Explain why you think the patient presented the symptoms described.
ADVANCE PATHO- CASE STUDY
Assignment 2
A 51-year-old patient with rheumatoid arthritis comes to the clinic with a chief complaint of fever. The patient’s current medications include atorvastatin 20 mg at night, methotrexate 10 mg po every Friday morning, and prednisone 5 mg po Q AM. He states that he has had a fever up to 101.5 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He also has occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.
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.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references
RESOURCES
• McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
o Chapter 7: Innate Immunity: Inflammation and Wound Healing
o Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review
o Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review
o Chapter 10: Infection (stop at Infectious parasites and protozoans); (start at HIV); Summary Review
o Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review
o Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review
o Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review
• Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactionsLinks to an external site.. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/
Credit Line: Immediate Hypersensitivity Reactions – StatPearls – NCBI Bookshelf. (2019, June 18). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/. Used with permission of Stat Pearls.
Note: This article was presented in the Week 1 resources. If you read it previously you are encouraged to review it this week.
RUBRICS
NURS_6501_Module1_Case Study_Assignment_Rubric
NURS_6501_Module1_Case Study_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDevelop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:Explain why you think the patient presented the symptoms described. 30 to >27.0 pts
Excellent
The response accurately and thoroughly describes the patient symptoms. … The response includes accurate, clear, and detailed reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation. 27 to >24.0 pts
Good
The response describes the patient symptoms. … The response includes accurate reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation. 24 to >22.0 pts
Fair
The response describes the patient symptoms in a manner that is vague or inaccurate. … The response includes reasons for the symptoms, with explanations that are vague or based on inappropriate evidence/research. 22 to >0 pts
Poor
The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. … The response does not include reasons for the symptoms, or the explanations are vague or based on inappropriate or no evidence/research.
30 pts
This criterion is linked to a Learning OutcomeIdentify the genes that may be associated with the development of the disease. 25 to >22.0 pts
Excellent
The response includes an accurate, complete, detailed, and specific analysis of the genes that may be associated with the development of the disease. 22 to >19.0 pts
Good
The response includes an accurate analysis of the genes that may be associated with the development of the disease. 19 to >17.0 pts
Fair
The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease. 17 to >0 pts
Poor
The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease is missing.
25 pts
This criterion is linked to a Learning OutcomeExplain the process of immunosuppression and the effect it has on body systems. 30 to >27.0 pts
Excellent
The response includes an accurate, complete, detailed, and specific explanation of the process of immunosuppression and the effect it has on body systems. 27 to >24.0 pts
Good
The response includes an accurate explanation of the process of immunosuppression and the effect it has on body systems. 24 to >17.0 pts
Fair
The response includes a vague or inaccurate explanation of the process of immunosuppression and the effect it has on body systems. 17 to >0 pts
Poor
The response includes a vague or inaccurate explanation of the process of immunosuppression and the effect it has on body systems.
30 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 to >3.0 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. 3 to >2.0 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment are vague or off topic. 2 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. … No purpose statement, introduction, or conclusion were provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation 5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors. 4 to >3.0 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3 to >2.0 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors. 2 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list. 5 to >4.0 pts
Excellent
Uses correct APA format with no errors. 4 to >3.0 pts
Good
Contains a few (1 or 2) APA format errors. 3 to >2.0 pts
Fair
Contains several (3 or 4) APA format errors. 2 to >0 pts
Poor
Contains many (≥ 5) APA format errors.
5 pts
Total Points: 100
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