An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the 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 cell, gene, and/or process 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 for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

By Day 7 of Week 2

Submit your Case Study Analysis Assignment by Day 7 of Week 2.

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.

Scenario for Case Study Week 2: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon. 

Here is the introduction to the directions. I cannot copy and paste the directions from Week 2 into the same box as the case study as the site does not save if I go to another site to copy. So I am asking you to go into the Week 2 directions yourself for full details, please. 

Please go in to Week 2 for further instructions on writing this case study. This is due on the final day of Module 1, Week 2, which is a Sunday at 11:59 pm MT, as usual. The instructions are very clearly spelled out and like with the discussion, there are several points for you to include in your case study analysis. Since cancer is one of the topics in Module 1, this will be a good case. Please note the instructions specific to the page count, and the fact that you need a Title page, introduction, summary and references per Walden requirements. You may use your textbook as one resource (or another text) but please use at least 2 other scholarly articles that are 5 years old or less in your references. You may use more and you may also use very high-level websites (Walden discourages use of lower level websites, that are more accessible to the public). I hope this helps guide you in next week’s work. Please focus, though, on quality peer responses for this week’s work first. Thank you

The Child Abuse and Neglect Reporting Act (CANRA) pursuant to Penal Codes 11164 through 11174.3 is a body of California laws designed to protect children from suffering harm. Under this law, all individuals are required to report any suspected child abuse. Child abuse or neglect can be assessed by a physical injury or a bruise, sexual exploitation, negligent and mal treatment, willful harming and cruel, inhuman behavior with children are considered as child abuse.

To report a child abuse, one does not require to have an absolute proof of the abuse, rather any suspected signs and symptoms which can be seen in a child can be reported to law enforcement. The warning signs of an abuse could be inappropriate behavior of children, no love or attachment towards parents or care giver, inappropriate or extreme behavior. One does not have to disclose their identity to report abuse.

“An appropriate law enforcement agency may be one of the following:

• A Police or Sheriff’s Department (not including a school district police department or school security department).
• A County Probation Department, if designated by the county to receive child abuse reports.
• A County Welfare Department/County Child Protective Services.”

Professionals who are considered as mandated reporters are: school teachers, administrators, medical professional, day care facility employees, social workers etc.

Case Scenario: During home health visits to see an 80-y old bed ridden patient, a 5 year old grand daughter found performing minor household chores with inappropriate clothing and bruises on arms and slight redness on face. Step mother of the 5-year-old often seems very rude to the girl. Girl appeared dehydrated, unhygienic with same clothes on during each home health visits.

References:

https://www.wklaw.com/what-are-mandatory-reporting-laws

https://www.cde.ca.gov/ls/ss/ap/childabusereportingguide.asp