Urinary Frequency Case Study Discussion

Week 7 Discussion

Urinary Frequency – Urinary frequency is a genitourinary disorder that presents problems for adults across the lifespan. It can be the result of various systemic disorders such as diabetes, urinary tract infections, enlarged prostates, kidney infections, or prostate cancer. Many of these disorders have very serious implications requiring thorough patient evaluations. When evaluating patients, it is essential to carefully assess the patient’s personal, medical, and family history prior to recommending certain physical exams and diagnostic testing, as sometimes the benefits of these exams do not outweigh the risks. In this Discussion, you examine a case study of a patient presenting with urinary frequency. Based on the provided patient information, how would you diagnose and treat the patient?

Consider the following case study:

A 52-year-old African American male presents to an urgent care center complaining of urinary frequency and nocturia. The symptoms have been present for several months and have increased in frequency over the past week. He has been unable to sleep because of the need to urinate at least hourly all day and night. He does not have a primary care provider and has not seen a doctor in more than 10 years. His father died when he was a child in an automobile accident, and his mother is 79 years old and has hypertension. The patient has no siblings. His social history includes the following: banker by profession, divorced father of two grown children, non-smoker, and occasionally consumes alcohol on weekends only.

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To prepare for Urinary Frequency Case Study:

Review Part 13 of the Buttaro et al. text in this week’s Learning Resources.

Review the case study and reflect on the information provided about the patient.

Think about the personal, medical, and family history you need to obtain from the patient in the case study. Reflect on what questions you might ask during an evaluation.

Consider types of physical exams and diagnostics that might be appropriate for evaluation of the patient in the study.

Reflect on a possible diagnosis for the patient.

Review the Marroquin article in this week’s Learning Resources. If you suspect prostate cancer, consider whether or not you would recommend a biopsy.

Think about potential treatment options for the patient.

Post on or before Day 3 a description of the history that you need to obtain from the patient in the case study. Include a list of questions that you might ask the patient. Then, describe types of physical exams and diagnostics that might be appropriate for evaluation of the patient. Finally, explain a possible diagnosis, as well as potential treatment options for the patient based on this diagnosis.

Week 7 Assignment: Practicum Experience – SOAP Note and Journal

After completing this week’s Practicum Experience, select a patient whom you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

Subjective: What details did the patient provide regarding his or her personal and medical history?

Objective: What observations did you make during the physical assessment?

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?

Reflection notes: What would you do differently in a similar patient evaluation?

Please refer to the Learning Resources in Week 3 for guidance on writing SOAP Notes.

By Day 7

This Assignment is due. You will submit the Week 7 SOAP Note and your Journal Entries (Weeks 5, and 6) by Day 7.

Note: Be sure to submit your Assignment to the appropriate submission link below.

Submissions should match the following:

Week 5 Asthma: Submit to the Assignment Part 1 – Week 7 submission link.

Week 6 Abdominal Pain: Submit to the Assignment Part 2 – Week 7 submission link.

Week 7 SOAP Note: Submit to the Assignment Part 3 – Week 7 submission link.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the following naming convention: “WK7PTXAssgn+lastname+first initial”.

Click the Week 7 Assignment Part X links.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7PTXAssgn+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.

Click on the Submit button to complete your submission.