Discussion : Maladaptive Responses to Immune Disorders

Discussion : Maladaptive Responses to Immune Disorders

Maladaptive responses to disorders are compensatory mechanisms that ultimately have adverse health effects for patients. For instance, a patient’s allergic reaction to peanuts might lead to anaphylactic shock, or a patient struggling with depression might develop a substance abuse problem. To properly diagnose and treat patients, advanced practice nurses must understand both the pathophysiology of disorders and potential maladaptive responses that some disorders cause.

Consider immune disorders such as HIV, psoriasis, inflammatory bowel disease, and systemic lupus E. What are resulting maladaptive responses for patients with these disorders?

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                                                             To Prepare

Review Chapter 6 and Chapter 8 in the Huether and McCance text. Reflect on the concept of maladaptive responses to disorders.

Select two of the following immune disorders: HIV, psoriasis, inflammatory bowel disease, or systemic lupus E (SLE). Discussion : Maladaptive Responses to Immune Disorders

Identify the pathophysiology of each disorder you selected. Consider the compensatory mechanisms that the disorders trigger. 

Then compare the resulting maladaptive and physiological responses of the two disorders.

Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factor might impact your selected immune disorders.

Post a brief description of the pathophysiology of your selected immune disorders. 

Explain how the maladaptive and physiological responses of the two disorders differ. 

Finally, explain how the factor you selected might impact the pathophysiology of each disorder.

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

 

• Chapter 6, “Innate Immunity: Inflammation and Wound Healing”

 

This chapter examines how the body responds to injury and infection by exploring the first, second, and third lines of defense. It also covers wound healing and alterations of the wound healing process.

 

• Chapter 7, “Adaptive Immunity”

 

This chapter examines the third line of defense, adaptive immunity. It also covers the roles of antigens and immunogens, the humoral immune response, cell-mediated immunity, and the production of B and T lymphocytes in the immune response.

• Chapter 8, “Infection and Defects in Mechanism of Defense”

 

This chapter covers the epidemiology, clinical presentation, and treatment of disorders resulting from infection, deficiencies in immunity, and hypersensitivity. It also examines the pathophysiology of an important immune disorder—HIV/AIDS.

• Chapter 9, “Stress and Disease”

 

This chapter evaluates the impact of stress on various body systems and the immune system. It also examines coping mechanisms and disorders related to stress. Discussion : Maladaptive Responses to Immune Disorders

• Chapter 10, “Biology of Cancer”

 

This chapter explores the developmental process of cancer and factors that impact the onset of cancer at the cellular level. It also describes various treatment options.

• Chapter 11, “Cancer Epidemiology”

 

This chapter reviews genetic, environmental, behavioral, and diet-related risk factors for cancer. It also examines types of cancers that result from risk factors.

 

• Chapter 12, “Cancer in Children and Adolescents”

 

This chapter focuses on the presentation and prognosis of childhood cancers. It examines the impact of genetic and environmental factors on these cancers.

 

• Chapter 38, “Structure and Function of the Musculoskeletal System”

 

This chapter covers the structure and function of bones, joints, and skeletal muscle. It also explores effects of aging on the musculoskeletal system.

• Chapter 39, “Alterations of Musculoskeletal Function”

 

This chapter examines the pathophysiology, clinical manifestations, and evaluation and treatment of bone, joints, and skeletal muscle disorders. Additionally, it explores musculoskeletal tumors, osteoarthritis, and rheumatoid arthritis.

• Chapter 40, “Alterations of Musculoskeletal Function in Children”

 

This chapter includes musculoskeletal disorders that affect children, such as congenital defects, bone infection, juvenile idiopathic arthritis, muscular dystrophy, musculoskeletal tumors, and nonaccidental trauma.

• Chapter 41, “Structure, Function, and Disorders of the Integument”

 

This chapter begins with an overview of the structure and function of skin. It then covers effects of aging on skin, as well as disorders of the skin, hair, and nails.

• Chapter 42, “Alterations of Integument in Children”

 

This chapter covers alterations of the integument that affect children. These include acne vulgaris, dermatitis, infections of the skin, insect bites and parasites, vascular disorders, and other skin disorders.

