NURS 6301: Week 7: Endocrine and Musculoskeletal System Essay Assignment Paper

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NURS 6301: Week 7: Endocrine and Musculoskeletal System Essay Assignment Paper

Disorders of the endocrine and musculoskeletal systems have a significant impact on the body. Consider the effects of unmanaged diabetes, an endocrine disorder that also impacts the musculoskeletal system. Kali Collins, a 10-year-old Colorado girl, helped prevent a potentially fatal accident after her mother, Erin Bolefahr, went into diabetic shock while behind the wheel. After Bolefahr began driving erratically, her daughter called for help. Police were able to locate the vehicle and provide medical care to an unresponsive Bolefahr (Sparano, 2012). If Bolefahr’s diabetes had been properly managed, her daughter might not have been placed in such immediate danger. This case emphasizes the importance of properly identifying, treating, and managing disorders such as diabetes. With many disorders presenting potentially serious medical complications, it is essential for advanced practice nurses to have a strong understanding of disorders in various body systems, including the endocrine and musculoskeletal systems.

This week, you examine the pathophysiology of endocrine and musculoskeletal disorders and the types of drugs used in treatment. You also examine the impact of patient factors on the pathophysiology of these disorders and on effects of prescribed drugs.

Learning Objectives

Reference:

Sparano, Nina. (2012, March 6). Kali Collins, 10-year-old Colo. girl, saves family by calling 911 when mom goes into diabetic shock while driving [Online article]. Retrieved from http://www.huffingtonpost.com/2012/03/06/kali-collins-10-years-old_n_1323056.html
Students will:

  • Analyze the pathophysiology of endocrine and musculoskeletal disorders
  • Analyze types of drugs prescribed to treat endocrine and musculoskeletal disorders
  • Evaluate the impact of patient factors on the pathophysiology of endocrine and musculoskeletal disorders
  • Evaluate the impact of patient factors on the effects of prescribed drugs for endocrine and musculoskeletal disorders
  • Evaluate the impact of diabetes on patients
  • Analyze patient education methods

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 18, “Mechanisms of Hormonal Regulation”This chapter explores mechanisms of hormonal regulation and the structure and function of the endocrine glands. It provides a foundation for examining alterations of the endocrine system, as well as the effects of aging on the endocrine glands.
  • Chapter 19, “Alterations of Hormonal Regulation”This chapter begins with an explanation of the mechanisms of hormonal alterations. It then discusses alterations of the hypothalamic-pituitary system, as well as thyroid, parathyroid, endocrine, pancreas, and adrenal functions. It also covers the pathophysiology, clinical manifestations, and evaluation and treatment of type 1 and type 2 diabetes.
  • Chapter 38, “Structure and Function of the Musculoskeletal System”This chapter covers the structure and function of bones, joints, and skeletal muscle. It also explores the effects of aging on the musculoskeletal system.
  • Chapter 39, “Alterations of Musculoskeletal Function”This chapter examines the pathophysiology, clinical manifestations, and evaluation and treatment of bone, joints, and skeletal muscle disorders. Additionally, it explores musculoskeletal tumors, osteoarthritis, and rheumatoid arthritis
  • Chapter 40, “Alterations of Musculoskeletal Function in Children”This chapter includes musculoskeletal disorders that affect children, such as congenital defects, bone infection, juvenile idiopathic arthritis, muscular dystrophy, musculoskeletal tumors, and nonaccidental trauma.

Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A.  (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

  • Chapter 36, “Osteoarthritis and Rheumatoid Gout”This chapter examines the causes, pathophysiology, and diagnostic criteria of osteoarthritis and rheumatoid arthritis. It then outlines the process of selecting, administering, and managing drug therapy for both disorders.
  • Chapter 46, “Diabetes Mellitus”This chapter begins by identifying the causes, pathophysiology, and diagnostic criteria of diabetes mellitus. It then examines the process of selecting, administering, and managing drug therapy for patients with diabetes mellitus.
  • Chapter 47, “Thyroid Disorders”This chapter explores the causes, pathophysiology, diagnostic criteria, and administration of drug therapy for patients with thyroid disorders, including hypothyroidism, hyperthyroidism, thyroid nodules, subclinical thyroid disease, and thyroiditis. It also discusses the mechanisms of prescribed drugs, as well as proper dosages and potential adverse reactions.

