Endocrine, Metabolic and Hematologic Disorders Discussion: Examining Endocrine, Metabolic, and Hematologic Disorders In the United States, 25.6 million adults age 20 years or older have diabetes (American Diabetes Association, 2011). If not properly treated and managed, these millions of diabetic patients are at risk for several alterations including heart disease, stroke, kidney failure, neuropathy, and blindness. Proper treatment and management is the key for diabetic patients, and as the advanced practice nurse providing care for these patients, it is your responsibility to facilitate this process. Patient education is critical, as is working with patients to establish a regular pattern for daily activities such as eating and taking medications. When developing care plans for patients, you must keep the projected outcomes of treatment in mind, as well as patient preferences and other factors that might impact adherence to treatment and management plans. In this Discussion, you draw from your Practicum Experience and consider factors that impact the education and treatment of patients with diabetes. Case Study 1 An 82-year-old female presents to the office complaining of fatigue, dizziness, weakness, and increasing dyspnea on exertion.Endocrine, Metabolic and Hematologic Disorders ORDER A PLAGIARISM-FREE PAPER HERE #button { background-color: #F05A1A; border: 5px; border-radius: 5px; color: white; padding: 5px 5px; text-align: center; text-decoration: none; display: inline-block; font-size: 13px; margin: 4px 2px; cursor: pointer; } Save your time – order a paper! Get your paper written from scratch within the tight deadline. Our service is a reliable solution to all your troubles. Place an order on any task and we will take care of it. You won’t have to worry about the quality and deadlines Order Paper Now She has a past medical history of atrial fibrillation, hypertension, and hyperlipidemia. Medications include warfarin 2 milligrams po daily, lisinopril 10 milligrams po daily, and simvastatin 10 milligrams po daily. There are no known drug allergies. The physical exam reveals a 5’2” older female. Her weight is 128 pounds, blood pressure is 144/80, heart rate is 98, temperature is 98 degrees Fahrenheit, and O2 saturation is 98%. Further examination reveals the following: Eyes: + pallor conjunctiva Cardiac: irregular rhythm. No S3 S4 or M. NO JVD Lungs: CTA w/o rales, wheezes, or rhonchi Abdomen: soft, BS +, + epigastric tenderness. No organomegaly, rebound, or guarding Rectal: no stool in rectal vault To prepare: Review Part 17 and 21 of the Buttaro et al. text in this week’s Resources. You will either select or be assigned to a patient case study for this Discussion. Review the patient 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. Think about potential treatment options for the patient. Post a an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study that you selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis. Endocrine, Metabolic and Hematologic Disorders