NURS 6531:Week 8: Evaluation and Management of Musculoskeletal Disorders Essay Assignment Paper

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NURS 6531:Week 8: Evaluation and Management of Musculoskeletal Disorders Essay Assignment Paper

NURS 6531: Primary Care of Adults Across the Lifespan | Week 8

In clinical settings, patients often present with musculoskeletal disorders such as chronic back pain. Drugs are typically prescribed to help manage this type of pain for patients. Of all drugs prescribed, narcotic analgesics are one of the most common, with over 238 million prescriptions prescribed in 2011 (IMS Health, 2012). This prevalence of prescribing narcotics has led to controversy among patients, providers, pharmacies, and lawmakers. Due to the short- and long-term effects of narcotic drugs, the controversy spans from overuse of narcotics to non-medical use of narcotics. For advanced practice nurses, it is essential to carefully observe and watch for signs of drug abuse during patient evaluations. Because not all musculoskeletal disorders require narcotics, a thorough patient evaluation will help to ensure the development of an appropriate treatment plan with patient safety in mind.

This week, you examine the process of evaluating and prescribing treatment to patients with musculoskeletal disorders. You also explore the ethical implications of prescribing narcotics for pain.

Learning Objectives

By the end of this week, students will:

• Assess differential diagnoses for patients with musculoskeletal disorders
• Analyze the role of patient information in differential diagnosis for musculoskeletal disorders
• Evaluate patient treatment options, including opioids, for patients with musculoskeletal disorders
• Understand and apply key terms, concepts, and principles related to musculoskeletal disorders and the opioid epidemic
• Analyze pattern recognition in patient diagnoses

Learning Resources

Required Readings

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.

Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2017). Primary care: A collaborative practice (5th ed.). St. Louis, MO: Elsevier.

• • • Part 19, “Evaluation and Management of Multisystem Disorders”
      • Chapter 222, “Chronic Pain” (pp. 1186-1188)
    • Part 15, “Evaluation and Management of Musculoskeletal and Arthritic Disorders” (pp. 897-998)

This part covers the pathophysiology, clinical manifestations, and management of musculoskeletal disorders. It also explores diagnostic tests for diagnosing these disorders.

 

• • Part 18, “Evaluation and Management of Rheumatic Disorders” (pp. 1152-1180)
• This chapter examines the epidemiology, pathophysiology, clinical presentation, and evaluation of rheumatic disorders, including rheumatoid arthritis and systemic lupus E. It also provides a differential diagnosis for rheumatic disorders.

Centers for Disease Control and Prevention. (2017). Opioid overdose. Retrieved from https://www.cdc.gov/drugoverdose/epidemic/index.html

American Nurses Association. (2016). The Opioid epidemic: Addressing the growing drug overdose problem. Retrieved from http://nursingworld.org/DocumentVault/Health-Policy/Issue-Briefs/ANA-IssueBrief-Opioid-Epidemic.pdf

Centers for Disease Control and Prevention. (2017). What states need to know about PDMPs. Retrieved from https://www.cdc.gov/drugoverdose/pdmp/states.html

Document: Comprehensive SOAP Note Exemplar (Word document)

Document: Comprehensive SOAP Note Template (Word document)

Required Media

• • Laureate Education, Inc. (Executive Producer). (2013b). Case study: Evaluating back pain. Baltimore, MD: Author.

Note: The approximate length of this media piece is 7 minutes.

This media presentation features an evaluation of a patient with back pain.

Assignment 1: Practicum Experience – Comprehensive SOAP Note #3

After completing this week’s Practicum Experience, review the Comprehensive SOAP Note Exemplar and Template in this week’s Resources, and reflect on a patient who presented with musculoskeletal disorders or pain. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care.

All SOAP notes must be signed and each page must be initialed by your preceptor. When you submit your SOAP Notes, you should include the complete SOAP Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your SOAP Notes using SAFE ASSIGN.

Please Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.

NURS 6531:Week 8: Evaluation and Management of Musculoskeletal Disorders Essay Assignment Paper

By Day 7 of Week 8

This Comprehensive SOAP Note #3 is due. You will submit two files for the Week 8 Comprehensive SOAP Note #3, including a Word document and pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 6.

Assignment 2: Board Vitals

This week you will be responding to twenty Board Vitals questions that cover the following topics:

• Musculoskeletal

These questions are intended to help you prepare for your Nurse Practitioner certification exam. It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

You can access Board Vitals through the link sent to you in email or by following the link below:

https://www.boardvitals.com/

By Day 7

Complete the Board Vitals questions.

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