Symptoms affecting the gastrointestinal (GI) tract

 

As an advanced practice nurse, you will likely encounter patients who will present with symptoms affecting the gastrointestinal (GI) tract. Of special note, is the consideration that most symptoms concerning the GI tract are non-specific, and therefore, diagnosing diagnoses of the GI tract requires thoughtful and careful investigation. Similarly, hepatobiliary disorders may also mirror many of the signs and symptoms that patients present when suffering from GI disorders.

How might you tease out the specific signs and symptoms between these potential disorders and body systems? What drug therapy plans will best address these disorders for your patients?

This week, you examine GI and hepatobiliary disorders. You will review a patient case study and consider those factors in recommending and prescribing a drug therapy plan for your patient.

 

To Prepare
Review the case study assigned by your Instructor for this Assignment
Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

THE SCENARIO/CASE STUDY:

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and

diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is

currently taking the following prescription drugs:

· Synthroid 100 mcg daily

· Nifedipine 30 mg daily

· Prednisone 10 mg daily

THE ASSIGNMENT

Explain your diagnosis (Gastroenteritis) for the patient, including your rationale for the diagnosis.
Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

 

Sample Solution

who, what, when, and where, sequencing with the terms first, next, then and last. Students were asked to caption one of the four major events from the book using their prior knowledge and anchor chart.

The state standards addressed in this learning segment are K.RL.KID.2 With prompting and support, orally retell familiar stories, including key details and K.W.TTP.3 With prompting and support, use a combination of drawing, dictating, and/or writing to narrate a single event. Students should be able to describe characters, events, and setting, using key details in their explanation of events.

The students in my classroom demonstrated proficiency when retelling the events of a story or book. Most students could complete a verbal retell of the events at an independent level, but some students struggled when trying to differentiate the events in the middle of the book (next and then) and needed some prompting from the teacher. When asked to retell the events of a story, students were asked to relay key details such as who, what, when and where. Students were able to retell the story with most of the details required, but it seemed that many students struggled to relay “when” an event occurred. When asked to retell the story presented in the learning segment, students were required to use sequencing terms, vocabulary presented, and key details from the text. When students became stumped or needed help, they received one-on-one support from the teacher during small-group work. In this learning segment, please note that Focus Student 1 falls below expectation (student with a 504 Plan), Focus Student 2 meets expectation, and Focus Student 3 exceeded expectation.

When asked to retell the events of the story from beginning to end (sequencing), the majority (89%) of students were able to do so without prompting from the teacher. There were the fewest number of struggling students in completing this aspect of the task; I believe this is due to the fact that we discussed the terms “first, next, then and last” in great detail before Lesson 2. Only two students were unable to sequence events using the terms first, next, then and last correctly. The largest number of students mastered this aspect of retelling a story, which can arguably be one of the most important factors of a retell. All 3 of my focus students were able to use correct sequencing terms when discussing the text.

When asked to use vocabulary from the text, most (79%) students were able to do so. Students exhibited basic understanding of vocabulary terms but struggled to explain how to apply their knowledge of sequencing to a new text. Students were generally able to define and explain how we find “who, where, when, and what” from the book, but about 1/3 of the class struggled with how to determine “when” an event occurred, as mentioned previously. When students were asked “when” something occurred in the book, they often became confused. This was a common error that occurred during the students’ retells of the story.

This question has been answered.

Get Answer
WeCreativez WhatsApp Support
Our customer support team is here to answer your questions. Ask us anything!
👋 Hi, Welcome to Compliant Papers.