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Assignment NSG 6430 iHuman Case Study – Cushing’s syndrome

Assignment: NSG 6430 iHuman Case Study – Cushing’s syndrome

NSG 6430 iHuman Case Study – Cushing’s syndrome

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Primary Diagnoses: Depressive disorder

Angela is a 17-year-old female who has a two-month history of fatigue and lack of energy associated with insomnia, irritability, and weight gain. Her symptoms have led to a decline in her school work and lack of participation in her normal activities. She has been crying on a near daily basis over the past month, elevated BMI, and is noted to have acne. NSG 6430 iHuman Case Study – Cushing’s syndrome.

Angela’s best friend is dating her ex-boyfriend now so this could have triggered the start of her depression. Angela scoring a 19 out of a possible 27 on the PHQ-A depression scale, which is consistent with a diagnosis of moderately severe adolescent depression and laboratory tests ruled out anemia, thyroid dysfunction, mononucleosis, Cushing’s syndrome, diabetes mellitus type 2, pregnancy, and substance use.

Although there is no single known cause of depression it’s likely the results from a combination of genetic, biochemical, environmental, and psychological factors (Auerbach, Ho, & Kim, 2014). In some cases, trauma, loss of a loved one, a difficult relationship, or any stressful situation may trigger a depressive episode (Carnevale, 2013).

NSG 6430 iHuman Case Study – Cushing’s syndrome

Some common signs and symptoms of major depressive disorder are:

  • Persistent feelings of sadness, anxiety, or feeling “empty”
  • Feelings of hopelessness or pessimism
  • Feelings of guilt, worthlessness, or helplessness
  • Loss of interest or pleasure in hobbies and activities that were once enjoyable
  • Decreased energy, fatigue, or feeling “slowed down”
  • Difficulty concentrating, remembering, or making decisions
  • Insomnia, early-morning awakening, or oversleeping
  • Appetite and/or weight loss or overeating and weight gain
  • Thoughts of death or suicide; suicide attempts
  • Restlessness, irritability. NSG 6430 iHuman Case Study – Cushing’s syndrome.

Cushing’s syndrome is a debilitating endocrine disorder characterized by excessive cortisol levels in the blood (Kumar, 2015). Some common signs and symptoms of Cushing’s syndrome may include the following:

  • Weight gain particularly around the midsection and upper back, in the face and between the shoulders.
  • Striae
  • Some women also experience irregular menstrual periods
  • Can also have headaches, irritability and a chronic feeling of fatigue

Hypothyroidism occurs when a person’s thyroid has been removed or is underactive and does not produce enough thyroid hormone (Nygaard, 2015). NSG 6430 iHuman Case Study – Cushing’s syndrome. Some common signs and symptoms of hypothyroidism may include the following:

  • Fatigue
  • Weakness
  • Weight gain or increased difficulty losing weight
  • Coarse, dry hair
  • Dry, rough pale skin
  • Hair loss
  • Cold intolerance
  • Muscle cramps and frequent muscle aches
  • Constipation
  • Depression
  • Irritability
  • Memory loss
  • Abnormal menstrual cycles

NSG 6430 iHuman Case Study – Cushing’s syndrome

Anemia

Anemia due to iron deficiency is the most common kind of anemia in the United States (Camaschella, 2015). It occurs mainly due to lack of iron in a person’s diet. A teen with iron deficiency would have lower hemoglobin production and consequently lower RBCs which could cause some of Angela’s tiredness. Some of the common signs and symptoms of anemia include the following:

  • Fatigue
  • Tachycardia
  • Dyspnea and headache, especially on exertion
  • Difficulty concentrating
  • Dizziness
  • Leg cramps
  • Insomnia

References for NSG 6430 iHuman Case Study – Cushing’s syndrome Assignment:

Auerbach, R. P., Ho, M. R., & Kim, J. C. (2014). Identifying cognitive and interpersonal predictors of adolescent depression. Journal of Abnormal Child Psychology, 42(6), 913-924. doi:10.1007/s10802-013-9845-6

Camaschella, C. (2015). Iron-deficiency anemia. The New England Journal of Medicine, 372(19), 1832.

