4-2 Case Study: Hypertension “ NUR-315-X6745 Pathophysiology for Nurses 19E

4-2 Case Study: Hypertension – NUR-315-X6745 Pathophysiology for Nurses 19EW6

NUR 315 Case Study: Hypertension

You are caring for a 59-year-old African American male who is a non-smoker and a non-drinker. The individual has a healthy weight for his height. On weekends, he coaches a youth baseball team in his community and enjoys eating hot dogs and nachos with the children after games. He has been monitoring his blood pressure at the community center and noted that the highest reading was 168/92 mm Hg. He is pleased with this number, as the results were “lower than previous readings.” However, his healthcare provider is still concerned. She informed him about the dietary choices he was making and reminded him to limit his sodium intake. She also renewed the individual’s prescription for a thiazide diuretic and added an ACE inhibitor to his treatment regime.

Please answer the following prompts in your analysis of the case:

  1. Speculate how the individual’s ethnicity contributes to his hypertension. Discuss other determinants of health that contribute to the prevalence of hypertensive disease in this population.
  2. Discuss the significance of an elevated systolic pressure, even in the absence of diastolic hypertension, detailing the pathophysiology behind elevation in blood pressure and the ultimate development of hypertension.
  3. Identify if this individual is at risk for developing heart failure. If so, what type of heart failure would he be most at risk of developing?
  4. Briefly discuss the mechanism of action of the two classes of drugs this individual was prescribed for the management of his hypertension.

For additional details, please refer to the Case Study Guidelines and Rubric document.

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NUR 315 Case Study: Hypertension

NUR 315 Case Study Guidelines and Rubric

Critical thinking is a habit of mind characterized by the comprehensive exploration of issues, ideas, artifacts, and events before accepting or formulating an opinion or conclusion. Case studies are meant to connect real-world scenarios with theoretical teachings. You are expected to test assumptions and find creative ways to consider all the facets contributing to analysis of the case.

Prompt:
For each case study, be sure to:

• Introduce main elements and concerns and identify the pathology.
• Use the associated questions to guide your paper and explain the pathology in the development of a plan of care.
• Explain the role patient-care technologies (i.e., point of care testing, computer provider order entry, bar-coding medication administration, EMR/EHR) in caring for the individual(s).
• Apply critical thinking in analyzing and interpreting the data.
• Include evidence to support your analysis of the case.
• Write clearly and concisely, following standard rules of grammar.

Guidelines for Submission: Your paper must be submitted as at least a 2-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least two peer-reviewed sources cited in APA format.

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value
Pathology: Introduction and Identification Meets “Proficient” criteria and uses industry-specific language and is exceptionally clear and well-informed Introduces the reader to specific themes and main elements of the assigned case study without any gaps and precisely identifies specific
pathology Introduces the reader to specific themes and main elements of the assigned case study and identifies the pathology, but with gaps in
information presented Does not accurately introduce the reader to specific themes and main elements of the assigned case study and does not identify the pathology 15
Pathology: Explanation and Plan of Care Meets “Proficient” criteria and uses industry-specific language to establish expertise Comprehensively explains the pathological condition in the development of plan of care for the individual in the assigned
case study without any gaps Explains the pathological condition in the development of plan of care for the individual in the assigned case study, but
with gaps Does not explain the pathological condition in the development of plan of care for the individual in the assigned
case study 20
Response to Questions Meets “Proficient” criteria and seamlessly incorporates these responses into the submission Thoroughly addresses all prompts from the case study and comprehensively explores
issues, ideas, and concerns Adequately addresses most prompts included in the case study, but does not explore
issues, ideas, or concerns Addresses less than half of the prompts from the case study 25

Patient-Care Technologies Meets “Proficient” criteria, and explanation is exceptionally clear and well-informed Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study without any
gaps Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study, but with
gaps in information given Does not accurately explain the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study 15
Incorporation of Resources Incorporates more than two discipline-specific, peer- reviewed journal articles and one source from an interdisciplinary, peer-reviewed journal. Viewpoints of experts
are analyzed and well-informed Incorporates sources of evidence from at least two discipline-specific, peer- reviewed journal articles Incorporates at least two sources of evidence from peer- reviewed journals, but fails to make connection to case study clear Does not incorporate at least two sources of evidence from a peer-reviewed journal 15
Articulation of Response (APA/Mechanics) Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read
format Submission has no major errors related to citations, grammar, spelling, syntax, or organization Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of
main ideas Submission has critical errors related to citations, grammar, spelling, syntax, or organization that obstruct understanding 10
Earned Total 100%. NUR 315 Case Study: Hypertension

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