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Case Study Of Patient Gastrointestinal Symptoms Assignment

Case Study Of Patient Gastrointestinal Symptoms Assignment

Case Study

Gastrointestinal disorders can be challenging to diagnose. Notably, gastrointestinal conditions usually produce non-specific symptoms, but the healthcare provider should perform a comprehensive examination to establish the underlying cause for the symptoms. Gastrointestinal symptoms can arise from underlying illnesses related to other body parts, complicating the examination and diagnosis procedures. For instance, a person suffering from chronic migraine may develop nausea and frequent vomiting. Thus, the healthcare provider should thoroughly evaluate gastrointestinal symptoms for correct diagnosis and proper subsequent treatment. This study will explore a case study of patient gastrointestinal symptoms, determine a diagnosis and appropriate rationale, and develop a proper treatment plan Case Study Of Patient Gastrointestinal Symptoms Assignment.

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The case study features a patient exhibiting non-specific gastrointestinal manifestations, including diarrhea, vomiting, and nausea. The patient’s medical history indicates a background of hepatitis C and substance abuse. However, according to Altaf et al. (2019), one can confirm the hepatitis C case through a polymerase chain reaction test that detects HCV RNA in the blood serum. Thus, the patient’s history indicates a case of complications associated with prednisone utilization. Prednisone has notable contraindication on the gastrointestinal tract because they are widely used to manage various conditions. For instance, studies indicate that patients using prednisone suffer increased gastric acid production within four weeks (Wang et al., 2021). Thus, reviewing the patient’s health history is crucial when addressing gastrointestinal symptoms.

Moreover, corticosteroids significantly affect the gastric mucosa, further increasing the danger of developing gastric ulcers. Thus, one can understand these observations by assessing prednisone’s mechanism of action. According to Caplan et al. (2017), prednisone inhibits the conversion of phospholipid into arachidonic acid, halting prostaglandin synthesis and subsequent protective activities. That increases the gastric wall’s susceptibility to the stomach’s physiological acidic pH leading to the current patient’s symptoms. Healthcare providers can implement various measures to reduce oral glucocorticoid contraindications. They can reassess patients’ usage and necessity, reduce the utilization period, and provide mucosal protection agents; they coat ulcer areas and prevent further gastric acid-related damage.

For this case study, bismuth subsalicylate will be essential. It enhances mucus, bicarbonate, and prostaglandin secretion; thus, the patient should recover from the gastrointestinal disorder (Brum et al., 2021). Patient education is also crucial; it includes lessons on appropriate diet and various products to avoid while using prednisone. For instance, the patient should avoid spicy foods, alcohol, and cigarettes; they affect the gastric mucosa’s functionality. Patient education on alcohol and substance abuse will encourage the patient to stop drug abuse; failure to do so will lead to gastric perforation and chronic ulcers, which can be fatal.

Gastrointestinal conditions can be challenging to diagnose and treat due to the prevalence of non-specific symptoms. They can also have similar symptoms to disorders affecting other systems or indicate an underlying condition like migraine. This assignment explored a patient displaying non-specific gastrointestinal manifestations, a history of substance abuse, and presently using prednisone. The initial diagnosis is gastritis based on the current prednisone usage. Glucocorticoids inhibit prostaglandin production, interfering with gastric mucosa, which causes gastritis. Bismuth subsalicylate contains mucosal protective characteristics making it an ideal prescription for the patient. Other essential recommendations include patient education on appropriate diet and alcohol abstinence; the patient should avoid spicy foods, alcohol, and cigarettes. These products can disrupt the gastric mucosa increasing the symptoms or causing more chronic conditions and ulcers. Patient education will also enable the patient to overcome substance abuse tendencies highlighted by the medical history Case Study Of Patient Gastrointestinal Symptoms Assignment.

 

References

Altaf, A., Iqbal, S., & Shah, S. A. (2019). A third major human immunodeficiency viruses (HIV) outbreak in Larkana, Pakistan: caused by unsafe injection practices. J Pak Med Assoc, 69(8), 1068-69.

