No plagiarism please, include 3 references APA Style, this is a case study that will be posted in discussion board.
You are expected to role play the selected scenario with a family member to gather necessary data to complete the chart. For the person described in the following situations, discuss the developmental/age, socioeconomic, ethical considerations, and cross-cultural considerations that should be considered during the gathering of subjective and objective data, and the provision of health care. Discuss any additional information that might be needed before a judgment or diagnosis can be made.
Case Study:
- A. E. is a 35-year-old African American female, and is 5 months pregnant presenting to the office today for a routine prenatal visit. She complains that her neck feels swollen and that she has been feeling nervous and tired. She also complains about the heat, excessive sweating, and how she “can’t seem to get cool during these summer months.” She attributes all these complaints to her pregnancy.
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Components of assessment |
Subjective Diagnostic Reasoning (list key questions — use PQRSTU pneumonic) |
Objective Normal vs. abnormal findings (must note pertinent body systems to be examined) |
Differential diagnoses (list 3) Nurses diagnosis (list 1) |
List relevant labs and diagnostic studies (if any) |
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Normal |
Differential |
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Abnormal Findings |
Nurses Diagnosis |
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Developmental/age considerations:
Socioeconomic considerations:
Cross-cultural considerations:
Ethical considerations:
Additional info needed to formulate actual diagnosis:
Expert Solution Preview
Introduction:
This case study requires consideration of various factors when gathering subjective and objective data, and providing healthcare to a 35-year-old African American female who is 5 months pregnant. The factors that need to be considered include developmental/age, socioeconomic, ethical, and cross-cultural considerations. It is essential to gather all the necessary information before making a judgment or diagnosis.
Components of assessment:
Subjective:
– What are the current symptoms and complaints?
– When did the symptoms start?
– What aggravates or relieves the symptoms?
– Is the patient experiencing any pain?
– Has the patient experienced any similar symptoms or concerns in the past?
– What is the patient’s medical history?
Objective:
– Vital signs- blood pressure, temperature, heart rate, and respiratory rate
– Examination of the thyroid gland and lymph nodes in the neck
– Auscultation of the heart and lungs
– Inspection of the skin for signs of sweating or rash
– Analysis of urine for protein and glucose
– Obstetric examination to confirm the pregnancy and assess fetal growth
Normal vs abnormal findings:
Normal findings for a 5-month pregnant woman include an increase in blood pressure, pulse rate, and respiratory rate. Swelling in the neck is not normal and may indicate an underlying issue. Sweat production and overheating are common in pregnant women due to hormonal changes.
Differential diagnoses:
– Hyperthyroidism
– Anemia
– Preeclampsia
Nurse’s diagnosis:
– Imbalanced nutrition related to hyperthyroidism
List of relevant labs and diagnostic studies:
– Complete blood count (CBC)
– Thyroid function tests (TFTs)
– Urine analysis
– Electrocardiogram (ECG)
Developmental/age considerations:
It is crucial to consider the patient’s age and pregnancy stage when providing healthcare. Older pregnant women have a higher risk of health complications such as hypertension, gestational diabetes, and miscarriage. Younger pregnant women, particularly those in their teenage years, are at risk of premature birth, low birth weight, and preeclampsia.
Socioeconomic considerations:
Patients from low socioeconomic backgrounds may have limited access to healthcare and may not be able to afford the necessary medical care.
Cross-cultural considerations:
Cultural competency is crucial when providing healthcare to patients from diverse cultural backgrounds to ensure treatment is effective. African American women face disparities in healthcare access and are more likely to experience pregnancy complications such as preeclampsia than other ethnic groups.
Ethical considerations:
Pregnant women have the right to receive adequate healthcare, and healthcare providers have a duty of care to provide appropriate treatment. It is crucial to respect the patient’s autonomy and obtain informed consent before carrying out any interventions.
Additional information needed to formulate an actual diagnosis:
– Family medical history
– Medications and vitamin supplements
– Dietary habits
– Past medical conditions.
