he Ethics Behind Assessment
CASE STUDY 2 – J-Q
A 27-year-old man with Crohn’s disease has been admitted to the emergency room with an extreme flare-up of his condition. He explains that he has not been able to afford his medications for the last few months and is concerned about the costs he may incur for treatment.
The Lab Assignment
• Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number).
• Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations.
• Justify your response using at least three different references from current evidence-based literature.
Crohn’s Disease: Evidence-Based Practice Guidelines and Applying Ethical Considerations
Crohn’s disease is an inflammatory disorder that affects the digestive system (Torres et al., 2017). The disease mainly affects the ileum or the colon. Diagnosing Crohn’s disease is usually difficult since it has similar characteristics with other diseases and infections (Roda et al., 2020). In this case, it is imperative for the healthcare provider to asks and assess the patient’s health. The practitioner will assess the patient’s signs and symptoms, diet, and family history (Laass et al., 2014). Validating the patient’s symptoms will enable the health providers ascertain key signals for the disease. In this case, the practitioner assesses if the patient experiences symptoms such as stomach pain, bloody stool, diarrhea, and cramps (Veautheir & Hornecker, 2018). After determining that the patient experiences symptoms associated with Crohn’s disease, the practitioner will conduct an advanced examination of the patient. For advanced assessment, the healthcare provider requires to examine the patient through imaging tests, blood tests, and tissue examination (Roda et al., 2020).
Crohn’s disease does not have any cure, but it is important to suppress the condition. It is important for nurses to properly assess the patient’s health and history to enable them manage the condition. As an advanced practice nurse, I will begin by understanding the patient’s medical history, assess full physical examination, and conduct blood and stool test (Veautheir & Hornecker, 2018). The examination will help to determine patient’s condition and severity. The patient’s medical history and body examination can be conducted by asking about family history of the disease and physical signals. The questions should not subject the patient to ethical discrimination such as race and gender. After assessing the patient’s information and determining that he is at potential risk. It is critical to conduct a colonoscopy diagnosis (Veautheir & Hornecker, 2018). Colonoscopy examination is vital to determine the severity, the extent of the colon lesion, and differentiating the disease.
In the case scenario 2-J-Q, the patient show symptoms associated with Crohn’s disease. The patient is, however, concerned about the cost of medication he incurs during treatment. As an advance nurse, my aim is to increase the period of remissions and reduce the rate of flare-ups and improve the patient’s life. In this case, I will promote bed rest so that the patient decreases intestinal motility. The patient also need to avoid intestinal irritation by eating healthy diet. I will encourage the patient to resist foods that precipitate diarrhea. Reduce the symptoms will promote healthy living standard and the need for clinical visit. This will help the patient reduce the cost of medication and reduce the rate of remissions.
Laass, M. W., Roggenbuck, D., & Conrad, K. (2014). Diagnosis and classification of Crohn’s disease. Autoimmunity reviews, 13(4-5), 467
Roda, G., Ng, S. C., Kotze, P. G., Argollo, M., Panaccione, R., Spinelli, A., … & Danese, S. (2020). Crohn’s disease. Nature Reviews Disease Primers, 6(1), 1-19.
Torres, J., Mehandru, S., Colombel, J. F., & Peyrin-Biroulet, L. (2017). Crohn’s disease. The Lancet, 389(10080), 1741-1755.
Veauthier, B., & Hornecker, J. R. (2018). Crohn’s disease: Diagnosis and management. American family physician, 98(11), 661-6