Carnevale, T. D. (2013). Universal adolescent depression prevention programs: A review. The Journal of School Nursing, 29(3), 181-195. doi:10.1177/1059840512469231. NSG 6430 iHuman Case Study – Cushing’s syndrome.

Dyer, J. G., & Wade, E. H. (2012). Gender differences in adolescent depression. Journal of Psychosocial Nursing and Mental Health Services, 50(12), 17.

Kumar, D. (2015). Cushing’s syndrome. Journal of Pharmaceutical Sciences and Research, 7(8), 575.

Nygaard, B. (2015). Primary hypothyroidism. American Family Physician, 91(6), 359.

Yang, L. P. H., & Scott, L. J. (2014). Escitalopram in the treatment of major depressive disorder in adolescent patients. CNS Drugs, 24(7), 621-3. doi:http://dx.doi.org.southuniversity.libproxy.edmc.edu/10.2165/11204690. NSG 6430 iHuman Case Study – Cushing’s syndrome.

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, May 27.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, May 30.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Assignment NSG 6430 iHuman Case Study – Cushing’s syndrome

Assignment NSG 6430 iHuman Case Study – Cushing’s syndrome

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Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Angela Cortez VE.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 3 Discussion: iHuman Case Study-Ovarian Torsion

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, June 3.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Wednesday, June 7.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Elizabeth Walker VE.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

NSG 6430 Discussion and Assignment Essay Papers

Week 4 Discussion: iHuman Case Study-Breast Cancer

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, June 10.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, June 13.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Rachael Hardy.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 6 Assignment 1: Discussion: iHuman Case Study

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, June 24.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, June 27.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

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The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Pamela Flowers VE.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups. NSG 6430 iHuman Case Study – Cushing’s syndrome.

Week 7 Discussion: iHuman Case Study-Gonorrhea

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, July 1.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, July 4.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Nancy Campbell.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups. NSG 6430 iHuman Case Study – Cushing’s syndrome.

Week 8 Discussion: iHuman Case Study-Tubovarian Abscess 

Link

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, July 8, 2017.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, July 11, 2017.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Sonya Phillips.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Week 1 Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, May 24, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W1_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W1 Assignment 3 Dropbox by Wednesday, May 24.

Week 2 Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W2 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case entitled “Case #1: 45-year-old female annual exam – Mrs. Payne.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Name your file SU_NSG 6430_W2_A2_LastName_FirstInitial.pdf.

Submit your file to the W2 Assignment 2 Dropbox by Monday, May 29,. NSG 6430 iHuman Case Study – Cushing’s syndrome.

Week 2 Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, May 31, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W2_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W2 Assignment 3 Dropbox by Wednesday, May 31.

Week 3 assignment 2

Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W3 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case titled “Case #12: 16-year-old female with vaginal bleeding and UCG – Savannah Bauer.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Name your file SU_NSG 6430_W3_A2_LastName_FirstInitial.pdf.

Submit your file to the W3 Assignment 2 Dropbox by Monday, June 5.

NSG 6430 iHuman Case Study – Cushing’s syndrome.

Week 3 assignment 3

Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 7, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W3_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W3 Assignment 3 Dropbox by Wednesday, June 7. NSG 6430 iHuman Case Study – Cushing’s syndrome.

Week 4 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 14, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W4_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W4 Assignment 2 Dropbox by Wednesday, June 14.

Week 5 assignment 1

Assignment 1: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 21, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W5_A1_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W5 Assignment 1 Dropbox by Wednesday, June 21. NSG 6430 Discussion and Assignment Essay Papers.

Week 6 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 28, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W6_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W6 Assignment 2 Dropbox by Wednesday, June 28.

Week 7 assignment 2

Assignment 2: Interactive MedU Case

For this assignment, you will complete

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