Decision Tree For Neurological And Musculoskeletal Disorders



To Prepare
  • Review the interactive media piece assigned by your Instructor.
  • Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
  • Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
  • You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.
By Day 7 of Week 8

Write a 1- to 2-page summary paper that addresses the following:

  • Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.





Discussion Assignment:

Respond to the following Case study:

Explain how you might apply knowledge gained from the Response case studies to your own practice in clinical settings.

· Share additional interview and communication techniques that could be effective with your colleague’s selected patient.


· Suggest additional health-related risks that might be considered.


· Validate an idea with your own experience and additional research.


· Explain your reasoning using at least TWO different references from current evidence-based literature in APA Format.

Age: _42__                            Gender: ___Male___


Chief Complaint (CC): Back Pain

History of Present Illness (HPI):  A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg.


Multivitamins 1 tab daily, Motrin 800mg q4-6hr

Allergies: No Known Allergies

Past Medical History (PMH): none

Past Surgical History (PSH): none

Sexual/Reproductive History: Heterosexual single male for 10 years and no sex for 1 year.

Personal/Social History: Smoking in the past since19 year of age: Recently quit 2 months ago

Immunization History: Up to date. Recent influenza given 12/30/1985 at this clinic

Significant Family History:  No kids. Never married. Paternal Grandma HTN, Diabetes age 81, Mother HTN Age 69, Father Diabetes, HTN Age 68

Lifestyle: LB work as a registered nurse at Triangle springs over 10years.  LB lives in a house he bought in Cary, NC over 4 years ago. LB is a Jehovah Witness but doesn’t practice. LB feels safe at home and denies any signs of depression. LB family are very supportive and they go for family date once every week. LB had a weight loss over a year of 5bs.

Review of Systems:


LB is a pleasant, 42-year-old Caucasian who presents with back pain. He is the primary source of the history. LB offers information freely and without contradiction. LB speech is clear and coherent. He maintains eye contact throughout the interview


LB does not wear any corrective eye and have not visited an optometrist in over 3 years. Dental was 1 year ago. Denies any other complications.


Thyroid smooth, no goiter or lymphadenopathy


No history of lesions, masses and/or rashes


Denies cough, dyspnea, wheezing, or shortness of breath.


Cardiovascular/Peripheral Vascular:

Reports no tachycardia, edema, palpation or easy bruising.


Denies food intolerance. No reports of pain, vomiting, constipation, diarrhea, nausea and/or indigestion.


No reports of flank pain, dysuria, nocturia, polyuria, and/or hematuria


Lower back pain over one month ago with radiation to the leg pain a 9/10 and increases higher with standing or sitting long periods of time. Motrin eases pain 1-0/10. Denies numbness. Denies weakness. Pain 0/10 at rest.


Denies any depression, suicidal thoughts or ideation. No anxiety


No loss of coordination or sensation, dizziness, lightheadedness. No sense of disequilibrium or seizures.


No rashes, no moles


Reports no blood disorders or complications


No endocrinology symptoms nor hormone therapies


No allergies


Physical Exam:

Vital signs:

Temperature 98.2, BP 122/77, Resp 14, Spo2 100, HR 64, Ht 69 inches Wt 202lbs. BMI 21.6


PERRLA, Head, ears, eyes and mouth are symmetry. Snellen chart showed 20/20 in both eyes. Equal hair distribution of hair on eyebrows, lashes, head. Gag reflex intact. Whisper heard bilateral. Oral mucosa is moist and has no lesion or pain. Nasal mucosa pink and moist.


Thyroid smooth, no goiter or lymphadenopathy.


Chest is symmetry.  Auscultation clear lower and upper lobe bilaterally. Resonant percuss throughout.

Heart/Peripheral Vascular:

S1, S2 without murmurs, rubs and or gallops. Heart regular. PMI is at midclavicular line, 5th intercoastal space with no thrills, lifts, and heaves. Bilateral peripheral pulses equal. Capillary refill less than 3 seconds. No peripheral edema. Bilateral carotids equal without bruit



Bowel sounds normoactive in all four quadrants. No tenderness or guarding during palpation. No organomegaly. Abdomen symmetric, no scars and/or lesions. Tympanic throughout percussion.


Full ROM in bilateral upper and lower extriemities, No swelling, deformity, or swelling.


Equal bilateral in upper and lower extremities and DTRs 2.CN II -XII grossly intact.


No rashes, warm to touch, no wounds.


