Please help me with your expert in discussion post for week 6
NUR 502 Week DUS 6
1. Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first
time complaining of a long history of bilateral knee discomfort that becomes worse when it rains
and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit
this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She
has also suffered from low back pain for many years, but recently it has become worse. She is
having difficulty using the stairs in her home. The patient had recently visited a rheumatologist
who tried a variety of NSAIDs to help her with pain control. The medications gave her mild
relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated
with oxycodone. However, when she showed increasing tolerance and began insisting on higher
doses of the medication, the physician told her that she may need surgery and that he could not
prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic.
Her knees started to get significantly more painful after she gained 20 pounds during the past
nine months. Her joints are most stiff when she has been sitting or lying for some time and they
tend to “loosen up” with activity. The patient has always been worried about osteoporosis
because several family members have been diagnosed with the disease. However, nonclinical
manifestations of osteoporosis have developed.
Case Study Questions
1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the
risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to
include clinical manifestations, major characteristics, joints usually affected and
diagnostic methods.
3. Describe the different treatment alternatives available, including non-pharmacological
and pharmacological that you consider are appropriate for this patient and why.
4. How would you handle the patient concern about osteoporosis? Describe your
interventions and education you would provide to her regarding osteoporosis.
2. Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40
years. Her husband died 2 years ago due to complications of a CVA. Past medical history:
hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no
contributory. Last annual visits with PCP with normal results. She lives by herself but her
children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she
is not keeping things at home as she used to, often is repeating and asking the same question
several times and yesterday she has issues remembering her way back home from the grocery
store.
Case Study Questions
1. Name the most common risks factors for Alzheimer’s disease
2. Name and describe the similarities and the differences between Alzheimer’s disease,
Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
3. Define and describe explicit and implicit memory.
4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National
Institute of Aging and the Alzheimer’s Association
5. What would be the best therapeutic approach on C.J.
NUR 512 Week Dus 6
3. Based on your textbook reading, discuss the process of
Advanced Practice Nurse (APN) business planning from a
system approach.
Submission Instruction
You must complete both case studies
• Your initial post should be at least 500 words in total, (250 words per case
study), formatted and cited in current APA style with support from a minimum of 2
academic sources PER CASE STUDY that are no older than 5 years old. Your initial
post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or
adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
response.)
• All replies must be constructive and use literature such as one intext citation from one
scholarly source.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due
date.
• Late work policies, expectations regarding proper citations, acceptable means of
responding to peer feedback, and other expectations are at the discretion of the
instructor.
