Mrs. Deer is a 72-year-old female who presents to your office complaining of rig

Mrs. Deer is a 72-year-old female who presents to your office complaining of right upper quadrant pain that has been increasing in intensity over the past 2 days. She would have come sooner, but she lacked transportation and waited until her son could drive her. She states that she has not been sleeping very much because of the pain. She has been nauseous and vomited a couple of times two days ago but has only been drinking fluids. She states that she has not been around anyone else that had an upset stomach. She recalls prior to the onset of pain she had been at a church supper that included meats, refried beans, and many desserts which she sampled. She described the fried pies that she brought to the supper and ate the extras that afternoon.
Vital Signs: BP 130/80, HR 85, RR 20, Temp 99.0°F.
Discuss the following:
1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?
Submission Instructions:
• Your initial post should be 500 words, formatted and cited in current APA 7th style with support from at least 3 academic sources.
• Turnitin similarity should be less than 14%
• Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.
• Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years. No websites to be referenced without prior approval.
Read
• Kennedy-Malone, L., Martin-Plank, L., & Duffy, E. (2019). Advanced practice nursing in the care of older adults. (2nd ed.). F. A. Davis Company.
ISBN: 9780803666610
• Kennedy-Malone, L., Martin-Plank, L., & Duffy, E. (2019).
o Chapters 10 & 14
Online Materials & Resources
• Visit the CINAHL Complete under the A-to-Z Databases on the University Library’sLinks to an external site. website, locate and read the articles below:
o Itatani, Y., Kawada, K., & Sakai, Y. (2018). Treatment of elderly patients with colorectal cancer. BioMed Research International, 2018, 1–8. https://doi.org/10.1155/2018/2176056
o Singal, A. K., Lin, Y., Kuo, Y., Riall, T., & Goodwin, J. S. (2012). Primary care physicians and disparities in colorectal cancer screening in the elderly. Health Services Research, 48(1), 95-113. https://doi.org/10.1111/j.1475-6773.2012.01433.x
o Zhu Ling KOH, J.-L. (2018). Literature review: Factors affecting adherence rate to diabetic treatment options in older adults in the world. Singapore Nursing Journal, 45(1), 13–19.
Mrs. Deer is a 72-year-old female who presents to your office complaining of right upper quadrant pain that has been increasing in intensity over the past 2 days. She would have come sooner, but she lacked transportation and waited until her son could drive her. She states that she has not been sleeping very much because of the pain. She has been nauseous and vomited a couple of times two days ago but has only been drinking fluids. She states that she has not been around anyone else that had an upset stomach. She recalls prior to the onset of pain she had been at a church supper that included meats, refried beans, and many desserts which she sampled. She described the fried pies that she brought to the supper and ate the extras that afternoon.
Vital Signs: BP 130/80, HR 85, RR 20, Temp 99.0°F.
Discuss the following:
1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?
Submission Instructions:
• Your initial post should be 500 words, formatted and cited in current APA 7th style with support from at least 3 academic sources.
• Turnitin similarity should be less than 14%
• Quotes “…” cannot be used at a higher learning level for your assignments, so sentences need to be paraphrased and referenced.
• Acceptable references include scholarly journal articles or primary legal sources (statutes, court opinions), journal articles, and books published in the last five years. No websites to be referenced without prior approval.
Read
• Kennedy-Malone, L., Martin-Plank, L., & Duffy, E. (2019). Advanced practice nursing in the care of older adults. (2nd ed.). F. A. Davis Company.
ISBN: 9780803666610
• Kennedy-Malone, L., Martin-Plank, L., & Duffy, E. (2019).
o Chapters 10 & 14
Online Materials & Resources
• Visit the CINAHL Complete under the A-to-Z Databases on the University Library’sLinks to an external site. website, locate and read the articles below:
o Itatani, Y., Kawada, K., & Sakai, Y. (2018). Treatment of elderly patients with colorectal cancer. BioMed Research International, 2018, 1–8. https://doi.org/10.1155/2018/2176056
o Singal, A. K., Lin, Y., Kuo, Y., Riall, T., & Goodwin, J. S. (2012). Primary care physicians and disparities in colorectal cancer screening in the elderly. Health Services Research, 48(1), 95-113. https://doi.org/10.1111/j.1475-6773.2012.01433.x
o Zhu Ling KOH, J.-L. (2018). Literature review: Factors affecting adherence rate to diabetic treatment options in older adults in the world. Singapore Nursing Journal, 45(1), 13–19.