(Solved) NR565 Week 7: GI Case Study

Problem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem solving actual patient problems in the same manner as they occur in practice.  The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group. 

Activity Learning Outcomes 

Through this discussion, the student will demonstrate the ability to: 

  1. Synthesize clinical knowledge, didactic learning and research findings to provide appropriate pharmacological care to primary care patients. (CO 1, 2, 3, 4 & 5) 

Due Date:  

The student must provide an initial response to the discussion topic by Wednesday, 11:59pm MT. Subsequent posts, including substantive responses to peer(s) and faculty questions must occur by Sunday, 11:59pm MT. A total of 3 substantive posts are required on 3 different days. (Week 8 only– Subsequent posts, including substantive responses to peer(s) and faculty must occur by Saturday, 11:59pm MT).  

 A 10% late penalty will be imposed for initial discussions posted after the deadline on Wednesday 11:59pm MT, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0). Week 8 discussion closes on Saturday at 11:59pm MT. 

 A 10% penalty will be imposed for not entering the minimum number of interactive dialogue posts (3) OR not posting on the minimum required number of days (3). NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0) 

Total Points Possible:  100 

Case Study & Discussion Questions 

Mr. Brown, a 50 year-old male who comes into your office today complaining of  a constant burning pain in his stomach a couple of hours after he eats. He states that he was seen in the emergency room 2 days ago for the same complaint and was given something called a “GI cocktail” which relieved his symptoms. Mr. Brown reports that he enjoys coffee every morning with breakfast and sometimes in the afternoon with a donut.  A review of his records show that acute coronary syndrome was ruled out in the emergency room 2 days ago. His last stress test was 6 months ago, which was negative. EKG in the office today is normal.   

Past Medical History: Obesity and High Cholesterol. 

Surgical History: None. 

Family history: Unknown he is adopted 

Social History: Smoker x 10 years 1ppd, drinks 2-4 beers a day and ½ pack on the weekends. Denies recreational drugs, does not exercise. 

Drug allergies: NKDA  

Current medications: None 

All vaccines are up to date. 

Vitals Height 69 inches, weight 205 pounds, BP 120/75, P 70, R 16.  

Mr. Brown’s physical exam is normal, including the abdominal exam. 

  • What are your treatment goals for Mr. Brown today? 
  • What is your pharmacological plan and rationale? (cite with appropriate clinical practice guidelines or scholarly peer-reviewed articles and always include medication name, strength, dosage form, route, frequency and duration when making recommendations) 
  • Pick one medication from your response above and list 5 patient-centered teaching points for the medication. 

 Discussion Guiding Principles 

The ideas and beliefs underpinning the discussions guide students through engaging dialogues as they achieve the desired learning outcomes/competencies associated with their course in a manner that empowers them to organize, integrate, apply and critically appraise their knowledge to their selected field of practice. The use of discussions provides students with opportunities to contribute level-appropriate knowledge and experience to the topic in a safe, caring, and fluid environment that models professional and social interaction. The ebb and flow of a discussion is based upon the composition of student and faculty interaction in the quest for relevant scholarship. Participation in the discussion generates opportunities for students to actively engage in the written ideas of others by carefully reading, researching, reflecting, and responding to the contributions of their peers and course faculty. Discussions foster the development of members into a community of learners as they share ideas and inquiries, consider perspectives that may be different from their own, and integrate knowledge from other disciplines. 

Direct Quotes 

Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category. 


The treatment goal of Mr. Brown is to manage GERD and improve the symptoms. Such as constant burning pain in the stomach. The current symptoms such as constant burning pain a few hours after he eats and the visit to the emergency room previously may point toward GERD. Some of the risk factors such as obesity may also increase his risk of GERD because abdominal fat increases intra-abdominal pressure. Research shows that losing weight can ease the symptoms of GERD (Lee, Lien, Chang, & Yeh, 2015). On the other hand, he takes coffee in the morning and sometimes in the afternoon, which might aggravate the GERD symptoms. The increased consumption of Caffeine may relax the lower esophageal sphincter, triggering…Please click the icon below to purchase full solution at $5