Question

please type your answers

Jeffrey is a nursing student attending a clinical experience at a university health center. Melinda, the RN preceptor, tells Jeffrey that a number of students come to the health center every semester, feeling exhausted, and exhibiting flu-like symptoms. Melinda asks Jeffrey to discuss past medical history information that would increase concern for an endocrine disorder versus exhaustion or a viral infection.

1. What past medical history data should Jeffrey identify as important to collect?

Melinda dialogues with Jeffrey about the connection between family history and concern for an endocrine disorder.

2. What family history information should Jeffrey identify as important to record?

Melinda dialogues with Jeffrey about the coordination of care and concern for an endocrine disorder.

3.Which interprofessional team members should Jeffrey identify as important in coordinating care for the patient with an endocrine disorder?

Answer 1

For differenciating betweeen an endocrine disorder and a viral illness/exhausion he should collect past history regarding,

1.

• physical symptoms:- history of symptoms like fever,sore throat,head ache,myalgia,weakness,tachycardia,sweating,temperature bearing capacity,weight loss or gain,tremors,gyneacomastia,etc
• personal history :- regarding sleep cycle,menstrual history,voiding pattern(like polydipsia,polyuria,nocturia),medicine consumption, food habits and water consumption,appetite use of tobacco or alcohol,etc
• family history :- current history of viral illness in family,any endocrine disorders in family, thyroid and diabetes prevalance in the family.
• history of current traveling
• drug history:- like lithium,diuretics,steroids,etc
• mental history:- of stress and anxiety

2. important Family history to be collected,

• Any endocrine disordrs in the family including siblings
• genetic disorders in the family
• thyroid dysfunctions and diabetes
• drug use by parents
• food habits in the family
• autoimmune disorders

3. the care team for endocrine disorder should include,

• an endocrinologist
• Registered nurse
• Dietician or nutritionist
• pathologist:- to examine gland tissues for benign nodules or other serious problems

for the mental well being they can also include a physcical therapist or a psychologist.