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i-Human Case Study: Evaluating and Managing Musculoskeletal Conditions

Patients frequently present with complaints of pain, such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain since pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments.

For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a musculoskeletal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient. 

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 


WEEKLY RESOURCES

To prepare:

· Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with musculoskeletal conditions. 

· Access i-Human from this week’s Learning Resources and review the assigned case study.

· Analyze the provided patient history, physical exam findings, and diagnostic test results to support clinical decision-making.

· As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the 
i-Human Graduate Programs Help link within the i-Human platform.

Assignment Requirements:

Using the Management Plan Template provided in the learning resources, complete the following components:

1. Problem Statement

· Write a complete problem statement. Present the patient as you would to your preceptor, including subjective and objective findings.

2. Primary Diagnosis with Coding

· Identify the primary diagnosis with the corresponding ICD-10 code.

· Provide a rationale for the primary diagnosis.

· Include CPT codes for the office visit, preventive exam, and any procedures (e.g., vaccine, lab draw, ear lavage) performed during the visit.

3. Evidence-Based Guidelines

· Identify the clinical practice guidelines used to develop the primary diagnosis.

4. Differential Diagnoses

· List 3–5 differential diagnoses (distinct from the primary diagnosis).

· Provide a rationale for each diagnosis.

5. Management Plan

· Include prescribed and over-the-counter medications with drug name, dosage, route, and patient education.

· Detail nonpharmacological treatments and supportive care.

· Specify any required ancillary tests (e.g., ECG, spirometry, X-ray).

· List any necessary referrals (e.g., physical therapy, cardiology, hematology).

6. SDOH, Health Promotion, and Risk Factors

· Address social determinants of health (SDOH), including economic stability, education, healthcare access, neighborhood and environment, and social/community context.

· Outline health promotion strategies, including age-appropriate preventive screenings and immunizations.

· Discuss risk factors related to the primary diagnosis.

7. Patient Education

· Provide comprehensive patient education relevant to the current health visit.

8. Follow-Up

· Include the timeframe for the next visit and specific symptoms that would prompt an earlier return.

9. References

· Use a minimum of three scholarly references from the past five years.

Ensure that all responses are clear, evidence-based, and align with the rubric expectations. Submit the completed assignment in the required format and refer to the Management Plan Template for structure and guidance.

By Day 7

·

Complete your Assignment in i-Human

· Submit the written case study assignment as a Word document

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the 
Turnitin Drafts from the 
Start Here area. 

1. To submit your completed assignment, save your Assignment as 
WK9Assgn+last name+first initial

2. Then, click on 
Start Assignment near the top of the page.

3. Next, click on 
Upload File and select 
Submit Assignment for review.

Rubric

NRNP_6531_Week9_iHuman_Assignment_Rubric

NRNP_6531_Week9_iHuman_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeProblem Statement: Includes a clearly written problem statement that integrates subjective and objective data, effectively supporting the identified diagnosis.

10 to >6.0 pts

Proficient

The problem statement is clearly written and includes all relevant information related to the chief complaint, effectively supporting the diagnosis.

6 to >2.0 pts

Competent

The problem statement is well-written but missing one or two key components, limiting the clarity or completeness of the clinical presentation.

2 to >0 pts

Novice

The problem statement is poorly written, with incomplete ideas or sentences, lacking essential information needed to support the diagnosis.

10 pts

This criterion is linked to a Learning OutcomeCorrectly identify the primary diagnosis along with its corresponding ICD-10 code and list 3-5 differential diagnoses. Describe the key clinical presentations that led to your selection of these differentials. Explain your diagnostic reasoning by detailing how each differential was considered and subsequently ruled out to arrive at the final diagnosis.

15 to >9.0 pts

Proficient

Correct primary diagnosis identified. Appropriate rationale and resources included. Appropriate and clearly written differential diagnoses. A minimum of three differentials with appropriate rationale included. Appropriate codes included.

9 to >3.0 pts

Competent

Correct primary diagnosis identified. Appropriate rationale and resources included. Well written differential diagnoses. May be missing 1-2 critical components. Priority list may be out of order. At least 2 differentials are included, and rationale is generally appropriate. Most codes correct but some errors.

3 to >0 pts

Novice

Primary diagnosis is wrong. Missing rationale and/or resources. Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. 0 to 2 differentials are included, and rationale is lacking or not appropriate. Codes are incorrect.

