Gout Essay- NURS 6501 Case Study Analysis
Pathophysiology
Gout is a form of arthritis characterized by severe pain and tenderness in the joints (Singh & Cleveland, 2018). Unlike other diseases, gout results from a combination of factors such as demographic factors of an individual to underlined health conditions, medications, and diet. It is therefore a condition that needs to be prevented by observing both social and lifestyle practices that promotes health and wellbeing.
The symptoms presented by the patient result from gout. Gout comes about as a result of the accumulation of urate crystals in an individual’s joint resulting in inflammation and severe pain in the joins. Urate crystals develop when an individual has excess uric acid in the blood, which then builds up in the joints hence causing pain (Burke, Kottgen, & McAdams-DeMarco, 2019). From the case study, the patient has excess uric acid meaning that he is likely suffering from gout Gout Essay- NURS 6501 Case Study Analysis. Moreover, urate crystals can come about when a human kidney fails to excrete enough urate. If any of the two processes take place, then an individual is likely to develop gout. As presented in the case, gout majorly targets the big toe but can develop in any other joint such as the ankles, elbows, fingers, and knees. The pain develops fast and would be severe within 12 hours after the time it begins.
Gout affects an individual’s physical function, productivity, and even health-related quality of life (McCance, Huether, Brashers, & Rote, 2019). For instance, the severe pain in the joints affects mobility and can also interfere with other body functions such as resulting in headaches. It also results in increased healthcare costs, where an individual, especially the old has to constantly seek medical attention due to severe pain in the joints. When not controlled on time, gout can increase the severity of other health conditions Gout Essay- NURS 6501 Case Study Analysis.
The gout problem is different among diverse demographics. The problem is more prevalent among men than women at an early age. However, in older ages the gender variations and risk of gout reduces. In terms of race and ethnicity, blacks have a high chance of suffering from gout than whites (McCance, Huether, Brashers, & Rote, 2019). Additionally, research reveals that blacks and other ethnic minorities are not well exposed to quality healthcare than the white majority hence resulting in disproportionate morbidity.
There are various processes or risk factors that result in gout. The major risk factor is medical conditions. Here, individuals with certain health conditions like diabetes, kidney problems, Type II diabetes, Hypertension, Obesity, heart problems, and high blood pressure can easily develop gout (Choi, Karlson, & Curhan, 2020). These conditions affect the way the kidney excretes uric acid or how uric acid is absorbed in the blood hence resulting in excess of the acid in the blood which is later transported into the joints Gout Essay- NURS 6501 Case Study Analysis. The specific type of medical prescription might also increase the chance of being diagnosed with gout. For instance, some medications like thiazide diuretics for treating hypertension trigger the increase of uric acid in the human blood. When such medications are used without proper control, they might result in gout development. The age and sexual orientation of an individual have an impact on gout conditions. In most cases, gout is prevalent among men than women since women naturally have lower uric acid in their bodies. However, this changes after menopause, where the women uric acid levels are almost equal to that of men resulting from decreased levels of estrogen, and hence they have an almost equal risk of developing gout. Generally, gout affects older individuals of more than 50 years of age due to lower rates of excretion of urate in the kidney. Diet also affects the risk of being diagnosed with gout. Food rich in meat, fruit sugar, and seafood have a lot of uric acids which in turn increase their levels in the body (Choi, Karlson, & Curhan, 2020). Moreover, an individual whose family history presents persistent cases of gout has a higher possibility of developing the disease Gout Essay- NURS 6501 Case Study Analysis.
In conclusion, gout conditions can result from different factors such as age, gender, medical conditions and interventions, and dietary patterns. The combination of these factors increases the risk of getting the disease, meaning that individuals should be careful about their lifestyle practices as a sure way of controlling gout.
References
Burke, B., Kottgen, A., & McAdams-DeMarco, M. (2019). Gout in Older Adults:The Atherosclerosis Risk in Communities Study. The Journals of Gerontology Serries A:Biological Sciences and Medical Sciences, 223-227.
Choi, H., Karlson, A., & Curhan, G. (2020). Obesity,weight change,hypertension,diuretic use,and risk of gout in men:the health professionals follow-up study. Arch Intern Med, 742-748.
McCance, K., Huether, S., Brashers, V., & Rote, N. (2019). Pathophysiology: The Biologic Basis for Disease in Adults and Children. New York: Elsevier.
Singh, J., & Cleveland, J. (2018). Gout and dementia in the elderly:a cohort study of medicare claims. BMC Geriatrics, 12-16 Gout Essay- NURS 6501 Case Study Analysis.
Module 2 Assignment: Case Study Analysis
An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. 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.
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An understanding of the symptoms of alterations in cardiovascular and respiratory systems 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.
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 Gout Essay- NURS 6501 Case Study Analysis.
Assignment (1- to 2-page case study analysis)
In your Case Study Analysis related to the scenario provided, explain the following
- The cardiovascular and cardiopulmonary 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.
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By Day 7 of Week 4
Submit your Case Study Analysis Assignment by Day 7 of Week 4
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting Gout Essay- NURS 6501 Case Study Analysis.
| Excellent | Good | Fair | Poor | |
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| Develop a 1- to 2-page case study analysis, examing the patient symptoms presented in the case study. Be sure to address the following:
Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms. |
28 (28%) – 30 (30%)
The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation. |
25 (25%) – 27 (27%)
The response describes the patient symptoms. The response includes accurate reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation. |
23 (23%) – 24 (24%)
The response describes the patient symptoms in a manner that is vague or inaccurate. The response includes reasons for the cardiovascular and/or cardiopulmonary pathophysiologic processes, with explanations that are vague or based on inappropriate evidence/research. |
0 (0%) – 22 (22%)
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 either the cardiovascular or cardiopulmonary pathophysiologic processes, or the explanations are vague or based on inappropriate or no evidence/research. |
| Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient. |
28 (28%) – 30 (30%)
The response includes an accurate, complete, detailed, and specific explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
|
25 (25%) – 27 (27%)
The response includes an accurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
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23 (23%) – 24 (24%)
The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
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0 (0%) – 22 (22%)
The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
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| Explain any racial/ethnic variables that may impact physiological functioning. |
23 (23%) – 25 (25%)
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.
|
20 (20%) – 22 (22%)
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.
|
18 (18%) – 19 (19%)
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.
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0 (0%) – 17 (17%)
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.
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| Written 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 (5%) – 5 (5%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity Gout Essay- NURS 6501 Case Study Analysis. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. |
4 (4%) – 4 (4%)
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 (3%) – 3 (3%)
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. |
0 (0%) – 2 (2%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided. |
| Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation |
5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
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4 (4%) – 4 (4%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
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3 (3%) – 3 (3%)
Contains several (3 or 4) grammar, spelling, and punctuation errors.
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0 (0%) – 2 (2%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
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| Written 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 (5%) – 5 (5%)
Uses correct APA format with no errors.
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4 (4%) – 4 (4%)
Contains a few (1 or 2) APA format errors.
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3 (3%) – 3 (3%)
Contains several (3 or 4) APA format errors.
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0 (0%) – 2 (2%)
Contains many (≥ 5) APA format errors.
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| Total Points: 100 |
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