X ray, CT scan, and/or MRI to look at the bones in lumbar and find the issue

CBC and Urinalysis to check for infection/UTI


Watch LB walk to check gait. Also lay flat, bend and others that can help me identify LB limitation and things he can do


1) Lumbar Herniated Disk. The lumbar spine contents 5 bony segments in the lower back area, which is where lumbar disease occurs. In herniation and or ruptures the disk continues to break down, or with continued stress on the spine, the inner nucleus pulposus may rupture out from the annulus. This is a ruptured, or herniated disk. The fragments of disc material could then press on the nerve roots located right behind the disk space. This can cause pain as to the legs, weakness, numbness, or changes in sensation (Raj M. Amin, 2017). This also causes leg pain which LB has.

2) Sciatica are back pain caused by a problem with the sciatic nerve. This is a large nerve that runs from the lower back down the back of each leg. LB has pain that goes down to his legs. Sciatica happens when something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the leg, hip, and buttocks (Davis & Vasudevan, 2015).

3) Lumbar spinal stenosis happens when the narrowing of the spinal canal, compressing the nerves traveling through the lower back into the legs. LB is having his issues While it may affect younger patients, due to developmental causes, which according to the assessment LB has not or it has gone undiscovered, it is more often a degenerative condition that affects people who are typically age 60 and older. LB does smoking which could affect his bones (Carlos Bagley, 2019).

4) Lower back strain is acute pain that is caused by damage to the muscles and ligaments of the back. It is also referred to as a pulled muscle. … Lumbar muscle strain occurs when a back muscle is over-stretched or torn, which damages the muscle fibers. When one of the ligaments in the back tears, it is referred to as a sprain. LB could have been lifting or pulling heavy object or inappropriate working position. As a nurse taking care of patient and not having the back at your level this could happen (Massimo Allegri, 2016).

5) Idiopathic back pain is back pain that physicians cannot explain because there is not obvious structural cause of the pain like a herniated disc, degenerative disc disease, or stenosis. Idiopathic back pain is the “diagnosis” given by doctors to patients that have chronic which is over 6 months back pain and they have been unable to figure out why (Massimo Allegri, 2016). LB has had back pain for a month but do not know the cause at this time.

Depending on diagnosis LB may need a topical pain cream, physical therapy, surgery, a back brace. LB will need education on proper body mechanics.

Book Review- “The Spirit Catches You and You Fall Down”

Book Review #1- “The Spirit Catches You and You Fall Down”
Chapters 1-3

  1. Explain why Foua Yang’s birthdate may have been different in various locations in the medical charts?
  2. Describe how the history of the Hmong people as discussed in chapter two may have influenced Foua and Nao Kao’s perception of the physicians and nurses who appear to be in charge of their daughter’s care?
  3. How do you think to have an interpreter might have improved the outcomes of Lia’s numerous emergency room visits up to this point?
  4. Discuss the differences in conceptual frameworks that may have led Foua and Nao Kao and the caregivers at Merced County hospital to misunderstand one another during Lia’s admissions?
  5. How may have Foua and Nao Kao experienced cultural pain during the experience of Lia’s birth in the United States?

How Depression Impacts The Immune System

The Topic is: How Depression Impacts The Immune System

The Structure of the Research Paper Are:

1) Cover Page

2) Abstract

3) Introduction

4) Literature Review

5) Method

6) Results

7) Discussion

8) Limitations and Implications

9) Conclusion

10) References

*zero plagiarism Please*

Informatics In Healthcare VI

Data-Based Changes

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare.
  2. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
  3. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?

Assignment Expectations:

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

Community Health VI

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

  • What is the health problem
  • Which group(s) are most likely to be at risk
  • What social/behavioral/health system determinants affect this
  • Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
  • What resistance might be met in implementing the intervention/activity

View these links on how to create infographics:

You should submit two infographics and one reference list containing at least three scholarly sources. These can be submitted as three separate files.

From part one of the content development project, focus only on the goals, context, and mechanics analytical breakdown.

From part one of the content development project, focus only on the goals, context, and mechanics analytical breakdown. For your convenience, I have copy and pasted these sections below.


  • What is the goal/mission/cause of the organization/individual?
    • What are the goals of the content? Drive conversations? Create community? Etc.
    • How do the content goals relate to the overall organizational goals?
    • How is success defined by the organization? Does success mean gaining followers? Having fun managing an account? Promoting a cause? Etc.


