NURS 6501 Week 8 Case Study Assignment

NURS 6501 Week 8 Case Study Assignment

NURS 6501 Week 8 Case Study Assignment

CASE STUDY ANALYSIS

An understanding of the musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that this system may have on another. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.

Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role.

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An understanding of the symptoms of alterations in musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

CASE STUDY:

A 48-year-old male presents to the clinic with complaints of low-grade fever, fatigue, headache, and arthritic pain in his knees in the last few weeks.  Approximately 8 months ago he reports that he had a tick bite but did not receive any treatment.  He had a small red rash at that time but was without other symptoms.  The patient’s vital signs:  His BP is 118/84, pulse is 74, resp 18, regular and non-labored, pulse ox 98%, and temp 98.4F. Physical exam reveals no rashes or abnormal neurological processes.  The patient reports tenderness to both knees upon palpation.  Diagnostic testing reveals positive antibody test for B. burgdorferi.  Based on this result and exam findings the patient is given a diagnosis of Lyme disease.

In your Case Study Analysis related to the scenario provided, explain the following:

• The musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.

RESOURCES

LEARNING RESOURCES

Lecturio Resources

Review the following Video Resources and Content Pages in the Lecturio Platform by clicking button below labeled Load Week 8: Learning Resources in a new window.

• Rheumatology: Introduction and Overview (5:41 min)
• Osteoarthritis (OA): Pathogenesis (7:46 min)
• Crystalline Arthropathies: Gout/Pseudogout (7:03 min)
• Tick-Borne Disease, Lyme Disease, Rocky Mountain Spotted Fever (RMSF) & Ehrlichiosis (9:10 min)
• Spondyloarthritides (1:26 min)
• Growth and Development of the Infant (Nursing) (5:46 min)
• Growth and Development of the Toddler (Nursing) (7:21 min)
• Growth and Development of the Preschool-aged Child (Nursing) (5:21 min)
• Growth and Development of the School-aged Child (Nursing) (5:34 min)
• Growth and Development of the Adolescent (Nursing) (3:46 min)
• Growth and Development of the Infant: Motor and Cognitive Milestones (Nursing) (7:55 min)

If you have any technical issues, please contact the Customer Care Team at 1-800-925-3368.

Supplementary Resources

Note: These readings are intended to serve as supplementary to the Lecturio content provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments.

• McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biologic basis for disease in adults and children(8th ed.). St. Louis, MO: Mosby/Elsevier.
  • Chapter 44: Structure and Function of the Musculoskeletal System (stop at Components of muscle function); Summary Review
  • Chapter 45: Alterations of Musculoskeletal Function (stop at Bone tumors); (start at Disorders of joints); Summary Review
  • Chapter 47: Structure, Function, and Disorders of the Integument (section on Lyme Disease)

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

Rubric

NURS_6501_Week 8_Case Study_Assignment_Rubric

NURS_6501_Week 8_Case Study_Assignment_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeDevelop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following: Explain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms.	30 to >27.0 pts Excellent The response accurately and thoroughly describes the patient symptoms. … The response includes accurate, clear, and detailed explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by evidence and/or research, as appropriate, to support the explanation. 27 to >24.0 pts Good The response describes the patient symptoms. … The response includes accurate, explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by evidence and/or research, as appropriate, to support the explanation. 24 to >22.0 pts Fair The response describes the patient symptoms in a manner that is vague or inaccurate. … The response includes explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by explanations that are vague or based on inappropriate evidence/research. 22 to >0 pts Poor The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. … The response does not include explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms, or the explanations are vague or based on inappropriate evidence/research.	30 pts
This criterion is linked to a Learning OutcomeExplain how the highlighted processes interact to affect the patient.	30 to >27.0 pts Excellent The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation. 27 to >24.0 pts Good The response includes an accurate explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation. 24 to >22.0 pts Fair The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate evidence/research. 22 to >0 pts Poor The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate or missing evidence/research.	30 pts
This criterion is linked to a Learning OutcomeExplain any racial/ethnic variables that may impact physiological functioning.	25 to >22.0 pts Excellent The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 22 to >19.0 pts Good The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 19 to >17.0 pts Fair The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations that are based on inappropriate evidence/research. 17 to >0 pts Poor The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.	25 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.	5 to >4.0 pts Excellent Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 to >3.5 pts Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …The purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. 3.5 to >3.0 pts Fair Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … The purpose, introduction, and conclusion of the assignment are vague or off topic. 3 to >0 pts Poor Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. … No purpose statement, introduction, or conclusion were provided.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation	5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors. 4 to >3.5 pts Good Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3.5 to >3.0 pts Fair Contains several (3 or 4) grammar, spelling, and punctuation errors. 3 to >0 pts Poor Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	5 to >4.0 pts Excellent Uses correct APA format with no errors. 4 to >3.0 pts Good Contains a few (1 or 2) APA format errors. 3 pts Fair Contains several (3 or 4) APA format errors. 3 to >0 pts Poor Contains many (≥ 5) APA format errors.	5 pts
Total Points: 100