NURS 6501 Module 5 Case Study Analysis

NURS 6501 Module 5 Case Study Analysis

Scenario 1: A 74-year-old man with a history of hypertension and smoking is having dinner with his wife when he suddenly experiences difficulty speaking, drooling from the left side of his mouth, and weakness in his left hand. His wife inquires if he is okay, and the patient denies any difficulty. Over the next 10 minutes, his symptoms worsen until he is unable to lift his arm and has difficulty standing. The patient maintains that there are no problems. The wife places the husband in a chair and dials 911. Within 5 minutes, an EMS team arrives. When the patient arrived at the ED, his blood pressure was 178/94, his pulse was 78 and regular, and his PaO2 was 97 percent on room air. Cranial nerves – Mild left facial droop on neuro exam Motor- 5/5 strength in the right arm and leg. The left arm cannot resist gravity, and the left leg has a slight drift. Sensation is still intact. Mild neglect to the left side of the body. Language- Both expressive and receptive language are present.

Mild to moderate dysarthria. Able to protect airway.

An administrative assistant who is 24 years old and with a severe right-sided headache arrives at the emergency department. She says she’s got this headache six times in the past two months. It was 2–3 days before she was able to concentrate at work, she alleges. She has vomited three times in the last three hours, and she is feeling nauseous. ‘The brightness is irritating my eyes,’ she says. As of right now, she’s putting her pain level at 10/10. Aspirin and ibuprofen assist ease her discomfort, but they don’t alleviate it completely. As far as we know, there aren’t any further issues.

An obese white male, 58, presents to the emergency department with fever, chills, pain, and swelling in his right great toe. He is examined by a physician. In his telling, he states that the symptoms began suddenly and that he is unable to put any weight on his foot. Excruciating pain arises from any attempt to inspect the right first metatarsophalangeal joint (MTP). Hypertension and diabetes mellitus type II might be found in a person’s medical history. There is now a prescription for hydrochlorothiazide 50 mg po q am and metformin 500 mg po biweekly. The complete blood count (CBC) was normal except for an increased sedimentation rate (ESR) of 33 mm/h and a C-reactive protein (CRP) level of 24 mg/L. The results of the metabolic panel were in line with expectations. A uric acid level of 6.7 mg/dl

Scenario 4: A 67-year-old man is seen by an HCP because of arm tremors. His leg is likewise trembling, as he’s noticed. The patient’s son states that his father has grown “stiff” and that ordinary tasks take him longer to complete. In addition, the son states that his father needs help getting up from his chair. During the physical examination, it is discovered that the hands have tremors and that the fingers roll like pills. The patient’s face appears frozen in place, giving the impression that it is wearing a mask. He shuffles, his head/neck, hips, and knees are flexed forward, and his gait is uneven. He jerks or cogwheels when he moves. Excessive sweating and flushing, according to the patient, occur during times when the patient is not engaged in physical activity. The HCP diagnosed the patient with Parkinson’s Disease based on the findings of the laboratory tests.

Please do a 1 to 2-page case study analysis. In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
• How these processes interact to affect the patient.

An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. 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 neurological and 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. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

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 “Course Announcements” section of the classroom for your assignment from your Instructor.

In your Case Study Analysis related to the scenario provided, explain the following:

• Both the neurological and 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.

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 ). All papers submitted must use this formatting.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “M5Assgn+last name+first initial.(extension)” as the name.
• Click the Module 5 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Module 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “M5Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Module 5 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Module 5 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 8

To participate in this Assignment:

Module 5 Assignment

What’s Coming Up in Module 6?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Module 6, you will identify processes related to psychological disorders. You will also examine the neurobiology of various psychological issues and consider variables that may impact physiological functioning and altered physiology.

Week 9 Knowledge Check: Psychological Disorders

In the Week 9 Knowledge Check, you will demonstrate your understanding of the topics covered during Module 6. This Knowledge Check will be composed of a series of questions related to specific scenarios provided. It is highly recommended that you review the Learning Resources in their entirety prior to taking the Knowledge Check, since the resources cover the topics addressed. Plan your time accordingly.

Next Module

Week 8: Concepts of Neurological and Musculoskeletal Disorders – Part 2

As homeowners know all too well, there is a continuous need for maintenance and repair. Some efforts are precautionary in nature, while others are the result of issues that surface over time.

Similarly, musculoskeletal disorders can develop over time. For some disorders, such as osteoporosis, precautionary treatments are a potential option. But much like issues that surface in a home over time, many musculoskeletal issues can be very serious concerns, and they can have a significant impact on patients’ lives.

This week, you continue to examine fundamental concepts of neurological and musculoskeletal disorders.

Learning Objectives

Students will:

• Analyze processes related to neurological and musculoskeletal disorders
• Evaluate the impact of patient characteristics on disorders and altered physiology

Learning Resources

Note: The below resources were first presented in Week 7. If you have previously reviewed them, you are encouraged to read or view them again here.

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

• Chapter 15: Structure and Function of the Cardiovascular and Lymphatic Systems (stop at Aging and the nervous system)
• Chapter 16: Pain, Temperature Regulation, Sleep, and Sensory Function (stop at Sleep); Summary Review
• o   Chapter 17: Alterations in Cognitive Systems, Cerebral Hemodynamics, and Motor Function; pp. 504–511, pp. 516–530 (start at Acute confusional states and delirium) (stop at Alterations in neuromotor functions); (Parkinson’s Disease); Summary Review
• Chapter 18: Disorders of the Central and Peripheral Nervous Systems and the Neuromuscular Junction (stop at Degenerative disorders of the spine); (start at Cerebrovascular disorders) (stop at Tumors of the central nervous system); Summary Review
• Chapter 44: Structure and Function of the Musculoskeletal System (stop at Components of muscle function); Summary Review
• Chapter 45: Alterations of Musculoskeletal Function (stop at Bone tumors); (start at Disorders of joints); Summary Review

Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children

In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text, Pathophysiology: The Biologic Basis for Disease in Adults and Children. Focus on the videos and animations in Chapters 15, 16, 18, and the sections of Chapters 44 and 45 that relate to the neurological and musculoskeletal systems. Refer to the Learning Resources in Week 1 for registration instructions. If you have already registered, you may access the resources at

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Content

Name: NURS_6501_Module5_Case Study_Assignment_Rubric

Name: NURS_6501_Module5_Case Study_Assignment_Rubric