Week 3 assignment NRP 511 Review the following scenario:

You have a patient who presents to your office for her initial visit:
• Age/sex/race: 42-year-old White female
• Waist circumference: 40 in.
• BMI: 45
• BP: 152/86
• Pulse: 91
• O2: 97%
• Past medical history: Hypertension, pre-diabetes, osteoarthritis, chronic migraines
• Past surgical history: None
• Social: Occasional smoker, occasional alcohol use (1 or 2 drinks per week), no drug use
• Recent labs:
• Total cholesterol: 199
• Triglycerides: 253
• HDL: 19
• LDL: 130
• Thyroid function tests: WNL
• Fasting glucose: 119
• A1C: 6.4

The patient reports that she has been prescribed Metformin in the past but does not take it every day. She reports several unsuccessful diet changes recommended by her previous provider. She states, “I don’t have time for exercise,” and “I can’t afford a gym membership.” She thinks she may have been prescribed a blood pressure medication in the past, but she’s not sure.

Assessment Deliverable
Based on the scenario provided, write a 700- to 875-word case study in which you analyze the patient’s risk for metabolic syndrome based on her clinical presentation and lab results. Address the following in your case study:
• Explain how the patient’s presenting labs and clinical presentation contributed to the diagnosis of metabolic syndrome.
• Describe the pathophysiology of each of the components of metabolic syndrome.
• Identify both pharmacologic and non-pharmacologic treatment strategies based on current evidence-based guidelines.
• Explain how you will educate the patient about metabolic syndrome.
• Describe the health risks associated with untreated metabolic syndrome.

Format citations and references for any sources used to support your case study according to APA guidelines.

Submit your assessment.

Assessment Support
• Review the grading rubric for guidance on deliverable expectations.
• Review the following resources for writing guidelines and APA information:
• Center for Writing Excellence
• Reference and Citation Generator
• Grammar Assistance
• Use the following resources to research evidence-based care for any disease, disorder, or condition:
• Medscape
• UpToDate
• American Diabetes Association (ADA)
• American Diabetes Association (ADA): Practice Guidelines Resources
• American Association of Clinical Endocrinology
• National Institutes of Health (NIH)
• American Heart Association (AHA)