NUR 606 Week 1 Assignment 3: Case Study Analysis

Case Study Analysis

Dorah Zalwango

Identify 3 disease processes that are exhibited by this patient.

(1) Anxiety
(2) Hypertension
(3) Malignant breast tumor

Is DS experiencing metaplasia, malignant neoplasm, or both?

malignant neoplasm

Define metaplasia:

A change in cells to a form that is not usually found in the tissue where it is, for instance the lump in DS’s breast.

Define malignant neoplasm:

cancerous cells that have gone through abnormal changes in their DNA. These cells will travel to various parts of the body. DS has malignant breast cancer meaning there is chance of spreading to other parts of the body.

Diagnosis

DS has malignant breast cancer, which is cellular growth that leads to a mass, which was detected on breast exam. A biopsy must be done to determine the type of growth, which led to her diagnosis.

Medical history

DS has a medical history that includes Anxiety, Depression and Hypertension.

Etiology

DS’ etiology includes having a family history of breast cancer; her mother and aunt have had breast cancer. There is no pain at the location of the lump, only at the biopsy site. She does admit to some fatigue and a little bit of nausea, which she thinks is related to her anxiety.

Prognosis

DS’ prognosis is not good considering the type of cancer she has, there are high chances of the cancer metastasizing to other parts of the body.

Benign neoplasm

A benign neoplasm is non-cancerous tumor.

Subjective signs

DS complaints of pain to the biopsy site, nausea, and fatigue.

Complication

DS is experiencing fatigue as a complication.

Treatment

DS has treatment options such as surgery if the cancer has not metastasized, chemotherapy to destruction and stop the malignant cells from growing or increasing in number, radiation to cut off circulation to tumor cells (VanMeter & Hubert, 2018).

Cancer

Breast Cancer

Exam (objective) findings

DS presents with anxiety due to the surgery she is about to undergo.

Describe how you will respond to her statement. Include discussion of recommended screening and prevention practices, and how these relate to the pathophysiologic process that led to the development of this disease in DS. Use evidence other than your text to support your answer.

DS, am sorry that you are going through this. Some of the you could have reduced your chances of getting breast cancer would have been maintaining a normal and heathy weight, through exercise, scheduling first mammogram earlier (American Cancer Society, n.d.). It is recommended that patients that have a family history of breast cancer should be screened earlier than other patients. The other factor is your race, 121.5 cases per 100,000 cases are black women with breast cancer Richardson et al., 2016).

References

Can I lower my risk of breast cancer? American Cancer Society. (n.d.). https://www.cancer.org/cancer/breast-cancer/risk-and-prevention/can-i-lower-my-risk.html.

Richardson, L. C., Henley, S. J., Miller, J. W., Massetti, G., & Thomas, C. C. (2016). Patterns and trends in age-specific black-white differences in breast cancer incidence and mortality – United States, 1999–2014. MMWR. Morbidity and Mortality Weekly Report, 65(40), 1093–1098. https://doi.org/10.15585/mmwr.mm6540a1

VanMeter, K. C., & Hubert, robert J. (2018). Gould’s pathophysiology for the Health Professions (6th ed.). Elsevier.

Value: 100 points

Due: Day 7

Grading Category: Assignments

Overview

Throughout this course, you will be tasked with viewing and analyzing various case studies. Some case studies will present you with case information and text entry areas where you can respond to the case study prompts. As you progress through the case study, each of your responses will be stored. At the end of the case study, you will download your responses and submit them to the weekly assignment section in the online classroom.

As an advanced practice nurse, you will need to learn where to find appropriate research and resources that are designed for medical personnel and not patients: for assignments in this course, please do not use external websites or articles designed for patient use. In addition to your text and course materials, remember to use appropriate terminology and support your answers with evidence-based, peer-reviewed sources that have been published within the past 3–5 years.

Instructions

After completing the required learning activities and Quizlet game for this week, view the Week 1 Assignment 3: Case Study Analysis.
At the end of the case study, download your responses and submit the document to this assignment.

Please refer to the Grading Rubric for details on how this activity will be graded.

To Submit Your Assignment:

Select the Add Submissions button.
Drag or upload your files to the File Picker.
Select Save Changes.

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Readings

Required

VanMeter, K. C., & Hubert, R. J. (2018). Gould’s pathophysiology for the health professions. (6th ed.). Elsevier Saunders.
- Chapter 1: Introduction to Pathophysiology
Course Syllabus

Required Videos

Introduction to pathology—etiology, pathogenesis, morphology terms, homeostasis, apoptosis (11:47)

Introduction to pathology – etiology, pathogenesis, morphology terms, homeostasis, apoptosis Video Transcript

Week 1 Quizlet Game

Instructions

The Quizlet Game is designed to help you become familiar with terms and concepts from the chapter in an interactive format. There are many different modes, so please utilize this tool however it works best for you. If you need an alternative format, please reach out to your course faculty. Note: When using gravity mode, please make sure to select “Answer with Term.”

