{"id":129492,"date":"2021-12-20T00:00:00","date_gmt":"2021-12-20T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2021\/12\/20\/musculoskeletal-system-assignments\/"},"modified":"2021-12-20T00:00:00","modified_gmt":"2021-12-20T00:00:00","slug":"musculoskeletal-system-assignments","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/musculoskeletal-system-assignments\/","title":{"rendered":"Musculoskeletal System Assignments"},"content":{"rendered":"\n

Discussion: Assessing Musculoskeletal Pain<\/p>\n

The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provides the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.<\/p>\n

In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.<\/p>\n

To prepare:<\/strong><\/p>\n

\u00b7 You will be assigned to one of the following specific case study.\u00a0<\/p>\n

\u00b7 Your Discussion post should be in the Episodic\/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic\/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic\/Focused SOAP notes have specific data included in every patient case.<\/p>\n

\u00b7 Review the following case study.<\/p>\n

Case 2: Ankle Pain<\/strong><\/em><\/u><\/p>\n

A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?<\/p>\n

Please use soap template below:<\/strong><\/u><\/p>\n

Episodic\/Focused SOAP Note Template<\/strong><\/p>\n

Patient Information:<\/strong><\/p>\n

Initials, Age, Sex, Race<\/p>\n

S.<\/strong><\/u><\/p>\n

CC<\/strong>\u00a0(chief complaint) a BRIEF statement identifying why the patient is here – in the patient\u2019s own words – for instance “headache”, NOT “bad headache for 3 days\u201d.<\/p>\n

HPI<\/strong>: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was \u201cheadache\u201d, the LOCATES for the HPI might look like the following example:<\/p>\n

Location: head<\/p>\n

Onset: 3 days ago<\/p>\n

Character: pounding, pressure around the eyes and temples<\/p>\n

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia<\/p>\n

Timing: after being on the computer all day at work<\/p>\n

Exacerbating\/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better<\/p>\n

Severity: 7\/10 pain scale<\/p>\n

Current Medications<\/strong>: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.<\/p>\n

Allergies:\u00a0<\/strong>include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).<\/p>\n

PMHx<\/strong>: include immunization status (note date of\u00a0last tetanus<\/strong>\u00a0for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed
\u00a0<\/p>\n

Soc Hx<\/strong>: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text\/cell phone use while driving, and support system.<\/p>\n

Click Here<\/a> to Place Order<\/strong><\/h3>\n

Fam Hx<\/strong>: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.<\/p>\n

ROS<\/strong>: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows:\u00a0General:<\/u>\u00a0Head<\/u>:\u00a0EENT<\/u>: etc. You should list these in bullet format and document the systems in order from head to toe.<\/p>\n

Example of Complete ROS:<\/p>\n

GENERAL: \u00a0No weight loss, fever, chills, weakness or fatigue.<\/p>\n

HEENT: \u00a0Eyes: \u00a0No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat: \u00a0No hearing loss, sneezing, congestion, runny nose or sore throat.<\/p>\n

SKIN: \u00a0No rash or itching.<\/p>\n

CARDIOVASCULAR: \u00a0No chest pain, chest pressure or chest discomfort. No palpitations or edema.<\/p>\n

RESPIRATORY: \u00a0No shortness of breath, cough or sputum.<\/p>\n

GASTROINTESTINAL: \u00a0No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.<\/p>\n

GENITOURINARY: \u00a0Burning on urination. Pregnancy. Last menstrual period, MM\/DD\/YYYY.<\/p>\n

NEUROLOGICAL: \u00a0No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.<\/p>\n

MUSCULOSKELETAL: \u00a0No muscle, back pain, joint pain or stiffness.<\/p>\n

HEMATOLOGIC: \u00a0No anemia, bleeding or bruising.<\/p>\n

LYMPHATICS: \u00a0No enlarged nodes. No history of splenectomy.<\/p>\n

PSYCHIATRIC: \u00a0No history of depression or anxiety.<\/p>\n

ENDOCRINOLOGIC: \u00a0No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.<\/p>\n

ALLERGIES: \u00a0No history of asthma, hives, eczema or rhinitis.<\/p>\n

O.<\/strong><\/u><\/p>\n

Physical exam<\/strong>: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History.\u00a0Do not use \u201cWNL\u201d or \u201cnormal.\u201d You must describe what you see.\u00a0<\/strong>Always document in head to toe format i.e. General: Head: EENT: etc.\u00a0<\/p>\n

Diagnostic results<\/strong>: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)<\/p>\n

A<\/strong><\/u>.<\/u><\/p>\n

Differential Diagnoses\u00a0<\/strong>(list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.<\/p>\n

P.<\/strong><\/u>\u00a0<\/p>\n

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.<\/p>\n

References<\/p>\n

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 6th edition formatting.<\/p>\n

Resource for reference<\/strong><\/em><\/u><\/p>\n

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).\u00a0Seidel’s guide to physical examination: An interprofessional approach<\/em>\u00a0(9th ed.). St. Louis, MO: Elsevier Mosby.<\/p>\n