CLASS NAME: PRIMARY CARE CHRONIC CONDITIONS ACROSS THE LIFESPAN
LESSON 1: Endocrine and metabolic disorders
DISCUSSION: Lipid Levels
DISCUSSION POST INSTRUCTIONS:
Introduction
At the end of this discussion, you will be able to:
• Demonstrate advanced skills in the physical assessment, pharmacology, and nursing interventions in the treatment of endocrine and metabolic disorders. (CO7)
• Develop an education plan for a patient presenting high lipid levels. (CO8)
Review the video Anti-Hyperlipidemic Agents, included in this lesson’s Instructional Materials before developing your initial post.
Discussion Guidelines
Case Scenario
Read the following case scenario before developing your initial post:
A 57-year-old female patient comes into the clinic for a yearly physical exam. Blood pressure is 158/86. Resting pulse is 82 bpm. Her weight is 212 lbs. Height is 5’4”. BMI 36. As the family nurse practitioner who is seeing her today, you decide to draw a lipid panel because her cholesterol has never been checked. The lab results show total cholesterol as 283, HDL as 34, LDL as 190, triglycerides as 230.
Initial Post
Respond to the following questions as they pertain to the presented patient. Be sure to give rationales for your plan and support your decisions using reliable resources.
1. How would you interpret these lab results?
2. What would your treatment plan be?
3. What education would you provide to the patient?
4. When would you re-evaluate lipids again?
Before attempting to complete your learning activities for this week, review the following learning materials.
Read the following in your Advanced Health Assessment & Clinical Diagnosis in Primary Care textbook:
Chapter 39, “Weight Loss/Gain (Unintentional)”
Read the following in your Primary Care: Interprofessional Collaborative Practice textbook:
• Chapter 186, “Diabetes Mellitus”
• Chapter 191, “Lipid Disorders”
• Chapter 192, “Metabolic Syndrome”
• Chapter 194, “Thyroid Disorders”
The book used for this class and for this assignment is cited here:
Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). St. Louis, MO: Elsevier Mosby.
Dains, J., Baumann, L., & Scheibel, P. (2019). Advanced health assessment & clinical diagnosis in primary care (6th ed.). Elsevier Mosby.
RUBRIC
CRITERIA EXPECTATION
Relevance of post Posts are consistently related to the discussion topic; posts bring readings into discussion, cite required texts appropriately, and demonstrate significant critical thinking related to the question or case.
Reference and support Uses at least two references to literature, readings, or personal experience to support comments.
Expression within the post Expresses opinions and ideas in a clear and concise manner with obvious connection to topic.
Mechanics Consistently uses grammatically correct posts with rare misspellings. Adheres to all APA guidelines, format, and requirements if needed.
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