Pathophysiology

Submission status

Introduction

After completing the readings, lecture materials, and Week 1 Quizlet Game, please complete the following case study. In addition to your text and course materials, remember to use appropriate terminology and support your answers with evidence-based, peer-reviewed sources that have been published within the past 3-5 years. As an advanced practice nurse, you will need to learn where to find appropriate research and resources that are designed for medical personnel and not patients: please do not use websites or articles designed for patient use.

Based on DS’s background and patient information, answer the following questions. Rreview the “Patient Information” and “Background” information on the side bar review DS’s information or open it in a new window here:

1. Identify 3 disease processes that are exhibited by this patient.

2. Is DS experiencing metaplasia, malignant neoplasm, or both?

metaplasia

malignant neoplasm

Both metaplasia and malignant neoplasm

3. Define each term and explain your answer using specific examples from DS’s case. Use evidence to support your answer.

Define metaplasia:

Define malignant neoplasm:

Case Study Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Case Study Rubric – 100 Points
Criteria	Exemplary Exceeds Expectations	Advanced Meets Expectations	Intermediate Needs Improvement	Novice Inadequate	Total Points
Content of Case Study	The writer demonstrates a well-articulated understanding of the case study subject matter in a clear, complex, and informative manner. The case study content and theories are well developed and linked to the course content, assignment requirements, and practical experience. The case study includes relevant material that fulfills all objectives of the assignment. Cites three or more references, using at least one new scholarly resource that was not provided in the course materials. 30 points	The writer demonstrates an understanding of the subject matter, and the components of the case study are accurately represented with evidence-based practice, ethics, theory, and/or role content. Course materials and scholarly resources are present to support required concepts. The paper includes relevant material that fulfills all objectives of the case study. Cites two references. 26 points	The writer demonstrates a moderate understanding of the subject matter, as evidenced by components of the case study and use of evidence-based practice, theory, or role-development. Course content is present but missing depth and/or development. Cites only one reference. 23 points	Absent application to evidence-based practice, theory, or role development. Demonstrates incomplete understanding of content and/or inadequate preparation. Significant content of case study is vague, inaccurately portrayed, or missing. No references cited. Submits assignment late. 20 points	30
Analysis and Synthesis of Case Study Content and Meaning	Through critical analysis, the submitted case study provides an accurate, clear, concise, and complete summary of the scenario. Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints. All instruction requirements noted. 30 points	Case study is complete, providing evidence of further synthesis of course content via scholarly resources. Information is synthesized to help fulfill the case study requirements. The content supports at least one viewpoint. Submission provides clarification of the assignment by correctly answering all posed questions within the instructions. All instruction requirements noted. 26 points	Lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. Case study content may be confusing or unclear, and the summary may be incomplete. Most instruction requirements are noted. 23 points	Submission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario. Demonstrates incomplete understanding of content and/or inadequate preparation. Missing some instruction requirements. Submits assignment late. 20 points	30
Application of Knowledge	The summary of the case study provides information validated via scholarly resources that offer a multidisciplinary approach to the scenario provided. The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application are provided. All questions posed within the assignment are answered correctly in a well-developed manner, applying knowledge with citations for validation. All instruction requirements noted. 30 points	A summary of the study, findings, and knowledge gained from the assignment is presented. Student indicates how the information will be used within their professional practice. All questions posed within the assignment are answered within the case study. The answer to one question may be vague and/or limited in development, but as a whole all answers are correct. All instruction requirements noted. 26 points	Objective criteria are not clearly used, allowing for a more superficial application of knowledge between the assignment and the broader course content. One question is answered incorrectly and/or two case study answers are vague or limited in development but remain correct. Student’s indication of how they will apply this new knowledge to their clinical practice is vague. Most instruction requirements are noted. 23 points	The application of knowledge is significantly lacking. Demonstrates incomplete understanding of content and/or inadequate preparation. Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible. Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice. Multiple questions are not answered or are answered incorrectly (e.g., two questions answered incorrectly, or three case study answers are vague or limited in development but remain correct). Missing some instruction requirements. Submits assignment late. 20 points	30
Organization	Well-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas. 5 points	Organized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow. 4 points	Poor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work. Purpose statement is noted. 3 points	Illogical flow of ideas. Prose rambles. Purpose statement is unclear or missing. Demonstrates incomplete understanding of content and/or inadequate preparation. No purpose statement. Submits assignment late. 2 points	5
APA, Grammar, and Spelling	Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions. There are no spelling, punctuation, or word-usage errors. 5 points	Correct and consistent APA formatting of references, and cites all references used. No more than two unique APA errors. The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability. There are minimal to no grammar, punctuation, or word-usage errors. 4 points	Three to four unique APA formatting errors. The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors. 3 points	Five or more unique formatting errors, or no attempt to format in APA. The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language). The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late. 2 points	5
Total Points

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NUR 606 Week 1 Assignment 3: Case Study Analysis