Module 6 Case Study- NUR 557


You are a nurse working at a free community health clinic and have been asked to collaborate with an interdisciplinary team to help study and manage a case. You have been asked to analyze and present a case study to your supervisor about pathophysiology and possible treatment options for the individual in this case.

Case: The case concerns a homeless gentleman who appears intoxicated and in pain. He is a 68-year-old Caucasian, who is known to the clinic and often presents weekly complaints of generalized pain to his feet and knees bilaterally. He is usually given fluids and over-the-counter ibuprofen stocked by the clinic. He is then sent to the local homeless shelter after an hour or so. Today, he is refusing the ibuprofen, while complaining of more pain than usual. He wants stronger pain medication. The team suspects either chronic gout, rheumatoid arthritis (RA), or osteoporosis. They have ordered several diagnostic tests to confirm the diagnosis.


Select one of the suspected diseases: chronic gout, RA, or osteoporosis. Then write a case study analysis explaining the pathophysiology of the selected disease and potential treatment options for the individual in this scenario. In your analysis, explain whether you would recommend using controlled substances to manage pain in this situation. Provide specific evidence from at least two scholarly sources, including one clinical practice guideline, to support your paper. You may use your textbook as a source, but it will not count as one of your scholarly sources.

Specifically, you must address the following rubric criteria:

  1. Pathophysiology: Explain the pathophysiology of your selected disease. Include the following in your response:
  2. Pharmacotherapeutics: Analyze potential pharmacotherapeutic options, including a first-line drug therapy option and at least one second-line or third-line option, for the individual in the case. Include the following in your response:
  3. Legal and Ethical Implications: Describe the legal and ethical implications surrounding the use of controlled substances in this situation. Consider the following in your response:

What to Submit

Submit your case study as a 2- to 3-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Sources should be cited according to APA style.




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