Case Report: Cumulative

You will be creating a case report in stages over four course topics. This assignment will add to your previous work in Topic 5. Use an example from your own personal practice, experience, or own personal/family; however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment. Examples might include a patient with Duchesne’s muscular dystrophy. Huntington’s disease, Down’s syndrome, sickle cell anemia, BRCA 1 or BRCA 2 mutations, or other genetic disorder that you and/or the organization you practice in may specialize in treating.

General Requirements:

Use the following information to ensure successful completion of the assignment:

· This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

· Doctoral learners are required to use APA style for their writing assignments. 

· This assignment requires that at least three additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

· You are required to submit this assignment to LopesWrite. 

Include the following:

· Guidelines and reasons behind the FDA regulations for introducing new pharmaceutical agents (policy).

· The role that money and grants play in scientific advances/the economics of health care (capitalism).

· The role and involvement family plays into the health care decision.

Directions:

For this assignment (Conclusion of the Case Report), include previous Parts 1, 2, and 3 of the Case Report in one document, combined with additional genetics information learned from the assigned readings from all course topics. This final Case Report document should include the following:

1. Describe the disease, its prevalence, its incidence and general knowledge of the disease.

2. Discuss the laboratory testing that can be done.

3. Describe if chromosomal analysis is/was indicated, and detail the chromosomal change that caused the disease if it is a chromosomal disorder.

4. Describe the disorder in terms of its origin as either a single gene inheritance, or as a complex inheritance and considerations for practice and patient education.

5. Describe the gene mutation of the disease, as well as whether it is acquired or inherited, and how the mutation occurs.

6. Examine how genetics can influence policy issues.

7. Discuss any nutritional influences for this disease.

8. Process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness.

Continue your paper with 1,000-1,250 words which include the following:

1. Discuss any ethical considerations for this disease.

2. Compare how genetics can improve care and health outcomes while reducing cost to usual practices.

3. Discuss the changes in approaches to care when new evidence warrants evaluation of other options for improving outcomes or decreasing adverse events.

4. Create a plan for how you might educate colleagues and/or patients on this genetic disorder.

You are required to complete your assignment using real-world application. Real-world application requires the use of evidence-based data, contemporary theories, and concepts presented in the course. The culmination of your assignment must present a viable application in a current practice setting. 

Riquerments:  

APA format.  

at least 1 reference. 

 more 120 words,collage style.     

 L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia.      L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.  Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.  Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.  One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.        

Questions    

1.What are the effects of controlling BP in people with diabetes?     

2.What is the target BP for patients with diabetes and hypertension?    

 3.Which antihypertensive agents are recommended for patients with diabetes?

Write a paper of 800-1,000 words that describes the national and international implications of Childhood obesity and diabetes. Include the following:

1. Scope and depth of the problem.
2. Countries that are faring better or worse than others.
3. How the United States ranks on this issue in relation to other countries.
4. Efforts of the World Health Organization and other agencies on this issue.
5. Existing disparities (include race, age, and gender, as appropriate) in relation to the issue: Describe the populations that have emerged as being disadvantaged and why.
6. Include 1 paragraph on health policy and ethics on childhood obesity and diabetes

Peter R Kongstvedt states, “The case manager is consistently challenged with managing fiscal constraints with patient expectations in light of orders and expectations articulated by the care team. This requires a highly skilled individual, certainly not a job for the faint of heart.” The case manager can also play a role in identifying disease prevention strategies.

In 2 pages, develop a “job description” or job outline for a case manager. Consider disease prevention as part of the responsibilities of the role. Also consider education and skills. Feel free to set up your information in a table. Give your work a professional look, and be sure to include each of the following headings or sections:

• Facility name
• Department
• Position title
• Classification
• Position grade or level
• Shift and/or days of the week
• Reporting relationships
• Summary statement
• Responsibilities
• Required competencies or position requirements
• Physical requirements or working conditions
• Date written
• Date revised

For information on case managers, see your reading. You may also want to conduct research in the following websites:

• Case Management Society of America (CMSA)
• American Case Management Association (ACMA)

Do not simply reproduce a position description that already exists! This is plagiarism. Be creative. You will be evaluated on the information contained in the position description, as well as how professional your document looks.