Brum, J. M., Gibb, R. D., Ramsey, D. L., Balan, G., & Yacyshyn, B. R. (2021). Systematic review and meta-analyses assessment of the clinical efficacy of bismuth subsalicylate for prevention and treatment of infectious diarrhea. Digestive Diseases and Sciences, 66(7), 2323-2335.

Caplan, A., Fett, N., Rosenbach, M., Werth, V. P., & Micheletti, R. G. (2017). Prevention and management of glucocorticoid-induced side effects: A comprehensive review: Gastrointestinal and endocrinologic side effects. Journal of the American Academy of Dermatology, 76(1), 11-16.

Wang, M., Zhu, Z., Lin, X., Li, H., Wen, C., Bao, J., & He, Z. (2021). Gut microbiota mediated the therapeutic efficacies and the side effects of prednisone in the treatment of MRL/lpr mice. Arthritis research & therapy, 23(1), 1-10.

Rubric Detail

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Content
Name: NURS_6521_Week4_Assignment_Rubric

Excellent Good Fair Poor
Explain your diagnosis for the patient, including your rationale for the diagnosis.
Points Range: 23 (23%) – 25 (25%)
The response accurately and clearly explains in detail the diagnosis for the patient, including an accurate and thorough rationale for the diagnosis that supports clinical judgment.
Points Range: 20 (20%) – 22 (22%)
The response provides a basic explanation of 1-2 diagnoses for the patient, including an accurate rationale for the diagnosis that may support clinical judgment.
Points Range: 18 (18%) – 19 (19%)
The response inaccurately or vaguely explains the diagnosis for the patient, including an inaccurate or vague rationale for the diagnosis that may or may not support clinical judgment.
Points Range: 0 (0%) – 17 (17%)
The response inaccurately and vaguely explains the diagnosis for the patient, including an inaccurate and vague rationale for the diagnosis that does not support clinical judgment, or is missing.
Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Points Range: 27 (27%) – 30 (30%)
The response accurately and completely describes in detail an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Points Range: 24 (24%) – 26 (26%)
The response describes a basic explanation of the appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Points Range: 21 (21%) – 23 (23%)
The response inaccurately or vaguely describes an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Points Range: 0 (0%) – 20 (20%)
The response inaccurately and vaguely describes an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
Points Range: 27 (27%) – 30 (30%)
The response provides an accurate, clear, and detailed justification for the recommended drug therapy plan for this patient.

The response includes specific, accurate, and detailed examples that fully support the justification provided.
Points Range: 24 (24%) – 26 (26%)
The response provides a basic justification for the recommended drug therapy plan for this patient.

The response includes only 1-2 examples that fully support the justification provided Case Study Of Patient Gastrointestinal Symptoms Assignment.
Points Range: 21 (21%) – 23 (23%)
The response provides an inaccurate or vague justification for the recommended drug therapy plan for this patient.

The response may include examples, which may inaccurately or vaguely support the justification provided.
Points Range: 0 (0%) – 20 (20%)
The response provides an inaccurate and vague justification for the recommended drug therapy plan for this patient, or is missing.

The response does not include examples that support the justification provided, or is missing.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.
Points Range: 5 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity.
Points Range: 4 (4%) – 4 (4%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.
Points Range: 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
Points Range: 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors
Points Range: 4 (4%) – 4 (4%)
Contains a few (1–2) grammar, spelling, and punctuation errors
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3–4) grammar, spelling, and punctuation errors
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list Case Study Of Patient Gastrointestinal Symptoms Assignment.
Points Range: 5 (5%) – 5 (5%)
Uses correct APA format with no errors
Points Range: 4 (4%) – 4 (4%)
Contains a few (1–2) APA format errors
Points Range: 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3–4) APA format errors
Points Range: 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors
Total Points: 100