Alterations of Musculoskeletal Function in Patients

December 15, 2022

Alterations of Musculoskeletal Function in Patients

Order Number	636738393092
Type of Project	ESSAY
Writer Level	PHD VERIFIED
Format	APA
Academic Sources	10
Page Count	3-12 PAGES

Instructions/Descriptions

Alterations of Musculoskeletal Function in Patients

Alterations, Musculoskeletal, Function, Patients

C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225.

However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex.

She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

Clinical signs are objective manifestations of a disease that can be identified by someone other than the patient. List a minimum of four signs from the case study above that support a diagnosis of type 2 diabetes in this patient.
Why do stress and infection promote hyperglycemia in patients with diabetes?
Why should medications other than glipizide or glyburide be considered for management of diabetes in this patient?

Case Study 2: Alterations of the Musculoskeletal Function

G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states.

Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control.

The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her.

She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity.

The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

Identify four risk factors that have predisposed this patient to osteoarthritis.
The primary cause of limited range of motion in a joint afflicted with osteoarthritis is/are:
a. bone spurs
b. loss of proprioceptive reflexes
c. formation of new bone
d. degeneration of articular cartilage
e. cysts that form in subchondral bone
Are there any forms of complementary and alternative medicine available for treating osteoarthritis?
What are the brand names of two topical pain creams that contain the pain reliever trolamine salicylate and have been widely promoted to temporarily relieve arthritis pain?
Cockscomb is a garden plant commonly grown for its flowers. Name a medication derived from cockscomb that is used to treat osteoarthritis.

Submission Instructions:

You must complete both case studies.

Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources.

Discussion Rubric
Criteria	Ratings	Points
Identification of Main Issues, Problems, and Concepts	5 points Distinguished Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.	4 points Excellent Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.	2 points Fair Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.	1 points Poor Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.	5 points
Use of Citations, Writing Mechanics and APA Formatting Guidelines	3 points Distinguished Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.	2 points Excellent Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.	1 point Fair Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.	0 point Poor Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.	3 points
Response to Posts of Peers	2 points Distinguished Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.	1 point Fair Student constructively responded to one other post and either extended, expanded or provided a rebuttal.	0-point Poor Student provided no response to a peer’s post.	2 points
Total Points: 10

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Alterations of Musculoskeletal Function in Patients

RUBRIC

Excellent Quality

95-100%

Introduction

45-41 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Literature Support

91-84 points

The context and relevance of the issue, as well as a clear description of the study aim, are presented. The history of searches is discussed.

Methodology

58-53 points

With titles for each slide as well as bulleted sections to group relevant information as required, the content is well-organized. Excellent use of typeface, color, images, effects, and so on to improve readability and presenting content. The minimum length criterion of 10 slides/pages is reached.

Average Score

50-85%

40-38 points

More depth/information is required for the context and importance, otherwise the study detail will be unclear. There is no search history information supplied.

83-76 points

There is a review of important theoretical literature, however there is limited integration of research into problem-related ideas. The review is just partly focused and arranged. There is research that both supports and opposes. A summary of the material given is provided. The conclusion may or may not include a biblical integration.

52-49 points

The content is somewhat ordered, but there is no discernible organization. The use of typeface, color, graphics, effects, and so on may sometimes distract from the presenting substance. It is possible that the length criteria will not be reached.

Poor Quality

0-45%

37-1 points

The context and/or importance are lacking. There is no search history information supplied.

75-1 points

There has been an examination of relevant theoretical literature, but still no research concerning problem-related concepts has been synthesized. The review is just somewhat focused and organized. The provided overview of content does not include any supporting or opposing research. The conclusion has no scriptural references.

48-1 points

There is no logical or apparent organizational structure. There is no discernible logical sequence. The use of typeface, color, graphics, effects, and so on often detracts from the presenting substance. It is possible that the length criteria will not be reached.