Nursing Case Study|Chantal, a 32-year-old female|A 65-year-old obese African American male patient

Nursing Case Study: Chantal, a 32-year-old female, comes into your office with complaints of “feeling tired” and “hair falling out”. She has gained 30 pounds in the last year but notes markedly decreased appetite. On ROS, she reports not sleeping well and feels cold all the time. She is still able to enjoy her hobbies and does not believe that she is depressed.

A 32-year-old patient is returning to your unit post laparoscopic sleeve gastrectomy. She is alert and oriented when aroused. Her pain level is 2 (on a 0 to 10 numeric pain scale). She denies nausea. Her blood pressure is 128/78 mm Hg, heart rate is 128 bpm, respiratory rate is 18 breaths/min and regular, and temperature is 36.7°C (98.1°F). Describe your priorities for care of this patient.

Describe your priorities for care of this patient

A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon.

• Explain why 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.