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
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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 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.
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.
Assignment (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.
• Any racial/ethnic variables that may impact physiological functioning.
• How these processes interact to affect the patient.
Scenario 1: 74-year-old male with a history of hypertension and smoking, is having dinner with his wife when he develops sudden onset of difficulty speaking, with drooling from the left side of his mouth, and weakness in his left hand. His wife asks him if he is all right and the patient denies any difficulty. His symptoms progress over the next 10 minutes until he cannot lift his arm and has trouble standing. The patient continues to deny any problems. The wife sits the man in a chair and calls 911. The EMS squad arrives within 5 minutes. Upon arrival in the ED, patient‘s blood pressure was 178/94, pulse 78 and regular, PaO2 97% on room air. Neuro exam – Cranial nerves- Mild left facial droop. Motor- Right arm and leg extremity with 5/5 strength. Left arm cannot resist gravity, left leg with mild drift. Sensation intact. Neglect- Mild neglect to left side of body. Language- Expressive and receptive language intact.
Mild to moderate dysarthria. Able to protect airway
********Instructions to be followed for an “A” Paper Rubric to follow
Day 7 of Week 8
Submit your Case Study Analysis Assignment by Day 7 of Week 8.
Reminder: The School 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/templates). All papers submitted must use this formatting.
******Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:
******Explain both the neurological and musculoskeletal pathophysiologic processes of why the patient presents these symptoms.–
Excellent28 (28%) – 30 (30%)
Good25 (25%) – 27 (27%)
Fair23 (23%) – 24 (24%)
Poor0 (0%) – 22 (22%)
***Explain how the highlighted processes interact to affect the patient.–
Excellent28 (28%) – 30 (30%)
Good25 (25%) – 27 (27%)
Fair23 (23%) – 24 (24%)
Poor0 (0%) – 22 (22%)
****Explain any racial/ethnic variables that may impact physiological functioning.–
Excellent23 (23%) – 25 (25%)
Good20 (20%) – 22 (22%)
Fair18 (18%) – 19 (19%)
Poor0 (0%) – 17 (17%)
****Written 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.–
Excellent5 (5%) – 5 (5%)
Good4 (4%) – 4 (4%)
Fair3.5 (3.5%) – 3.5 (3.5%)
Poor0 (0%) – 3 (3%)
Written Expression and Formatting – English Writing Standards:
Correct grammar, mechanics, and proper punctuation–
Excellent5 (5%) – 5 (5%)
Good4 (4%) – 4 (4%)
Fair3.5 (3.5%) – 3.5 (3.5%)
Poor0 (0%) – 3 (3%)
Written 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.–
Excellent5 (5%) – 5 (5%)
Good4 (4%) – 4 (4%)
Fair3 (3%) – 3 (3%)
Poor0 (0%) – 3 (3%)
Total Points: 100
Name: NURS_6501_Module5_Case Study_Assignment_Rubric