23 Oct NU 636 Unit 5 Assignment: Case Study Inflammatory Bowel Disease
10795Case Study
Mrs. Z is a 34-year-old female who come in with a complaint of diarrhea accompanied by abdominal pain. Onset of the symptom was about 4 days ago. She reports thinking she is running a fever but has not taken her temperature. She concerned that she is starting to feel weak.
When asked how about the characteristics and the number of bowel movements a day, she reports increased number of BMs over the last few months. In the last few days she reports averaging about 10 small volume watery stools with varying amounts of blood daily.
She denies recent travel and reportedly has not been on any antibiotics in the past few weeks.
In reviewing her record, you notice that her health history is positive for history of ulcerative colitis. She has not been on any medications for this over the last few years as she had not been symptomatic.
Mrs. Z is on an oral contraceptive. She takes slippery elm capsules and has for the last several years. She reports that she has been taking 2 to 3 doses of Benefiber prebiotic fiber for the last couple days.
Objective data:
BP 116/70 sitting, 100/66 standing; P 92; Temp 100.1
Abdomen – active bowel sounds all 4 quadrants, mild tenderness with palpation
Otherwise her exam is unremarkable for pertinent positives or negatives.
Labs – WBC 14,000; Hgb 11.9; Hct 35.7; Sodium 133; Potassium 3.3
What pharmacologic therapy would you prescribe for Mrs. Z?
How will you evaluate the effectiveness of this therapy?
What patient education would you provide for Mrs. Z relative to the pharmacologic agent you prescribed?
Are there any pharmacogenetic considerations related to what you prescribed for the patient?
Are there any alternative therapies or over-the-counter agents that might be of value to Mrs. Z?
What, if any, lifestyle changes would you recommend?
Instructions: Please prepare and submit a paper 3-4 pages [total] in length (not including APA format) answering the questions below. Please support your position with examples.
RESOURCES:
Arcangelo, V. & Peterson, A. (2021). Pharmacotherapeutics for advanced practice: A practical approach. (5th ed.). Philadelphia: Wolters Kluwer
Chapters 25-27, 49, & 50
Vaezi, M.F., Yang, Y., & Howden, C. (2017). Complications of proton pump inhibitor therapyLinks to an external site.. Gastroenterology. [Digital article]. Retrieved from https://www.gastrojournal.org/article/S0016-5085(17)35623-8/pdf
RUBRIC:
NU636 Case Study Rubric (30 pts) (1)
NU636 Case Study Rubric (30 pts) (1)
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAnswer the Question
13 pts
5
Provided a correct, complete, and detailed answer to the question.
11 pts
4
Provided a mostly correct, complete, and detailed answer to the question.
10 pts
3
Provided a mostly correct and complete answer to the question.
8 pts
2
Provided a limited but correct answer to the question.
6 pts
1
Provided an incorrect answer to the question.
0 pts
0
Did not answer the question
13 pts
This criterion is linked to a Learning OutcomeJustification
13 pts
5
Justified ideas and responses by using multiple appropriate examples and references from texts, web sites, and other references.
12 pts
4
Justified ideas and responses by using a few appropriate examples and references from texts, web sites, and other references.
10 pts
3
Justified ideas and responses by using at least one appropriate example and reference from texts, web sites, and other references.
9 pts
2
Justified ideas and responses by using at least one example or reference from texts, web sites, and other references.
8 pts
1
Justified ideas and responses with an inappropriate example or reference from texts, web sites, and other references.
0 pts
0
Did not answer the question
13 pts
This criterion is linked to a Learning OutcomeGrammar & Citation
4 pts
5
Consistently and accurately used APA 7th edition style guidelines, correct spelling and grammar and submitted on time.
3.5 pts
4
Somewhat used APA 7th edition style guidelines, correct spelling and grammar and submitted on time.
3 pts
3
Somewhat used APA 7th edition style guidelines, few errors in formatting, spelling or grammar but submitted on time.
2.5 pts
2
Poor use of APA 7th edition style guidelines, correct spelling and grammar and submitted on time.
2 pts
1
Extremely poor use of APA 7th edition style guidelines, correct spelling and grammar and not submitted on time.
0 pts
0
Did not submit the assignment
4 pts
Total Points: 30
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