How to solve a nursing discussion case study
CASE STUDY 3: A 25-year-old male presents with chronic sinusitis and allergic rhinitis.
Define innate vs. acquired immunity.
Define active vs. passive immunity.
Discuss the genetic predisposition of allergens.
Describe the antigen-antibody response.
What is the pathology of sinusitis?
Define innate vs. acquired immunity.
The body’s defense against microbes is mediated by the innate and adaptive or acquired immune responses. Innate immunity provides an early line of defense against microbes and it represents immunity that an individual is born with (Centers for Disease Control and Prevention (CDC), 2021). Acquired immunity takes over after innate immunity and develops upon exposure to a certain disease. It specifically targets the type of germ that is causing an infection.
Define active vs. passive immunity.
Active immunity is the body’s immediate response to pathogens when subjected to a foreign antigen (CDC, 2021). Passive immunity occurs when an individual is given antibodies to disease from another person rather than producing them through their immune system.
Discuss the genetic predisposition of allergens.
Some families appear to be more affected by allergic conditions than others leading to the development of theories on genetic predisposition to allergies. For example, different allergic conditions are related to elevation of IgE making co-morbidity due to genetic components possible (Portelli et al., 2015). Genome-wide association studies (GWAS) have identified various genes that are potential contributors to allergic conditions. Gene variations that alter the activity of cytokines like interleukin-33 and thymic stromal lymphopoietin have been found to lead to allergies like asthma (Portelli et al., 2015). Identification of these mechanisms is important to manage families with the highest susceptibility to allergies.
Describe the antigen-antibody response.
There are several types of antibodies and antigens with each antibody only capable of binding to a specific antigen. During agglutination, antibodies recognize antigens based on their structure as well as the content. When a host is exposed to antigens, the host develops an array of antibodies that bind to specific epitopes of the antigen. This combination is the fundamental mechanism of protection against pathogens and their chemical toxins. Antibodies attach to specific antigens and this process allows the immune cells to destroy the antigen.
What is the pathology of sinusitis?
Sinusitis refers to the inflammation of the paranasal sinuses as a result of fungal, viral, bacteria, or allergic reactions (Husein et al., 2018). The condition normally follows URTIs and may not require treatment. Organisms usually involved include Haemophilus influenzae, streptococcus pneumoniae, staph aureus, and strep pyogens (Husein et al., 2018). During infection, the swollen nasal mucous membrane obstructs the sinuses, and oxygen is absorbed into the blood vessels. Negative pressure builds up in the sinus leading to pain that leads to further inflammation that presents with hyperemic and edematous mucous membrane (Husein et al., 2018). The management of the disease is through local measures to enhance drainage and sometimes antibiotics can be used after careful consideration.
References
Centers for Disease Control and Prevention. (2021). Vaccines and immunizations. https://www.cdc.gov/vaccines/vac-gen/immunity-types.htm#:~:text=Passive%20immunity%20is%20provided%20when,its%20mother%20through%20the%20placenta.
Husain, S., Amilia, H. H., Rosli, M. N., Zahedi, F. D., Sachlin, I. S., & Development Group Clinical Practice Guidelines Management of Rhinosinusitis in Adolescents & Adults (2018). Management of rhinosinusitis in adults in primary care. Malaysian Family Physician : The Official Journal of the Academy of Family Physicians of Malaysia, 13(1), 28–33.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962231/
Portelli, M. A., Hodge, E., & Sayers, I. (2015). Genetic risk factors for the development of allergic disease identified by genome-wide association. Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology, 45(1), 21–31. https://doi.org/10.1111/cea.12327
Related Posts:
- What do you believe about the influences of theory on nursing practice? What value do you place on using a model for practice as an advanced practice registered nurse? Has your philosophy of advanced practice nursing change
- You have been asked to investigate a new procedure that physicians would like nurses to adopt in the hospital. Discuss the process you would apply to determine whether the procedure falls within the RN scope of practice and how you would go about introducing the new procedure with physicians and fellow nurses.
- You are the manager of a new primary care clinic located about 25 miles outside of a small city population 50,000.With 5 family physicians ,two nurse practitioners, and 2 physicians assistants ,and 20 clinical support staff consisting of RN’s,LPNs and CMAs
- CLC: Assess the past and present impact nurses, including advanced professional/advanced practice nurses, have made in addressing this health issue.
- draw parallels between the history of advanced practice nursing and current events impacting advanced practice nursing
- Mental Disorders Diagnosis and Psychological treatments
- What are some of the major ethical issues in conducting research that impacts the advanced registered nurse? Discuss the role of the advanced registered nurse in advocating for patient safety and rights in conducting research.
- Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research.
- Select an advanced professional or advanced practice nursing specialty
- Select an advanced professional or advanced practice nursing specialty. How has past and current regulation/legislation affected the role and scope of this nursing role? What, if any, discussions are currently underway relative to the scope and role of this specialty? What resources are available to assist nurses in advocating for these roles?
- Select a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility)
- Hospital organization external environmental and service area competitor analysis for a new health care service
- Given present public health and healthcare trends, where are employment opportunities for public health professionals most likely to arise in the coming years? What knowledge/skills are likely to be needed by public health workers in the future that are different from those of the pas
- The media, and Hollywood in particular, represent one avenue in which the general public becomes familiar with the role of nurses. How does the media positively or negatively influence the public’s image of nursing? What other avenues may better educate the general public on the role and scope of nursing as well as the changing health care system?
- Assess the relationship between public health and social determinants of health. Provide examples to illustrate the influences of public health on the social determinants of health.
- Florida Psychiatric Commitment Laws
- Health Information Management (HIM) professionals must be aware of the laws affecting fraud and abuse, in addition to the laws affecting the management of personnel within their department.
- Compare and contrast the theorist with the major themes in the curriculum: Caring, Health, Learning, Nursing and Commitment to Human Dignity.
- Analyze an Example of Exceptional Commitment to Nursing
- Nurses: Strength, Commitment, Compassion Custom Essay
- The impact of nurse directors behaviour in employee commitment towards work
- Organizational Commitment
- Psychiatric Nursing: Critical Incident Debriefing
- An Overview of the DSM-5: Changes,Controversy, and Implications for Psychiatric Nursing
- Returning to School to Become a Psychiatric Nurse Practitioner Custom Essay
- Case Study On Biomedical Ethics In The Christian Narrative profile