NUR231: Chronic Kidney Disease – Sharon Case Study Nursing Assessment Answer

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Subject Code: NUR231
1AGJBF
Chronic Kidney Disease – Sharon Case Study Nursing Assessment Answer
Description
The goal of this task is to integrate and apply knowledge of pathophysiology and safe administration of medication to a patient scenario. This will also incorporate new drug design and your creative and critical thinking in the application to the patient scenario. You will consider the professional, ethical and legal codes, and practice standards relevant to decision making and safe medication practice. In this task, you will provide a Written assignment response to a case study. There are 2 case studies; you will select and answer questions for only one case study (Case Study A OR Case Study B). Ensure that you specifically apply and integrate your answers with the information from your case study; avoid simply describing a disease or a drug.
Case Study: 58-year-old female (non-pregnant)
Sharon is a 58-year-old female, who is 170cm tall, weighs 120kg, and has a waist circumference of 110cm. She was diagnosed with type 2 diabetes three years ago, and takes metformin (Metformin Sandoz 1000mg, twice per day). She states that her usual
blood glucose levels (BGLs) are 8 to 11mmol/L throughout the day, and 7 to 8mmol/L when she wakens in the morning. Her BP is 140/95mmHg. She now has consistent evidence of chronic kidney disease, with an eGFR of 85ml/minute and some proteinuria.
1. Interpret and explain how Sharon’s diabetes and chronic kidney disease are related, including an explanation of how metformin works to benefit her condition/s. Ensure that you apply concepts of pharmacodynamics in your answer.
2. Compare Sharon’s BGLs with the normal BGL values, including whether her BGLs should be different to her current values.
3. It has been suggested that she should add Glucovance 500mg/2.5mg to her current medication/s list. Explain one main concern you have about this addition.
4. Suggest two NEW medications that could potentially be “invented” to prevent or treat specific aspects relating to Sharon’s diabetes or chronic kidney disease.
Describe these in two separate paragraphs. You may invent a name for each drug (optional). You need to brainstorm how both potential medications would directly relate to her case study information, in relation to the relevant pathophysiology and
your new drugs’ mechanisms of action. (NOTE: Please do NOT include considerations of practicalities of the drugs such as route of administration or side effects. It is important that you do NOT describe any existing medication in this question, which
would result in a fail for this criterion.)
Choose any one of the relevant statements from either the Registered Nurse Standards for Practice or the ICN Code of Ethics for Nurses, that would guide your nursing care of Sharon within a clinical setting. Explain how your chosen statement
applies to Sharon’s case and how it would inform your nursing practice.
The Written assignment will be assessed on the following criteria:
• Application of pathophysiological and pharmacological concepts to the case study, specific to safe medication administration.
• Application of pathophysiological and pharmacological concepts to the case study, specific to new medication design.
• Application of Nursing or Midwifery ethical codes and standards of practice to underpin decision making.
• Evidence-based argument and justification of decisions; coherent written expression and presentation.
• Referencing style conforms to Harvard referencing style used at USC.
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