Reference no: EM132812500

Assignment: Part 1: Primary care

Topic: Infectious Gastrointestinal Disorders

Case Study: A 78-year-old woman is brought to the clinic by her son, who reports that she has had three days of diarrhea that is now watery with small amounts of blood, and periodic vomiting occurring once or twice daily. The woman appears weak and ill. Her son reports that the woman lives with him, and that his family and children have recently been sick with gastroenteritis. The patient's mucous membranes appear dry, and she reports feeling dizzy and falling earlier in the day. The fall resulted in bruising on her hip and elbow but no other apparent injuries. The patient takes antihypertensive medication, an oral antidiabetic medication, and occasional ibuprofen for joint pain; she is otherwise healthy. The patient's vital signs are temperature 99.8°F, heart rate 96, respiratory rate 24, and blood pressure 118/58.

What additional assessment information should be obtained?

What are the differential diagnoses for this patient?

What management will be recommended for the patient?

What patient education should be included?

Part 2: Primary care Women

Many elements need to be considered individually by a woman, man, or couple when choosing the most appropriate contraceptive method. Some of these elements include safety, effectiveness, availability (including accessibility and affordability), and acceptability. Although most contraceptive methods are safe for use by most women, U.S. MEC provides recommendations on the safety of specific contraceptive methods for women with certain characteristics and medical conditions.

1. Discuss various forms of contraception including indications, contraindications, side effects, U.S.

Medical Eligibility Criteria (USMRC), U.S.

Selected Practice Recommendations for Contraceptive Use (USSPR)

2. How will you and your patient decide on the best type?

3. How do you manage the patient who has preconceived notions about certain contraceptives that are not evidence-based?

Part 3: Practicum

1. Describe how does effective communication affects advanced nurse provider relationship with patients and other healthcare providers

Part 4: Gastric disease

1. Description of the disease

2. Risk factors

3. Causes

4. Diagnosis

5. Treatment

6. Nursing intervention