Ben-Zacharia, A. B. (2011). Therapeutics for multiple sclerosis symptoms. The Mount Sinai Journal of Medicine78(2), 176–191.

Retrieved from the Walden Library databases.

 

This article covers the diagnosis, treatment, and management of multiple sclerosis. It also explores methods for treating other health issues that arise from multiple sclerosis.

Kargiotis, O., Paschali, A., Messinis, L., & Papathanasopoulos, P. (2010). Quality of life in multiple sclerosis: Effects of current treatment options. International Review of Psychiatry22(1), 67–82.

Retrieved from the Walden Library databases.

 

This article examines the process of evaluating and diagnosing patients who present with symptoms of multiple sclerosis. It also explores treatment and rehabilitation methods.

Peterson, K., Silverstein, J., Kaufman, F., & Warren-Boulton, E. (2007). Management of type 2 diabetes in youth: An update. American Family Physician76(5), 658–664.

Retrieved from the Walden Library databases.

 

This article outlines the process of diagnosing, treating, and managing youths who have or are at risk of developing type 2 diabetes. It also suggests methods for body-weight management and reducing cardiovascular disease risks.

American Diabetes Association. (2012b). Standards of medical care in diabetes—2012 [Online report]. Retrieved from http://care.diabetesjournals.org/content/35/Supplement_1/S11.full

 

This article reviews the classification, diagnosis, testing, prevention, and treatment of diabetes. It also explores factors that impact the onset of diabetes, as well as alternative non-drug treatment options.

Drugs.com. (2012). Retrieved from www.drugs.com

 

This website presents a comprehensive review of prescription and over-the-counter drugs, including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

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Required Media

Laureate Education, Inc. (Executive Producer). (2012c). The endocrine system and diabetes. Baltimore, MD: Author.

 

This media presentation explores the endocrine system and diabetes including diagnosis and treatment of the disease.

Optional Resources

American Diabetes Association. (2012a). Retrieved from http://www.diabetes.org/

Centers for Disease Control and Prevention. (n.d.). Retrieved August 10, 2012, from http://www.cdc.gov

The Endocrine Society. (2012). Retrieved from http://www.endo-society.org/

Haymarket Media, Inc. (2012). Monthly prescribing reference [Online database]. Retrieved from http://www.empr.com/

The Hormone Health Network. (2012). Retrieved from http://www.hormone.org/

Institute for Safe Medication Practices. (2012). Retrieved from http://www.ismp.org/

Patients with endocrine and musculoskeletal disorders often require long-term treatment and care resulting in the need for extensive patient education. By appropriately educating patients, advanced practice nurses can assist patients with the management of their disorders. In clinical settings, patients with endocrine and musculoskeletal disorders typically seek treatment for symptoms that pose problems to their everyday lives as ordinary tasks may become difficult to complete. For instance, patients might have difficulty walking short distances, preparing meals, or even running errands. To reduce these symptoms and additional health risks, it is essential to develop drug therapy plans with individual patient factors in mind.

To prepare:

  • Review Chapter 19 and Chapter 39 of the Huether and McCance text and the Ben-Zacharia article in the Learning Resources.
  • Select one of the following endocrine or musculoskeletal disorders: thyroid disease, osteoarthritis, rheumatic arthritis, gout, multiple sclerosis, or fibromyalgia. Consider the pathophysiology, as well as the types of drugs that would be prescribed to patients to treat this disorder.
  • Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of the disorder. Then, reflect on how the factor you selected might impact the effects of prescribed drugs, as well as measures you might take to help reduce any negative side effects.

By Day 3

Post a description of the endocrine or musculoskeletal disorder you selected including its pathophysiology and types of drugs that would be prescribed to treat patients. Then, explain how the factor you selected might impact the pathophysiology of the disorder, as well as the effects of prescribed drugs. Describe measures you might take to help reduce any negative side effects

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who selected a different disorder than you. For instance, if you selected an endocrine disorder, then respond to colleagues who selected musculoskeletal disorders. Provide alternative recommendations for drug treatments.

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