Excelsior NUR505 Module 1 Assignment Latest 2021 September

NUR505 ADVANCED PATHOPHYSIOLOGY

Module 1 Assignment  

Case Study – Ms. Johnson

The Case

Ms. Johnson, a 39-year-old African American female presents to a family medicine clinic complaining of fatigue and joint pain. She works as a substitute teacher and is not eligible for health insurance. She has not been able to work for 6 weeks due to her symptoms. Recently, she has noticed new dark spots on her face (Figure 1) and scaly, patchy redness on her scalp. She also reports new painless ulcers in her mouth.

Description: Photogram of chronic, cutaneous lupus erythematosus (discoid lupus erythematosus = DLE) on the face of an African-American female face. Citation: Sperling, L. C. (n.d.). Discoid lupus erythematous. WikiMedia Commons. Sperling, L. C. (n.d.). Discoid lupus erythematous. WikiMedia Commons. Retrieved from https://commons.wikimedia.org/wiki/File:Discoid_lupus_erythematosus.JPG  Figure 1

 dr.HillHairLoss.com. (2017, October 29). Discoid lupus erythematosus (DLE). Retrieved from http://drhillhairloss.com/discoid-lupus-erythematosus/    Description: Photograph of African-American female’s back of head with loss of skin color and hair.Figure 2

 Based on the clinical presentation of Ms. Johnson:

List 3 differential diagnoses starting with the most likely diagnosis.

Explain the approach or criteria you use to reach to the most likely diagnosis.

Describe, at an advanced level, the pathophysiology of

The joint pain

The dark spots on the face

The lesion on the scalp

What data would you obtain from Ms. Johnson to identify her risk factors that are relevant to the diagnosis?

To confirm the diagnosis empirically:

List the essential diagnostic tests that should be ordered.

Specify the physiological alteration(s) you want to detect through each test.

Formulate a holistic advanced practice nursing plan of care for Ms. Johnson addressing the following:

Physical Needs:

State an overview of the pharmacological and non-pharmacological therapies of the disease.

Specify the functional or structural alteration(s) that each therapy is targeting.

Educational and Psychosocial Needs:

List some relevant topics for patient/family education.

Address the effect of the disease on the patient, family, and society.

Late Assignment Policy: All assignments (e.g. papers, projects, etc.) are expected to be submitted on time. If unplanned or extenuating* circumstances prevent on time submission, then students should follow these guidelines:

Contact your instructor with details about the extenuating circumstances if you are requesting permission to submit late.

If a student submits an assignment late without permission, it will not be graded until the student communicates with the instructor. If there is no communication with the instructor before the assignment grade is due, a grade of zero will be assigned.

The first late submission in the course will be accepted and graded without penalty up to 5 days after the due date. After 5 days of no submission, the instructor may assess a late penalty of 5 percent per day.

All subsequent late assignments may be assessed a late penalty of 5 percent per day, starting on day one. There will be no 5-day grace period.

This policy does not pertain to discussion posts. Please review the course specific discussion rubric for further guidance.

Please note that course structure may result in exceptions to the late policy. In this case, the instructor will either clarify or arrange guidelines for submission of assignments with the student(s).

No work will be accepted after the final day of the term unless an official course extension has been granted. Excelsior College Extension Policy

*Some types of extenuating circumstances that will be considered, if they prevent the student from completing the assignment or assessment on time, are the following:

an illness or injury

a death of a family member or significant other

a significant change in employment or military status

a trauma in the student’s life

technical issues

a natural disaster Assistance to Students in Disaster and Emergency Areas

unplanned events

Please note: What will not be considered are some planned events such as weddings, vacations, etc.

Documentation for in extenuating circumstances may be required.