NURS 6501 WEEK 10 CASE STUDY ANALYSIS
Sample Answer for NURS 6501 WEEK 10 CASE STUDY ANALYSIS Included After Question
NURS 6501 WEEK 10 CASE STUDY ANALYSIS
An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient.
Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..
An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.
NURS 6501 WEEK 10 CASE STUDY ANALYSIS
To prepare:
By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
Assignment (1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following:
The factors that affect fertility (STDs).
Why inflammatory markers rise in STD/PID.
Why prostatitis and infection happens. Also explain the causes of systemic reaction.
Why a patient would need a splenectomy after a diagnosis of ITP.
Anemia and the different kinds of anemia (i.e., micro and macrocytic).
Day 7 of Week 10
Submit your Case Study Analysis Assignment by Day 7 of Week 10
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A Sample Answer For the Assignment: NURS 6501 WEEK 10 CASE STUDY ANALYSIS
Title: NURS 6501 WEEK 10 CASE STUDY ANALYSIS
Case Study Analysis
Genitourinary disorders affect a significant proportion of the population, resulting in low quality of life and increased disease burden. Nurses and other healthcare providers adopt evidence-based interventions to promote optimum outcomes. Therefore, this paper examines a case study involving a 14-year-old female that is brought to the urgent care with complaints of bruises and gum bleeding. The purpose of this assignment is to examine topics that include factors affecting fertility, rise of inflammatory markers in STDs/PID, anemia and different types, and the need for splenectomy after ITP.
The Factors that Affect Fertility (STDs)
The assigned case study does not relate to sexually transmitted infections (STDs). STDs affect fertility. Untreated STDs ascend the reproductive tract to cause tubal damage, inflammation, and scarring, which cause infertility. STDs caused by pathogenic bacteria such as Neisseria gonorrhoeae and Chlamydia trachomatis cause morbidities such as pelvic inflammatory disease and tubal factor that are associated with infertility. In addition, pathogenesis such as Trichomonas vaginalis and Mycoplasma genitalium play a role in causing tubal damage and potentiating the likelihood of patients developing infertility(Smolarczyk et al., 2021). The interaction between these causes, patient factors, co-infections, and vaginal microbiome affects fertility.
Why Inflammatory Marker Rise in STD/PID
STD or pelvic inflammatory disease are associated with a significant rise in inflammatory markers. The rise in the inflammatory markers is attributable to the presence of bacteria and other organisms that cause these infections. The presence of these organisms stimulates the immune system to release inflammatory markers such as interleukins 1, 66, and 8 and cytokines(Mokotedi et al., 2019). The role of these inflammatory markers is to respond to the infection by attempting to eliminate the infectious agents from the body.
Why Prostatitis and Infection Happens
STDs can also cause prostatitis and other secondary infections. Patients affected by prostatitis experience symptoms such as difficult or painful urination because of inflamed prostate gland. Microorganisms such as bacteria associated with STDs and PID may access the prostate gland, resulting in their multiplication and inflammation of the gland. In addition, systemic reaction may arise from STDs and PID. The spread of the bacterial infection through blood and the lymphatic tissue my cause widespread systemic reaction in a patient. Besides, acute prostatitis due to bacterial infections may also contribute to systemic infections(Bielecki et al., 2020). Therefore, this explains the correlation between STDs, PID, prostatitis, and systemic reaction.
Why a Patient would Need a Splenectomy After a Diagnosis of ITP
Splenectomy is considered an effective treatment for patients diagnosed with immune thrombocytopenia (ITP). The spleen plays the crucial role of platelet clearance and production of autoantibodies. It also acts as the niche where immune cells promote antiplatelet antibody formation. The spleen also stores long-lived plasma cells that have anti-platelet antibody producing properties. These functions make the spleen the primary organ involved in ITP pathogenesis. Splenectomy, which entails the surgical removal of the spleen eliminates autoantibody production and platelet clearance site, which improves ITP symptoms. Splenectomy also reduces the risk of relapses of ITP and improved response to medical therapies adopted for ITP(Al-Samkari& Kuter, 2020; Mageau et al., 2022). Patients also benefit from the stabilization in the platelet count in most of the patients who undergo the treatment.
Anemia and Different Kinds of Anemia
Anemia is a condition characterized by the low hemoglobin level below the expected level for a patient’s age and gender. Anemia exists in different types. One of them is microcytic anemia. In microcytic anemia, the red blood cells are smaller than the normal red blood cells because of the inadequate hemoglobin. Normocytic anemia is the other type where there are inadequate red blood cells to meet the body’s needs. Macrocytic anemia is the other type anemia. Macrocytic anemia has features that include abnormally large red blood cells. It arises from defects in the ability of the bone marrow to produce red blood cells. The other sub-types of anemia include iron-deficiency, sideroblastic, thalassemia, and hemolytic anemias(Guo et al., 2019; Tvedten, 2022).
Conclusion
STDs cause infertility. Inflammatory markers rise in PID and STDs. Splenectomy is an effective treatment for ITP. Anemia exists in different types that affect the treatment approaches. ss
References
Al-Samkari, H., & Kuter, D. J. (2020). Immune Thrombocytopenia in Adults: Modern Approaches to Diagnosis and Treatment. Seminars in Thrombosis and Hemostasis, 46(3), 275–288. https://doi.org/10.1055/s-0039-1700512
Bielecki, R., Ostaszewska-Puchalska, I., Zdrodowska-Stefanow, B., Baltaziak, M., Skawrońska, M., &Sokołowska, M. (2020). The presence of Chlamydia trachomatis infection in men with chronic prostatitis. Central European Journal of Urology, 73(3), 362–368. https://doi.org/10.5173/ceju.2020.0040
Guo, W., Zhou, Q., Jia, Y., & Xu, J. (2019). Increased Levels of Glycated Hemoglobin A1c and Iron Deficiency Anemia: A Review. Medical Science Monitor : International Medical Journal of Experimental and Clinical Research, 25, 8371–8378. https://doi.org/10.12659/MSM.916719
Mageau, A., Terriou, L., Ebbo, M., Souchaud-Debouverie, O., Orvain, C., Graveleau, J., Lega, J.-C., Ruivard, M., Viallard, J.-F., Cheze, S., Dossier, A., Bonnotte, B., Perlat, A., Gobert, D., Costedoat-Chalumeau, N., Jeandel, P.-Y., Dernoncourt, A., Michel, M., Godeau, B., &Comont, T. (2022). Splenectomy for primary immune thrombocytopenia revisited in the era of thrombopoietin receptor agonists: New insights for an old treatment. American Journal of Hematology, 97(1), 10–17. https://doi.org/10.1002/ajh.26378
Mokotedi, L., Millen, A. M. E., Mogane, C., Gomes, M., Woodiwiss, A. J., Norton, G. R., & Michel, F. S. (2019). Associations of inflammatory markers and vascular cell adhesion molecule-1 with endothelial dysfunction in collagen-induced arthritis. European Journal of Pharmacology, 865, 172786. https://doi.org/10.1016/j.ejphar.2019.172786
Smolarczyk, K., Mlynarczyk-Bonikowska, B., Rudnicka, E., Szukiewicz, D., Meczekalski, B., Smolarczyk, R., & Pieta, W. (2021). The Impact of Selected Bacterial Sexually Transmitted Diseases on Pregnancy and Female Fertility. International Journal of Molecular Sciences, 22(4), Article 4. https://doi.org/10.3390/ijms22042170
Tvedten, H. (2022). Classification and Laboratory Evaluation of Anemia. In Schalm’s Veterinary Hematology (pp. 198–208). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781119500537.ch25
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