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education. Discussion : Maladaptive Responses to Immune Disorders

 

• Chapter 3, “Disorders of the Immune System”

 

This chapter explores the anatomy and physiology of the immune system. It also explores the pathophysiology of various immune disorders such as primary immunodeficiency diseases and AIDS.

• Chapter 8, “Diseases of the Skin”

 

This chapter begins with an overview of the anatomy and physiology of skin. It also explores the pathophysiology of various types of skin lesions and inflammatory skin diseases.

• Chapter 24, “Inflammatory Rheumatic Disease”

 

This chapter explores the pathogenesis of inflammation and its role in rheumatic diseases. It also examines the clinical presentation, etiology, pathophysiology, and clinical manifestations of rheumatic diseases such as gout and rheumatoid arthritis.

Required Media

Zimbron, J.  (2008). Mind maps—Dementia, endocarditis, and gastro-oesophageal reflux disease (GERD) [PDF]. Retrieved from http://www.medmaps.co.uk/beta/

Gastro-oesophageal reflux disease. [Image]. Used with permission of MedMaps.

This media provides examples of mind maps for dementia, endocarditis, and gastro-oesophageal reflux disease (GERD).

Optional Resources

Arthritis Foundation. (2012). Retrieved from http://www.arthritis.org/

Lupus Foundation of America. (2012). Retrieved from http://www.lupus.org/newsite/index.html

NOTE: I ATTACHED BELLOW A PDF WITH THE BOOK YOU SHOULD USE FOR  THE DISCUSSION QUESTION, BUT THIS IS THE LINK OF THE BOOK YOU SHOULD USE IN CASE YOU CAN'T OPEN THE BOOK IN PDF ATTACHED BELLOW

https://drive.google.com/file/d/12MGt6z2PicuM1y4rM-SN8rpGD09-Tmkj/view?usp=sharing

Rubric Detail

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Content

Name: NURS_6501_Week2_Discussion1_Rubric

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  Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement
Main Posting: Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. Points:

Points Range: 44 (44%) - 44 (44%)

Thoroughly responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. supported by at least 3 current, credible sources

Feedback:

Points:

Points Range: 40 (40%) - 43 (43%)

Responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 75% of post has exceptional depth and breadth supported by at least 3 credible references

Feedback:

Points:

Points Range: 35 (35%) - 39 (39%)

Responds to most of the discussion question(s) is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of post has exceptional depth and breadth supported by at least 3 credible references

Feedback:

Points:

Points Range: 31 (31%) - 34 (34%)

Responds to some of the discussion question(s) one to two criteria are not addressed or are superficially addressed is somewhat lacking reflection and critical analysis and synthesis somewhat represents knowledge gained from the course readings for the module. post is cited with fewer than 2 credible references

Feedback:

Points:

Points Range: 0 (0%) - 30 (30%)

Does not respond to the discussion question(s) lacks depth or superficially addresses criteria lacks reflection and critical analysis and synthesis does not represent knowledge gained from the course readings for the module. contains only 1 or no credible references

Feedback:

Main Posting: Writing Points:

Points Range: 6 (6%) - 6 (6%)

Written clearly and concisely Contains no grammatical or spelling errors Fully adheres to current APA manual writing rules and style

Feedback:

Points:

Points Range: 5.5 (5.5%) - 5.5 (5.5%)

Written clearly and concisely May contain one or no grammatical or spelling error Adheres to current APA manual writing rules and style. Discussion : Maladaptive Responses to Immune Disorders

Feedback:

Points:

Points Range: 5 (5%) - 5 (5%)

Written concisely May contain one to two grammatical or spelling error Adheres to current APA manual writing rules and style

Feedback:

Points:

Points Range: 4.5 (4.5%) - 4.5 (4.5%)

Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors

Feedback:

Points:

Points Range: 0 (0%) - 4 (4%)

Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style. Discussion : Maladaptive Responses to Immune Disorders

Feedback:

Main Posting: Timely and full participation Points:

Points Range: 10 (10%) - 10 (10%)

