An understanding of the musculoskeletal systems is a critically important compon

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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 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.
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.
This is the case study: Ensure to follow the rubric closely.
A 64-year-old female presents to the clinic with back pain for the last 3 weeks. She reports that she has tried ibuprofen and Tylenol without relief of symptoms. The pain is a 5/10 and is sharp at times. She has noticed a reduction in her ability to perform ADLs. She denies any injury. She denies any burning with urination, numbness to lower extremities, or leg weakness. The patient has a history of osteoporosis and was prescribed calcium and vitamin D supplements along with Alendronate 10mg po daily. Patient is 5’6” and weighs 175 pounds. BP is 120/84, pulse is 80, resp 18, regular and non labored, pulse ox 95%, and temp 98.0F. Physical exam reveals no focal motor deficits, DTRs 1+, localized vertebral spinous process tenderness to L2. Xray: Vertebral compression fracture of L2 with anterior wedging of thoracic vertebrae.
RESOURCES
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. WEEKLY RESOURCES
To prepare:
By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor.
The Assignment (1- to 2-page case study analysis)
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.
BY DAY 7 OF WEEK 8
Submit your Case Study Analysis Assignment by Day 7 of Week 8.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templatesLinks to an external site.). All papers submitted must use this formatting.
NURS_6501_Week 8_Case Study_Assignment_Rubric
NURS_6501_Week 8_Case Study_Assignment_Rubric
CriteriaRatingsPts
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 ptsExcellent
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 ptsGood
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 ptsFair
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 ptsPoor
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 ptsExcellent
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 ptsGood
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 ptsFair
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 ptsPoor
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 ptsExcellent
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 ptsGood
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 ptsFair
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 ptsPoor
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 ptsExcellent
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 ptsGood
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 ptsFair
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 ptsPoor
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 ptsExcellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.5 ptsGood
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
3.5 to >3.0 ptsFair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
3 to >0 ptsPoor
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 ptsExcellent
Uses correct APA format with no errors.
4 to >3.0 ptsGood
Contains a few (1 or 2) APA format errors.
3 ptsFair
Contains several (3 or 4) APA format errors.
3 to >0 ptsPoor
Contains many (≥ 5) APA format errors.
5 pts
Total Points: 100

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