NRNP 6531 Week 10 Assignment: i-Human Case Study: Evaluating and Managing Neurologic Conditions – Collection

NRNP 6531 Week 10 Assignment

Below is the template you are to follow when developing your management plan. Also, always be sure to complete the EMR on the case. Use this template with each case. It is not a SOAP format as that is not required. Points will … for not utilizing the template.

Primary Diagnosis and ICD-10 code 

• Depressive Disorder (ICD-10 9) – Depressive disorder is a mental health issue that is … by fatigue, poor concentration, anhedonia, … mood, agitation, and appetite changes, much like the symptoms the patient in this case is experiencing. Other symptoms can include suicidal thoughts, sleep disturbances, and feelings of guilt or worthlessness. According to Bains (2023), in about 50% of cases of depressive disorder, patients deny feeling …, and they are … to treatment by family members to … for social disengagement and … activity. The patient in this case did deny being … and she was brought in by her mother for evaluation. Given the patient’s signs, symptoms, clinical presentation, and negative test results, this is the most likely primary diagnosis for this patient. The clinical guidelines … to formulate this diagnosis are from the American Psychological Association (n.d.)…….. Continue

Differential Diagnoses:

• Hypothyroidism (ICD-10 9) – Hypothyroidism is when the thyroid gland becomes underactive and does not produce sufficient thyroid hormone for the body to function (American Thyroid Association, 2020). Patients with hypothyroidism typically become … , lose concentration, gain weight, and have symptoms of depression due to the slowing of the body’s processes. The patient in this case has symptoms similar to hypothyroidism, making this a potential differential diagnosis. However, her TSH and T4 levels were normal, ruling this diagnosis out.

• Diabetes Mellitus Type 2 (ICD-10 E11.9) – Type 2 diabetes mellitus is a chronic condition of the metabolic system that is … by constant hyperglycemia due to resistance to the actions of insulin, causing insulin production to decrease (Goyal, 2023). Some risk factors for developing type 2 diabetes mellitus include obesity, a sedentary lifestyle, an unhealthy diet, being African American, and a positive family history of diabetes and hypertension, which the patient in this case has. Some clinical manifestations that the patient presents with that align with the diagnosis of type 2 diabetes mellitus include acanthosis nigricans and fatigue. This is a … potential differential diagnosis, … the patient’s high risk for developing the disease and her presentation. However, her blood glucose and HbA1c were normal, ruling this diagnosis out……. Continue