Meets requirements for timely and full participation posts main discussion by due date

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

Does not meet requirement for full participation

Feedback:

First Response: Post to colleague's main post that is reflective and justified with credible sources. Points:

Points Range: 9 (9%) - 9 (9%)

Response exhibits critical thinking and application to practice settings responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Feedback:

Points:

Points Range: 8.5 (8.5%) - 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings. Discussion : Maladaptive Responses to Immune Disorders

Feedback:

Points:

Points Range: 7.5 (7.5%) - 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting

Feedback:

Points:

Points Range: 6.5 (6.5%) - 7 (7%)

Response is on topic, may have some depth

Feedback:

Points:

Points Range: 0 (0%) - 6 (6%)

Response may not be on topic, lacks depth

Feedback:

First Response: Writing Points:

Points Range: 6 (6%) - 6 (6%)

Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English

Feedback:

Points:

Points Range: 5.5 (5.5%) - 5.5 (5.5%)

Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English

Feedback:

Points:

Points Range: 5 (5%) - 5 (5%)

Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English. Discussion : Maladaptive Responses to Immune Disorders

Feedback:

Points:

Points Range: 4.5 (4.5%) - 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited

Feedback:

Points:

Points Range: 0 (0%) - 4 (4%)

Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited

Feedback:

First Response: Timely and full participation Points:

Points Range: 5 (5%) - 5 (5%)

Meets requirements for timely and full participation posts by due date

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

Does not meet requirement for full participation

Feedback:

Second Response: Post to colleague's main post that is reflective and justified with credible sources. Points:

Points Range: 9 (9%) - 9 (9%)

Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Feedback:

Points:

Points Range: 8.5 (8.5%) - 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings

Feedback:

Points:

Points Range: 7.5 (7.5%) - 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting. Discussion : Maladaptive Responses to Immune Disorders

Feedback:

Points:

Points Range: 6.5 (6.5%) - 7 (7%)

Response is on topic, may have some depth

Feedback:

Points:

Points Range: 0 (0%) - 6 (6%)

Response may not be on topic, lacks depth

Feedback:

Second Response: Writing Points:

Points Range: 6 (6%) - 6 (6%)

Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English. Discussion : Maladaptive Responses to Immune Disorders

Feedback:

Points:

Points Range: 5.5 (5.5%) - 5.5 (5.5%)

Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English

Feedback:

Points:

Points Range: 5 (5%) - 5 (5%)

Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English

Feedback:

Points:

Points Range: 4.5 (4.5%) - 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited

Feedback:

Points:

Points Range: 0 (0%) - 4 (4%)

Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited

Feedback:

Second Response: Timely and full participation Points:

Points Range: 5 (5%) - 5 (5%)

Meets requirements for timely and full participation Posts by due date

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

NA

Feedback:

Points:

Points Range: 0 (0%) - 0 (0%)

Does not meet requirement for full participation

Feedback:

Show Descriptions Show Feedback

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Main Posting: Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.--

Levels of Achievement:

Outstanding Performance 44 (44%) - 44 (44%)

Thoroughly responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. supported by at least 3 current, credible sources

Excellent Performance 40 (40%) - 43 (43%)

Responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 75% of post has exceptional depth and breadth supported by at least 3 credible references

Competent Performance 35 (35%) - 39 (39%)

Responds to most of the discussion question(s) is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of post has exceptional depth and breadth supported by at least 3 credible references

Proficient Performance 31 (31%) - 34 (34%)

Responds to some of the discussion question(s) one to two criteria are not addressed or are superficially addressed is somewhat lacking reflection and critical analysis and synthesis somewhat represents knowledge gained from the course readings for the module. post is cited with fewer than 2 credible references

Room for Improvement 0 (0%) - 30 (30%)

Does not respond to the discussion question(s) lacks depth or superficially addresses criteria lacks reflection and critical analysis and synthesis does not represent knowledge gained from the course readings for the module. contains only 1 or no credible references

Feedback:

Main Posting: Writing--

Levels of Achievement:

Outstanding Performance 6 (6%) - 6 (6%)

