walden nurs6501 week 8 assignment latest 2017 december

Week 8 assignment

Gastrointestinal
Tract: Disorders of Motility

Jamie is a 3-month-old female who presents with her mother
for evaluation of “throwing up.” Mom reports that Jamie has been throwing up
pretty much all the time since she was born. Jamie does not seem to be sick. In
fact, she drinks her formula vigorously and often acts hungry. Jamie has normal
soft brown bowel movements every day and, overall, seems like a happy and
contented baby. She smiles readily and does not cry often. Other than the fact
that she often throws up after drinking a bottle, she seems to be a very
healthy, happy infant. A more precise history suggests that Jamie does not
exactly throw up—she does not heave or act unwell—but rather it just seems that
almost every time she drinks a bottle she regurgitates a milky substance. Mom
thought that she might be allergic to her formula and switched her to a
hypoallergenic formula. It didn’t appear to help at all, and now Mom is very
concerned.

Cases like these are not uncommon. The mother was concerned
and thinking her daughter may have an allergy; she changed to a different
formula. However, sometimes babies have immature GI tracts that can lead to
physiology reflux as they adapt to normal life outside the uterus. Parents
often do not consider this possibility, prompting them to change formulas
rather than seeking medical care. As in the case study above, GI alterations
can often be difficult to identify because many cause similar symptoms. This
same issue also arises with adults—adults may present with symptoms that have
various potential causes. When evaluating patients, it is important for the
advanced practice nurse to know the types of questions he or she needs to ask
to obtain the appropriate information for diagnosis. For this reason, you must
have an understanding of common GI disorders such as gastroesophageal reflux
disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

Review this week’s media presentation on the gastrointestinal
system.

Review Chapter 35 in the Huether and McCance text. Identify
the normal pathophysiology of gastric acid stimulation and production.

Review Chapter 37 in the Huether and McCance text. Consider
the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer
disease (PUD), and gastritis. Think about how these disorders are similar and
different.

Select a patient factor different from the one you selected
in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider
how the factor you selected might impact the pathophysiology of GERD, PUD, and
gastritis. Reflect on how you would diagnose and prescribe treatment of these
disorders for a patient based on this factor.

Review the “Mind Maps—Dementia, Endocarditis, and
Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning
Resources. Use the examples in the media as a guide to construct a mind map for
gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

Describe the normal pathophysiology of gastric acid
stimulation and production. Explain the changes that occur to gastric acid
stimulation and production with GERD, PUD, and gastritis disorders.

Explain how the factor you selected might impact the
pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose
and prescribe treatment of these disorders for a patient based on the factor
you selected.

Construct a mind map for gastritis. Include the epidemiology,
pathophysiology, and clinical presentation, as well as the diagnosis and
treatment you explained in your paper.

By Day 7

This Assignment is due.

Submission and Grading Information

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Click the Week 8 Assignment 1 link. You will also be able to
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