15 pts

This criterion is linked to a Learning OutcomeIdentification and Application of Clinical Practice Guidelines: Identify the clinical practice guideline(s) used in diagnosing the primary condition. Explain how the guideline (s) informed your diagnostic decision-making, including key criteria for diagnosis and recommended assessments. Justify your approach by referencing specific guideline recommendations.

15 to >9.0 pts

Proficient

Clearly identifies and applies appropriate clinical practice guidelines to support the primary diagnosis, demonstrating a strong understanding of evidence-based practice.

9 to >3.0 pts

Competent

Identifies and applies appropriate clinical practice guidelines but lacks thorough application or justification.

3 to >0 pts

Novice

Clinical practice guidelines are missing, unclear, or not appropriately applied to support the diagnosis.

15 pts

This criterion is linked to a Learning OutcomeManagement Plan: Include appropriate, evidence-based medications (including over-the-counter options), written as complete prescriptions with proper medication education. Additionally, nonpharmacological treatments, necessary ancillary testing, and appropriate referrals are clearly outlined and relevant to the patient’s condition.

25 to >19.0 pts

Proficient

Prescribed medications are appropriate, evidence-based, and include a complete prescription with correct dosing. Comprehensive patient education is provided.

19 to >9.0 pts

Competent

Prescribed medications are appropriate but may lack evidence-based justification or be missing one or two prescription elements. Dosing is correct, but some patient education details are incomplete.

9 to >0 pts

Novice

Prescribed medications are inappropriate or lack evidence-based support, with three or more missing prescription elements. Dosing is incorrect, and patient education is inaccurate or missing key information.

25 pts

This criterion is linked to a Learning OutcomeAddress all aspects of Social Determinants of Health (SDOH), health promotion and risk factors related to the primary diagnosis for the patient.

10 to >6.0 pts

Proficient

All aspects of SDOH, health promotion and risk factors are addressed.

6 to >2.0 pts

Competent

Some aspects of SDOH, health promotion and risk factors are addressed.

2 to >0 pts

Novice

Many missing aspects of SDOH, health promotion and risk factors.

10 pts

This criterion is linked to a Learning OutcomeProvide clear, evidence-based patient education on the diagnosis, treatment plan, medication use, lifestyle modifications, and symptom management. Ensure the information is patient-centered, culturally appropriate, and addresses health literacy to support adherence and self-management.

15 to >9.0 pts

Proficient

Comprehensive, evidence-based patient education is provided, addressing the current health visit, including diagnosis, treatment plan, medication use, and self-care recommendations.

9 to >3.0 pts

Competent

Patient education is included but lacks one or two key components relevant to the current visit, such as diagnosis, treatment plan, or self-care instructions.

3 to >0 pts

Novice

Patient education is incomplete, missing multiple key components relevant to the current visit, such as diagnosis, treatment plan, or self-care guidance.

15 pts

This criterion is linked to a Learning OutcomeFollow Up Instructions: Provide clear, detailed, and patient-centered follow-up instructions tailored to the diagnosis and treatment plan. Specify timing for follow-up visits, including when the patient should return for reassessment or ongoing management. Include red flag symptoms that require immediate medical attention and guidance on when to seek urgent or emergency care.

5 to >3.0 pts

Excellent

Follow up instructions are complete and include time to next visit and specific symptoms to prompt a return visit sooner.

3 to >1.0 pts

Good

Follow up instructions are generally complete but missing 1 or 2 aspects. Symptoms that would prompt a return visit sooner are included but some are missing.

1 to >0 pts

Poor

Follow up instructions are missing important timing aspects. Symptoms prompting return visit sooner are incomplete or missing.

5 pts

This criterion is linked to a Learning OutcomeScholarly References and Clinical Practice Guidelines: Include a minimum of 3 scholarly references that are not older than 5 years. Include most recent clinical practice guidelines if applicable.

5 to >3.0 pts

Excellent

Contains parenthetical/in-text citations and at least 3 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.

3 to >1.0 pts

Good

Contains parenthetical/in-text citations and at least 2 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.

1 to >0 pts

Poor

Contains no parenthetical/in-text citations and 0 evidenced based references listed. Clinical practice guidelines are not cited if applicable.

5 pts

Total Points: 100

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