Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
SUBJECTIVE
Roger, a 43‐year‐old male, presents to the primary care clinic with the chief complaint of intrac-table pain. Six months ago, Roger was riding a motorcycle when he was hit by a car and thrown. His right leg was severed below the knee, and he had extreme facial injuries. At the hospital, leg reattachment surgery was unsuccessful; so an above‐the‐knee amputation was done. He was trans-ferred to a level I trauma center, where he was intubated and trached during his 3‐week hospital-ization. He is now walking with crutches at home; he does not yet have prosthetics. His nose was fractured and repaired.
He complains of leg pain that is extremely severe and uncontrollable. He reports being “at his wit’s end” because nothing is treating his pain. While in the hospital, he was prescribed Percocet for pain; but at the moment he is using over‐the‐counter analgesics with no effect.
Past medical and surgical history: Significant for esophageal fundoplication for severe GERD five years ago.
Family history: Both parents are alive and well, ages 70 (mother) and 75 (father). His mother has hypertension, and his father has dyslipidemia. He is an only child.
Social history: He reports drinking 2–3 beers weekly and smoking 1 pack of cigarettes daily. He does not use any street drugs. He works as a parcel‐delivery truck driver, but he is now on disability from work and collecting unemployment. He lives at home with his wife and 2 small children.
Medications: Ibuprofen, 600 mg every 4 hours for pain; Tylenol, 650 mg every 6 hours for pain.
Allergies: He has no known drug, food, or environmental allergies; and his immunizations are up to date.
OBJECTIVE
General: Trying to smile, but obviously in pain. Alert, with a child‐like stoic look on his face.
Vital signs: T: 97.8°F; P: 76; RR: 18; B/P: 120/84. His weight was not checked as he could not stand and be stable on the scale.
Skin: Good color, no lesions.
HEENT: Obvious facial deformity with missing teeth. Fullness under right eye where plate was placed surgically. Severed palate is healing.
Neck: No lymphadenopathy. Thyroid nonpalpable. Tracheotomy wound healing.
Cardiovascular: Regular rate and rhythm. S1 and S2 are normal.
Respiratory: Chest is clear to auscultation.
Abdomen: Soft, nontender, and bowel sounds are present.
Musculoskeletal: Full range of motion in upper extremities. Stump is wrapped with an Ace bandage. Upon inspection, the incision is clean and well healed. There is no edema.
Genital: He has normal genitalia. There is no evidence of swelling. His testicular exam is normal, and there is appropriate hair growth.
CRITICAL THINKING
Which diagnostic studies should be considered to assist with or confirm the diagnosis? If you choose imaging studies, state what part of the body you will image.
___X‐ray
___MRI___CT scan
___CBC
___CMP
What is the most likely differential diagnosis and why?
___Phantom limb pain
___Neuropathic pain
___Chronic pain related to trauma
What is the plan of treatment?
What is the plan for referrals and follow‐up?
Are there standardized guidelines or resources that would help in this case?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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