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Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal Conditions

Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal Conditions Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsPatients frequently present with complaints of pain, such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain since pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments.For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a musculoskeletal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient.  Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsORDER A PLAGIARISM-FREE PAPER HERE Photo Credit: SCIEPRO / Science Photo Library / Getty ImagesTo prepare:Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with musculoskeletal conditions.  Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsAccess i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with musculoskeletal conditions.AssignmentAs you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.By Day 7Complete your Assignment in i-Human. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: NRNP_6531_Week9_Assignment_Rubric Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsGrid ViewList ViewNoviceCompetentProficientHPI statementPoints Range: 0 (0%) – 5 (5%)Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skillsPoints Range: 6 (6%) – 10 (10%)Well written HPI statement but may be missing 1-2 key components from the historyPoints Range: 11 (11%) – 15 (15%)Clearly written HPI statement with comprehensive information gathering from case questions. Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsHistoryPoints Range: 0 (0%) – 6 (6%)Incomplete history missing 3 or more aspects of the OLDCARDS critical to patient’s diagnosis.Points Range: 7 (7%) – 8 (8%)Fairly complete history covering most of the requirements but may be missing 1-2 aspects of OLDCARDS critical to patient’s diagnosis.Points Range: 9 (9%) – 10 (10%)Complete history covering all critical components of a focus exam. Includes all aspects of OLDCARDSPhysical ExamPoints Range: 0 (0%) – 6 (6%)Incomplete physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis.Points Range: 7 (7%) – 8 (8%)Fairly complete physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis.Points Range: 9 (9%) – 10 (10%)Complete physical examination covering all critical components of a focus exam.TestingPoints Range: 0 (0%) – 6 (6%)Includes 3 or more inappropriate exams or tests. May include contraindicated testing. Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsPoints Range: 7 (7%) – 8 (8%)Tests ordered are generally apprropriate. May include 1-2 unnecessary exams or tests.Points Range: 9 (9%) – 10 (10%)Tests that are ordered are appropriate for patient and cost effective.Differential Diagnosis SummaryPoints Range: 0 (0%) – 9 (9%)Primary diagnosis may be wrong.Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components.Points Range: 10 (10%) – 14 (14%)Correct primary diagnosis identified. Well written differential diagnoses. May be missing 1-2 critical components. Priority list may be out of orderPoints Range: 15 (15%) – 20 (20%)Primary diagnosis identified. Clearly written differential diagnoses.Plan for patientPoints Range: 0 (0%) – 15 (15%)Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis. Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsPoints Range: 16 (16%) – 25 (25%)Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.Points Range: 26 (26%) – 30 (30%)Clearly written plan covering all critical components for patient’s final diagnosis.ExercisesPoints Range: 0 (0%) – 2 (2%)Correctly answered 0-69% of the clinical questions.Points Range: 3 (3%) – 4 (4%)Correctly answered 70-89% of the clinical questions.Points Range: 0 (0%) – 5 (5%)Correctly answered 90-100% of the clinical questions. Total Points: 100Name: NRNP_6531_Week9_Assignment_RubricNRNP_6531 Week 9: Evaluation and Management of Musculoskeletal ConditionsIn clinical settings, patients often present with musculoskeletal conditions such as chronic back pain. In recent years, there has been a dramatic increase in the acceptance and use of prescription opioids to help patients manage chronic, non-cancer pain, such as back pain or osteoarthritis, despite serious risks and the lack of evidence about their long-term effectiveness (Centers for Disease Control and Prevention, 2017). Of all drugs prescribed, opioids are one of the most common, with more than 168 million prescriptions prescribed in 2018 in the United States and prescribing rates varying widely across different states and counties (Centers for Disease Control and Prevention, 2020b). This prevalence of prescribing narcotics has led to controversy among patients, providers, pharmacies, and lawmakers. Due to the short- and long-term effects of narcotic drugs, the controversy spans from overuse of narcotics to non-medical use of narcotics. For advanced practice nurses, it is essential to carefully observe and watch for signs of drug abuse during patient evaluations. Because not all musculoskeletal conditions require narcotics, a thorough patient evaluation will help to ensure the development of an appropriate treatment plan with patient safety in mind. Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsFor this week, you will analyze an i-Human simulation case study about an adult patient with a musculoskeletal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient.Learning ObjectivesStudents will:Formulate differential diagnoses for adult patients with musculoskeletal conditions Analyze pattern recognition in adult patient diagnoses Analyze the role of patient information in differential diagnosisEvaluate pharmacologic and non-pharmacologic treatment options for adult patientsCreate an appropriate treatment plan that includes health education and follow-up care Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsLearning ResourcesRequired Readings (click to expand/reduce)Buttaro, T. M., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.Part 15, “Evaluation and Management of Musculoskeletal and Arthritic Disorders” (pp. 950–1051)Chapter 154, “Ankle and Foot Pain”Chapter 155, “Bone Lesions: Neoplasms and Tumor Mimickers”Chapter 156, “Bursitis”Chapter 157, “Fibromyalgia and Myofascial Pain Syndrome”Chapter 158, “Gout”Chapter 159, “Septic Arthritis”Chapter 160, “Low Back Pain”Chapter 161, “Hip Pain”Chapter 162, “Knee Pain”Chapter 163, “Metabolic Bone Disease: Osteoporosis and Paget’s Disease of the Bone”Chapter 164, “Neck Pain”Chapter 165, “Osteoarthritis”Chapter 166, “Osteomyelitis”Chapter 167, “Shoulder Pain”Chapter 168, “Sprains, Strains, and Fractures”Chapter 169, “Elbow Pain”Chapter 170, “Hand and Wrist Pain”Part 18, “Evaluation and Management of Rheumatic Disorders” (pp. 1196–1207, 1216–1228)Chapter 195, “Polymyalgia Rheumatica and Giant Cell Arteritis”Chapter 196, “Raynaud’s Phenomenon”Chapter 197, “Rheumatoid Arthritis”Chapter 199, “Systemic Lupus Erythematosus”Chapter 200, “Vasculitis” Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal ConditionsCenters for Disease Control and Prevention. (2020a). Opioid overdose. https://www.cdc.gov/drugoverdose/epidemic/index.htmlAmerican Nurses Association. (2018, August). The opioid epidemic: The evolving role of nursing. https://www.nursingworld.org/~4a4da5/globalassets/practiceandpolicy/work-environment/health–safety/opioid-epidemic/2018-ana-opioid-issue-brief-vfinal-pdf-2018-08-29.pdfCenters for Disease Control and Prevention. (2020c). What states need to know about PDMPs. https://www.cdc.gov/drugoverdose/pdmp/states.htmlRequired Media (click to expand/reduce)Musculoskeletal DisordersDr. Helene Creger discusses musculoskeletal disorders and what to look for as you assess your patient. (20m)Case Study: Evaluating Back PainThis media presentation features an evaluation of a patient with back pain. (7m)i-Human Patients. (2020a). i-Human case player [Interactive media]Knee ExamsEbraheim, N. (2015, August 21). Tests for examination of the knee – everything you need to know – Dr. Nabil Ebraheim [Video]. YouTube. https://www.youtube.com/watch?v=c3643PM0a2o&feature=youtu.beNote: The approximate length of this media piece is 17 minutes. Assignment: i-Human Case Study: Evaluating and Managing Musculoskeletal Conditions

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