Order ID | 53563633773 |
Type | Essay |
Writer Level | Masters |
Style | APA |
Sources/References | 4 |
Perfect Number of Pages to Order | 5-10 Pages |
Alterations of Musculoskeletal Function in Patients
Alterations, Musculoskeletal, Function, Patients
C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe
who had high blood sugar and cholesterol levels three years ago but did not follow up
with a clinical diagnostic work-up. She had participated in the state’s annual health
screening program and noticed that her fasting blood sugar was 141 and her cholesterol
was 225.
However, she felt “perfectly fine at the time” and could not afford any more medications.
Except for a number of “female infections,” she has felt fine until recently. Today, she
presents to the Indian Hospital general practitioner complaining that her left foot has
been weak and numb for nearly three weeks and that the foot is difficult to flex.
She denies any other weakness or numbness at this time. However, she reports that
she has been very thirsty lately and gets up more often at night to urinate. She has
attributed these symptoms to the extremely warm weather and drinking more water to
keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years
ago, 15 pounds in the last 6 months alone.
1. Clinical signs are objective manifestations of a disease that can be identified by
someone other than the patient. List a minimum of four signs from the case study above
that support a diagnosis of type 2 diabetes in this patient.
2. Why do stress and infection promote hyperglycemia in patients with diabetes?
3. Why should medications other than glipizide or glyburide be considered for
management of diabetes in this patient?
Case Study 2: Alterations of the Musculoskeletal Function
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for
the first time complaining of a long history of bilateral knee discomfort that becomes
worse when it rains and usually feels better when the weather is warm and dry. “My
arthritis hasn’t improved a bit this summer though,” she states.
Discomfort in the left knee is greater than in the right knee. She has also suffered from
low back pain for many years, but recently it has become worse. She is having difficulty
using the stairs in her home. The patient had recently visited a rheumatologist who tried
a variety of NSAIDs to help her with pain control.
The medications gave her mild relief but also caused significant and intolerable stomach
discomfort. Her pain was alleviated with oxycodone. However, when she showed
increasing tolerance and began insisting on higher doses of the medication, the
physician told her that she may need surgery and that he could not prescribe more
oxycodone for her.
She is now seeking medical care at the Family Practice Clinic. Her knees started to get
significantly more painful after she gained 20 pounds during the past nine months. Her
joints are most stiff when she has been sitting or lying for some time and they tend to
“loosen up” with activity.
The patient has always been worried about osteoporosis because several family
members have been diagnosed with the disease. However, nonclinical manifestations
of osteoporosis have developed.
1. Identify four risk factors that have predisposed this patient to osteoarthritis.
2. The primary cause of limited range of motion in a joint afflicted with osteoarthritis
is/are:
a. bone spurs
b. loss of proprioceptive reflexes
c. formation of new bone
d. degeneration of articular cartilage
e. cysts that form in subchondral bone
3. Are there any forms of complementary and alternative medicine available for treating
osteoarthritis?
4. What are the brand names of two topical pain creams that contain the pain reliever
trolamine salicylate and have been widely promoted to temporarily relieve arthritis pain?
5. Cockscomb is a garden plant commonly grown for its flowers. Name a medication
derived from cockscomb that is used to treat osteoarthritis.
Submission Instructions:
You must complete both case studies.
Your initial post should be at least 500 words per case study, formatted and cited in
current APA style with support from at least 2 academic sources.
Discussion R
ubric
Criteria Ratings Points
Identification
of Main
Issues,
Problems,
and Concepts
5 points
Distinguished
Identify and
demonstrate a
sophisticated
understanding
of the issues,
problems, and
concepts.
4 points
Excellent
Identifies and
demonstrate an
accomplished
understanding
of most of
issues,
problems, and
concepts.
2 points Fair
Identifies and
demonstrate an
acceptable
understanding
of most of
issues,
problems, and
concepts.
1 points Poor
Identifies and
demonstrate an
unacceptable
understanding
of most of
issues,
problems, and
concepts.
5
poin
ts
Use of
Citations,
Writing
Mechanics
and APA
Formatting
Guidelines
3 points
Distinguished
Effectively uses
the literature
and other
resources to
inform their
work.
Exceptional use
of citations and
extended
referencing.
High level of
APA precision
and free of
grammar and
spelling errors.
2 points
Excellent
Effectively uses
the literature
and other
resources to
inform their
work. Moderate
use of citations
and extended
referencing.
Moderate level
of APA
precision and
free of grammar
and spelling
errors.
1 point Fair
Ineffectively
uses the
literature and
other resources
to inform their
work. Moderate
use of citations
and extended
referencing.
APA style and
writing
mechanics need
more precision
and attention to
detail.
0 point Poor
Ineffectively
uses the
literature and
other resources
to inform their
work. An
unacceptable
use of citations
and extended
referencing.
APA style and
writing
mechanics
need serious
attention.
3
poin
ts
Response to
Posts of
Peers
2 points
Distinguished
Student
constructively
responded to
two other posts
and either
extended,
expanded or
provided a
rebuttal to each.
1 point Fair
Student
constructively
responded to
one other post
and either
extended,
expanded or
provided a
rebuttal.
0-point Poor
Student
provided no
response to a
peer's post.
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