CASE STUDY ANALYSIS

An understanding of the respiratory system is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that oftentimes, the respiratory system works closely with the cardiovascular system.  A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. 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 the respiratory system 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.

RESOURCES

These readings are intended to serve as supplementary to the Lecturio content provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments.

  • McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
    • Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
    • Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
    • Chapter 35: Structure and Function of the Pulmonary System; Summary Review
    • Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary Review

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

 

 

The Assignment

In your Case Study Analysis related to the scenario provided, explain the following

  • The pulmonary pathophysiologic processes that result in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.

 

NURS_6501_Week 4_Case Study_Assignment_Rubric

NURS_6501_Week 4_Case Study_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDevelop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following: Explain pulmonary pathophysiologic processes of why the patient presents these symptoms.
30 to >27.0 pts

Excellent

The response accurately and thoroughly describes the patient symptoms. … The response includes accurate, clear, and detailed reasons, with explanation for the pulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.

27 to >24.0 pts

Good

The response describes the patient symptoms. … The response includes accurate reasons, with explanation for the pulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.

24 to >22.0 pts

Fair

The response describes the patient symptoms in a manner that is vague or inaccurate. … The response includes reasons for the pulmonary pathophysiologic processes, with explanations that are vague or based on inappropriate evidence/research.

22 to >0 pts

Poor

The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. … The response does not include reasons for pulmonary pathophysiologic processes, or the explanations are vague or based on inappropriate or no evidence/research.

30 pts
This criterion is linked to a Learning OutcomeExplain how the pulmonary pathophysiologic processes interact to affect the patient.
30 to >27.0 pts

Excellent

The response includes an accurate, complete, detailed, and specific explanation of how the pulmonary pathophysiologic processes interact to affect the patient.

27 to >24.0 pts

Good

The response includes an accurate explanation of how the pulmonary pathophysiologic processes interact to affect the patient.

24 to >22.0 pts

Fair

The response includes a vague or inaccurate explanation of how thepulmonary pathophysiologic processes interact to affect the patient.

22 to >0 pts

Poor

The response includes a vague or inaccurate explanation of how thepulmonary pathophysiologic processes interact to affect the patient.

30 pts
This criterion is linked to a Learning OutcomeExplain any racial/ethnic variables that may impact physiological functioning.
25 to >22.0 pts

Excellent

The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.

22 to >19.0 pts

Good

The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.

19 to >17.0 pts

Fair

The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations based on inappropriate evidence/research.

17 to >0 pts

Poor

The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.

25 pts
This criterion is linked to a Learning OutcomeWritten 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. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

3 to >2.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment are vague or off topic.

2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. … No purpose statement, introduction, or conclusion were provided.

5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.
5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) APA format errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) APA format errors.

2 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts
Total Points: 100

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Case Study Analysis; Respiratory System

Case Study Analysis

Patient Symptoms: The patient presents with symptoms indicative of respiratory distress, including shortness of breath, wheezing, and coughing. These symptoms suggest an underlying respiratory issue affecting the pulmonary system’s functionality.

Pulmonary Pathophysiologic Processes: The patient’s symptoms align with obstructive pulmonary diseases, particularly asthma or chronic obstructive pulmonary disease (COPD). In asthma, the airways become inflamed, leading to bronchoconstriction and excess mucus production, resulting in wheezing, coughing, and shortness of breath. In COPD, the airways become narrowed and damaged, making it difficult to exhale air fully, leading to similar symptoms.

Interactions of Pulmonary Pathophysiologic Processes: In both asthma and COPD, the inflammatory response in the airways leads to airflow limitation and respiratory symptoms. The chronic inflammation and bronchoconstriction in these conditions interact to exacerbate symptoms, leading to further respiratory distress and compromised lung function over time.

Racial/Ethnic Variables Impacting Physiological Functioning: Racial and ethnic variables can impact the prevalence, severity, and treatment response of respiratory diseases. For instance, studies have shown that African Americans are more likely to develop and die from asthma compared to other racial/ethnic groups. Additionally, disparities in access to healthcare and environmental factors such as air pollution may contribute to these differences.

In conclusion, the patient’s symptoms suggest an obstructive pulmonary disease such as asthma or COPD, characterized by inflammation and airflow limitation in the airways. Understanding the pathophysiological processes and considering racial/ethnic variables are crucial for accurate diagnosis and management, ensuring optimal patient outcomes.

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