Case Of Jordan | Report | Assignment

Running head: CASE OF JORDAN 1
Case Of Jordan
Name of the Student
Name of the University
Author Note

CASE OF JORDAN 2
Question no. 1
In the case study, Jordan was suffering from acute inflammatory disease or Cronh’s disease,
as a result, he had undergone rapid weight loss owing to malnutrition caused by insufficient
uptake of calories. Also there is too much fluid loss from the patient body due to diarrhea or
intestinal bleeding. Besides, individuals with Crohn’s disease have less or poor apetite, they
do not feel the urge to eat(Torres et al, 2017). In this case, Jordan was suffering from
malabsorption and facing difficulty with maintaining his weight even if he consumed food,
since his body was unable to breakdown the food properly, utilizing the nutrients.
Malabsorption often leads to diarrhea or abdominal bloating. Jordan also developed food
aversion which takes place when an individual feels a sensation of pain while
eating(Akobeng et al, 2018). That is why, he used to avoid eating in order to avoid the pain or
unpleasant experience, thus leading to weight loss. Moreover, since Jordan was not being
able to keep up with his work, he remained depressed and refused to eat. The side effects of
medications may have triggered appetite loss in Jordan, since the medications are found to
change the taste sensation of the tongue, making the person less interested in eating. Besides,
the abdominal pain and nausea reduced Jordan’s apetite which resulted in insufficient calorie
intake. Rectal bleeding from ulcer in the intestine leads to deficiency of iron, leading to
anemia followed by severe weight loss and weakness. Jordan was also diagnosed with
perianal abscess or anal fistula which results in the formation of a collection of pus through a
process known as “abdominal sepsis”. As a result, there is reduced absorption of nutients and
calories in the body, which led to malnourishment and subsequent weight loss of
Jordan(Santarpia et al, 2019). Jordan had poor skin turgor due to severe fluid loss from the
body. It was found that, mild dehydration accounts for loss of 5% of the body weight
whereas, severe dehydration accounts for 12-15% of total body weight.

CASE OF JORDAN 3
Question no. 2
The pathway of pain consist of three different orders of neurons which are together involved
in carrying the action potential signal to the brain responsible for pain. The “first order”
neurones are also known as “pseudounipolar neurones”. They have both cell body and
ganglion at the dorsal root region. The “second order” neurons have cell bodies, which are
found in the spinal cord or within the cranial nerves. The cell bodies of the “third order”
neuron lies within the thalamus. The first order neurons contains specialized receptors called
“nociceptors” present at the nerve endings of the primary afferent neuron, also called
unencapsulated cutaneous receptors. These receptors helps in the transduction of the pain
signal when a specific area of the skin gets excited or stimulated.
Morphine usually shows its activity on the opioid receptors, which is a type of “G-protein
coupled receptor”(GPCR) and helps in modulation or alteration of pain sensations in the
nervous system. The opioid receptors are distributed mainly in the brain and spinal cord and
attaches with a compound named “encephalin” to control pain. Morphin imitates the structure
of encephalin and binds itself with the opioid receptors and initiates a series of events. It
activates GPCR , which increases the rate of conduction through potassium channel, and
decreases the speed of conduction of signals through calcium channel, followed by the
inhibition of adenylyl cyclase. Together, these modulations obstructs the successful
transmission of pain signal to the nervous system(Nealon et al, 2018).
Question no. 3
The condition of Jordan was deteriorating on a daily bais. His blood pressure reading shows
92/52 mm/hg, which signifies a sudden drop in his blood pressure owing to hypotension. A
low blood pressure can be detrimental for the body and can make the person feel fatigued,