirm the diagnosis empirically:

List the essential diagnostic tests that should be ordered.

Specify the physiological alteration(s) you want to detect through each test.

Formulate a holistic advanced practice nursing plan of care for Mr. Hindawi addressing the following:

Physical Needs:

State an overview of the pharmacological and non-pharmacological therapies of the disease.

Specify the functional or structural alteration(s) that each therapy is targeting.

Educational and Psychosocial Needs:

List some relevant topics for patient/family education.

Address the effect of the disease on the patient, family, and society.

Late Assignment Policy: All assignments (e.g. papers, projects, etc.) are expected to be submitted on time. If unplanned or extenuating* circumstances prevent on time submission, then students should follow these guidelines:

Contact your instructor with details about the extenuating circumstances if you are requesting permission to submit late.

If a student submits an assignment late without permission, it will not be graded until the student communicates with the instructor. If there is no communication with the instructor before the assignment grade is due, a grade of zero will be assigned.

The first late submission in the course will be accepted and graded without penalty up to 5 days after the due date. After 5 days of no submission, the instructor may assess a late penalty of 5 percent per day.

All subsequent late assignments may be assessed a late penalty of 5 percent per day, starting on day one. There will be no 5-day grace period.

This policy does not pertain to discussion posts. Please review the course specific discussion rubric for further guidance.

Please note that course structure may result in exceptions to the late policy. In this case, the instructor will either clarify or arrange guidelines for submission of assignments with the student(s).

No work will be accepted after the final day of the term unless an official course extension has been granted. Excelsior College Extension Policy

*Some types of extenuating circumstances that will be considered, if they prevent the student from completing the assignment or assessment on time, are the following:

an illness or injury

a death of a family member or significant other

a significant change in employment or military status

a trauma in the student’s life

technical issues

a natural disaster Assistance to Students in Disaster and Emergency Areas

unplanned events

Please note: What will not be considered are some planned events such as weddings, vacations, etc.

Documentation for in extenuating circumstances may be required.