  • Describe the organization’s/individual’s context:
    • What internal or external relationships affect their content and content strategy?
    • What type of financial support do they have? Do they have the backing of a large company or a single person business?
    • What type of employees do they have? How do they define their relationship with their employees?
    • Do they have partnerships with corporations or other businesses?
    • What is their industry? How are they situated within that industry?


What modes are they using on their platforms?

  • How often is content created?
    • For social media, do an analysis of at least a month’s worth of posts: how often is content posted across platforms?
    • What is the significance of this?
  • When is content created and shared?
  • What is the media of the content? (video, images, text, etc)
  • What are all the elements of the content? What type of genre is being used? Are they sharing a narrative or promoting a product? A single post might include multiple media and elements.
  • Why have they chosen the media of their content?
  • What are they trying to accomplish through the strategy of their content that’s shown in this section?

Gastrointestinal Tract: Disorders Of Motility

  • Review this week’s media presentation on the gastrointestinal system.
  • Review Chapter 35 in the Huether and McCance text.  Identify the normal pathophysiology of gastric acid stimulation and  production.
  • Review Chapter 37 in the Huether and McCance text.  Consider the pathophysiology of gastroesophageal reflux disease (GERD),  peptic ulcer disease (PUD), and gastritis. Think about how these  disorders are similar and different.
  • Select a patient factor different from the one you  selected in this week’s Discussion: genetics, gender, ethnicity, age, or  behavior. Consider how the factor you selected might impact the  pathophysiology of GERD, PUD, and gastritis. Reflect on how you would  diagnose and prescribe treatment of these disorders for a patient based  on this factor.
  • Review the “Mind Maps—Dementia, Endocarditis, and  Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning  Resources. Use the examples in the media as a guide to construct a mind  map for gastritis. Consider the epidemiology and clinical presentation  of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

  • Describe the normal pathophysiology of gastric acid  stimulation and production. Explain the changes that occur to gastric  acid stimulation and production with GERD, PUD, and gastritis disorders.
  • Explain how the factor you selected might impact the  pathophysiology of GERD, PUD, and gastritis. Describe how you would  diagnose and prescribe treatment of these disorders for a patient based  on the factor you selected.
  • Construct a mind map for gastritis. Include the  epidemiology, pathophysiology, and clinical presentation, as well as the  diagnosis and treatment you explained in your paper.

Annotation of a Qualitative Research Article

Submit: Annotation of a Qualitative Research Article

This week, you will submit the annotation of a qualitative research article on a topic of your interest. Narrative, ethnographic, grounded theory, case study, and phenomenology are examples of types of research designs or approaches used in qualitative research.

An annotation consists of three separate paragraphs that cover three respective components: summary, analysis, and application. These three components convey the relevance and value of the source. As such, an annotation demonstrates your critical thinking about, and authority on, the source topic. This week’s annotation is a precursor to the annotated bibliography assignment due in Week 10.

An annotated bibliography is a document containing selected sources accompanied by a respective annotation of each source. In preparation for your own future research, an annotated bibliography provides a background for understanding a portion of the existing literature on a particular topic. It is also a useful first step in gathering sources in preparation for writing a subsequent literature review as part of a dissertation.

Please review the assignment instructions below and click on the underlined words for information about how to craft each component of an annotation.

It is recommended that you use the grading rubric as a self-evaluation tool before submitting your assignment.

  1. Use the Walden library database to search for a qualitative research article from a peer-reviewed journal on a topic of your interest.
  2. Before you read the full article and begin your annotation, locate the methodology section in the article to be sure that the article describes a qualitative study. Confirm that one of the types of qualitative research designs or approaches, such as narrative, ethnographic, grounded theory, case study, or phenomenology, was used in the study.
  3. Annotate one qualitative research article from a peer-reviewed journal on a topic of your interest.
  4. Provide the reference list entry for this article in APA Style followed by a three-paragraph annotation that includes:
    • summary
    • An analysis
    • An application as illustrated in this example
    • Format your annotation in Times New Roman, 12-point font, double-spaced. A separate References list page is not needed for this assignment.

Explain how acid-base physiology leads to the regulation of fluid balance and extra cellular pH.

Minimum of 300 words with 2 peer review reference in 6th edition APA format


  1. Explain how acid-base physiology leads to the regulation of fluid balance and extra cellular pH.
  2. What is the equation for the carbonic acid/bicarbonate buffering system? How do actions at the lungs and kidneys affect this equation and thus compensate for alterations in plasma pH levels?