Week 5 Case Study: Mrs. R.
Rea A. Colby
Chamberlain University
NR 601: Primary Care of the Maturing and Aged Family
July 2018
WEEK 5 CASE STUDY 2
Week 5 Case Study: Mrs. R.
The case study scenario introduced the class to Mrs. R., a 56-year old Hispanic female
who reported to the office clinic with complaints of extreme fatigue and experiencing a gradual
weight gain. The onset of her symptoms started three months ago. She exercises twice a week
by walking on the treadmill for 30 minutes in an attempt to lose weight but has been
unsuccessful. The intention of this paper is to examine the analysis of the subjective and
objective findings that was collected to diagnose and create a management plan for Mrs. R. In
addition, the application of national diabetes guidelines will be included into the patient’s
management plan.
This paper will also discuss the assessment of the primary, the secondary, and the
differential diagnoses for Mrs. R., as well as the management plan for treatment of the primary,
the secondary, and the differential diagnoses, which consists of diagnostics, medications,
education, referrals, and follow-up care. This paper also includes a discussion on medication
costs of all prescribed and over-the-counter (OTC) medications.
Assessment
According to the information provided by Mrs. R., she has symptoms of major concerns,
which includes extreme fatigue, the inability to lose weight regardless of her attempts to
exercise, her increase in thirst, hunger, and urination. Per the Center for Disease Control and
Prevention BMI calculator (CDC) (2015), her calculated BMI of 29.7 showed that she is
overweight for her given height. The result from her urine analysis showed glucose and small
concentration of protein. Her HgbA1C is 6.9% and her fasting glucose is 126 mg/dL, which
according to the American Diabetes Association (ADA) (2018), she meets the conditions for the
diagnosis of diabetes. Mrs. R’s CBC values, TSH and Free T4 levels were unremarkable, which
WEEK 5 CASE STUDY 3
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