Written clearly and concisely Contains no grammatical or spelling errors Fully adheres to current APA manual writing rules and style

Excellent Performance 5.5 (5.5%) - 5.5 (5.5%)

Written clearly and concisely May contain one or no grammatical or spelling error Adheres to current APA manual writing rules and style

Competent Performance 5 (5%) - 5 (5%)

Written concisely May contain one to two grammatical or spelling error Adheres to current APA manual writing rules and style

Proficient Performance 4.5 (4.5%) - 4.5 (4.5%)

Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors

Room for Improvement 0 (0%) - 4 (4%)

Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style. Discussion : Maladaptive Responses to Immune Disorders

Feedback:

Main Posting: Timely and full participation--

Levels of Achievement:

Outstanding Performance 10 (10%) - 10 (10%)

Meets requirements for timely and full participation posts main discussion by due date

Excellent Performance 0 (0%) - 0 (0%)

NA

Competent Performance 0 (0%) - 0 (0%)

NA

Proficient Performance 0 (0%) - 0 (0%)

NA

Room for Improvement 0 (0%) - 0 (0%)

Does not meet requirement for full participation

Feedback:

First Response: Post to colleague's main post that is reflective and justified with credible sources.--

Levels of Achievement:

Outstanding Performance 9 (9%) - 9 (9%)

Response exhibits critical thinking and application to practice settings responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Excellent Performance 8.5 (8.5%) - 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings

Competent Performance 7.5 (7.5%) - 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting

Proficient Performance 6.5 (6.5%) - 7 (7%)

Response is on topic, may have some depth

Room for Improvement 0 (0%) - 6 (6%)

Response may not be on topic, lacks depth

Feedback:

First Response: Writing--

Levels of Achievement:

Outstanding Performance 6 (6%) - 6 (6%)

Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English

Excellent Performance 5.5 (5.5%) - 5.5 (5.5%)

Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English

Competent Performance 5 (5%) - 5 (5%)

Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English

Proficient Performance 4.5 (4.5%) - 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited

Room for Improvement 0 (0%) - 4 (4%)

Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited

Feedback:

First Response: Timely and full participation--

Levels of Achievement:

Outstanding Performance 5 (5%) - 5 (5%)

Meets requirements for timely and full participation posts by due date

Excellent Performance 0 (0%) - 0 (0%)

NA

Competent Performance 0 (0%) - 0 (0%)

NA

Proficient Performance 0 (0%) - 0 (0%)

NA

Room for Improvement 0 (0%) - 0 (0%)

Does not meet requirement for full participation

Feedback:

Second Response: Post to colleague's main post that is reflective and justified with credible sources.--

Levels of Achievement:

Outstanding Performance 9 (9%) - 9 (9%)

Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

Excellent Performance 8.5 (8.5%) - 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings

Competent Performance 7.5 (7.5%) - 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting

Proficient Performance 6.5 (6.5%) - 7 (7%)

Response is on topic, may have some depth

Room for Improvement 0 (0%) - 6 (6%)

Response may not be on topic, lacks depth

Feedback:

Second Response: Writing--

Levels of Achievement:

Outstanding Performance 6 (6%) - 6 (6%)

Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English

Excellent Performance 5.5 (5.5%) - 5.5 (5.5%)

Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English. Discussion : Maladaptive Responses to Immune Disorders

Competent Performance 5 (5%) - 5 (5%)

Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English

Proficient Performance 4.5 (4.5%) - 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited

Room for Improvement 0 (0%) - 4 (4%)

Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited

Feedback:

Second Response: Timely and full participation--

Levels of Achievement:

Outstanding Performance 5 (5%) - 5 (5%)

Meets requirements for timely and full participation Posts by due date

Excellent Performance 0 (0%) - 0 (0%)

NA

Competent Performance 0 (0%) - 0 (0%)

NA

Proficient Performance 0 (0%) - 0 (0%)

NA

Room for Improvement 0 (0%) - 0 (0%)

Does not meet requirement for full participation

Feedback:

Total Points: 100

Name: NURS_6501_Week2_Discussion1_Rubric

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Discussion : Maladaptive Responses to Immune Disorders