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
Sharon, a 68‐year‐old obese woman, presents with bilateral knee pain described as “aching pain around the knee.” The pain is worse going down stairs, with activity, and at night. She denies any recent trauma other than kneeling activities. She denies hearing any popping sounds or experiencing any locking or giving way of the knee. She denies being bitten by a tick, although she does occasionally work in her garden. She denies fever or chills or general malaise or confusion. She is the mother of 4 adult children and 3 young grandchildren and stays very busy babysitting and helping in the children’s households. However, the knee pain has recently limited her activities. When she was a young woman, she was athletic and participated in sports; but since her children grew up, she has been in a sedentary office job and rarely exercises. She has felt well and has not seen a health care provider for 5 years. She still gets occasional hot flushes but has not had a period for 16 years. She experiences vaginal dryness and states that she does not participate in sexual activity, as she is a widow.
Past medical/surgical history: Sharon had surgery for carpal tunnel syndrome bilaterally 20 years ago. She also has had several suspicious skin lesions removed that have been benign. She had one episode of nephrolithiasis at age 35. Two of her children were born by cesarean section, and two were born via vaginal childbirth. There were no complications with any of the births.
Family medical history: Her mother had rheumatoid arthritis and died of complications at age 55.
Social history: Sharon is a nonsmoker, drinks “socially” (1 glass of red wine when she goes to a restaurant once each week), and has never used recreational drugs. Sharon lives alone but has her family and many friends to keep her busy. She feels safe at home and is generally happy with her life but a little tired from all of the babysitting and housework she has been doing.
Medications: Her medications include a multivitamin and occasional aspirin or acetaminophen for “aches and pains.” These medicines have relieved her knee pain somewhat but not to her satisfaction. Sharon is not allergic to any medications.
OBJECTIVE
Vital signs: Sharon is afebrile. Her blood pressure is 160/90; HR is regular and 84; respiratory rate is regular at 14. Her weight is 210 lbs.
Cardiac: Regular rate and rhythm with no murmurs, clicks, gallops, or rubs.
Respiratory: Lungs are clear bilaterally.
Abdomen: Obese and soft without organomegaly or bruits.
Musculoskeletal: Sharon’s knees are mildly swollen without erythema or warmth. There is no tenderness to palpation. Drawer, McMurray, and Lachman tests are negative. The bulge and bal-lottement signs are also negative. There is mild nonpitting ankle edema.
Skin: Without any current suspicious lesions or any rashes or ulcers.
CRITICAL THINKING
What is the most likely differential diagnosis and why?
__Ligament strain or tear
__Bursitis
__Osteoporosis
__Osteoarthritis
__Patellofemoral syndrome
__Gout
__Pseudogout
__Lyme disease
__Rheumatoid arthritis
Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis?
__Lyme titer
__CBC
__CMP
__Lipids
__TSH
__Colonoscopy
__Mammogram
__Pelvic exam
__ESR
__Rheumatoid factor
__CCP
__DEXA scan
__Vitamin D level
What should be the plan of treatment?
What should be the plan for health maintenance testing for this patient?
Does this patient need gynecological care and treatment at this time?
What is the plan for referrals and follow‐up?
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
CLICK ON THE LINK HERE: https://www.perfectacademic.com/orders/ordernow
Do You Have Any Other Essay/Assignment/Class Project/Homework Related to this? Click Here Now [CLICK ME] and Have It Done by Our PhD Qualified Writers!!