NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up
ST Thomas University NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up– Step-By-Step Guide
This guide will demonstrate how to complete the ST Thomas University NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up
Whether one passes or fails an academic assignment such as the ST Thomas University NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up
The introduction for the ST Thomas University NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up
After the introduction, move into the main part of the NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NUR 600 Assignment 10.2 Musculoskeletal and Neurological Write-Up
Both the joints in the upper and lower extremities have a full range of motion. There is no evidence of edema or deformity. Gait and station are normal. There is no misalignment, crepitation, defects, asymmetry, pain, instability, masses, effusions, atrophy, or aberrant tone or strength in the head, spine, neck, pelvis, ribs, or extremities. Neurologically, CN 2-12 are normal. Proprioception, touch, and pain are all normal. DTRs are normal in both the upper and lower limbs. There are no extreme reflexes. No prior spinal cord injuries or injuries to other spinal cord regions (Bickley, 2020).
References
Bickley, L. S. (2020). Bates’ Guide to Physical Examination and History Taking. Wolters Kluwer Health.
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Patient Information:
Initials: D.P
Age: 23 years
Sex: Male
Race: African American
Subjective History
CC: “Regular headaches.”
HPI:
D.P is a 23-year-old AA male patient who presents with complaints of headaches that began eight days ago. He states that the headaches are intermittent and diffuse all over the head. The pain occurs for about 10-30 minutes. The headache is described as a throbbing pain that has the greatest intensity and pressure above the eyes. He states that the pain spreads to the nose, cheekbones, and jaw. The headache is aggravated by activity and bending over and, to some extent, relieved by rest and taking Tylenol. He denies experiencing nausea, vomiting, photophobia, or phonophobia associated with the headache. He rates the headache as 5/10 on the pain scale. D.P. reports that the headache often interferes with his activities.
Current Medications: OTC Motrin 400 mg PRN to alleviate headaches.
Allergies: Allergic to smoke and air sprays, causing sneezing. No known drug allergies.
PMHx: D.P. has a history of Chronic sinusitis.
Social Hx: D.P. is an intern at an Insurance firm, and he graduated four months ago with a Bachelor’s in Finance. He lives in the college hostels while in school and with his parents and two younger siblings on holidays. His hobbies include reading novels, writing articles, and painting. He is financed by his two parents and gets some money from his part-time job. K.M. admits taking alcohol, 3-4 beers on weekends, but denies smoking or using other illicit drugs.
Family Hx: Paternal grandfather had pancreatic cancer. Father has Diabetes. Sibling alive and well.
ROS:
General: Denies fatigue, weight changes, fever, or chills.
HEENT: Positive for headache, facial pain, facial pressure, and rhinorrhea. Denies visual changes, photophobia, phonophobia, hearing loss, loss of taste, or swallowing difficulties.
Neck: No neck pain or stiffness.
Skin: No skin color changes, itching, rashes, or lesions.
Cardiovascular: No edema, palpitations, chest pain, or exertional dyspnea.
Respiratory: No cough, sputum production, chest pain, or shortness of breath.
Gastrointestinal: No appetite changes, epigastric pain, abdominal pain, bowel changes, or rectal bleeding.
Genitourinary: No penile discharge, dysuria, blood in urine, or urinary urgency/frequency.
Neurological: Positive for headache. No dizziness, black spells, altered conscious levels, or tingling sensations.
Musculoskeletal: No muscle pain, back pain, joint pain, or stiffness.
Hematologic: No history of bleeding gums, anemia, or blood transfusion.
Lymphatic’s: Negative for lymph node enlargement.
Psychiatric: No anxiety or depressive symptoms.
Endocrinologic: No heat/cold intolerance, increased urine production, acute thirst, or excessive hunger.
Allergies: Allergic to smoke and air sprays.
Objective History
Physical Exam:
Vital Signs: BP- 118/76 mm Hg; Resp- 22; PR- 88; Temp- 98.78 F
Weight- 137 lbs.; Height- 5’5; BMI- 22.8
General: The client is well-groomed and appropriately dressed for the weather. He is alert and in no acute pain or distress. Oriented to person, place, and time; maintains eye contact and has clear speech.
HEENT: Head: Atraumatic and normocephalic. Hair is black, well-distributed, with no scalp tenderness. Tenderness on the cheekbones and jawline. Eyes: Sclera is white and conjunctiva pink. PERRLA with no excessive lacrimation. Tenderness on the orbital area and frontal sinus are palpable. Ears: T.M.s clear. Minimal pus present but with no ear discharge. No mastoid bone inflammation. Nose: Rhinorrhea with clear nasal discharge. Tenderness on the bridge of the nose. Throat: Mucous membranes pink and moist. Tonsillar glands are non-erythematous.
Neck: Full ROM of the neck. The trachea is midline. The thyroid gland is normal on palpation.
Respiratory: Respirations smooth, chest rise and falls in unison on inspiration and expiration. Lungs clear on auscultation.
Cardiovascular: No edema or jugular vein distension. Capillary refill- 2 seconds. S1 and S2 are present. Gallop sounds, systolic murmurs, and frictions rub absent.
Neurological: Speech is clear with normal volume and rate. C.N.s intact. Muscle strength 5/5.
Assessment
Differential Diagnoses
Sinus Headache: Common symptoms of a Sinus headache include facial pain and pressure, nasal and sinus congestion, and headache. The headache is usually pulsating or throbbing and is moderate to severe. It usually occurs in the sinuses, the area of the cheeks above the maxillary sinus, the bridge of the nose above the ethmoid sinus, or the eyes above the frontal sinus (Maurya et al., 2019). Sinus Headache is a presumptive diagnosis based on DP’s symptoms of throbbing, intermittent, diffuse, moderate headaches. Besides, the headache is aggravated by activity. He also has pressure above the eyes, nose, cheekbones, and jaw, where the sinuses are located. Other pertinent positive findings include rhinorrhea, nasal drip, tenderness over sinus areas, palpable sinuses, and a history of chronic sinusitis.
Cluster Headache: It manifests with headache attacks that are usually severe or very severe and strictly unilateral pain occurring in the orbital, supraorbital, or temporal regions (De Corso et al., 2018). It lasts 15 to 180 minutes and can occur once to 8 times a day. This is a differential diagnosis based on the patient’s symptoms of headache, pain in the orbital, supraorbital, or temporal regions, and nasal congestion. However, DP has a diffuse, bilateral headache, ruling out a primary Cluster headache diagnosis.
Episodic Tension-Type Headache (TTH): Episodic TTH is a differential diagnosis based on pertinent positive findings of the diffuse headache of moderate intensity. Pertinent negative findings include a non-pulsating headache and scalp and neck tenderness (García-Azorín et al., 2020). Besides, the patient’s headache is aggravated by activity, which rules out TTH as a possible diagnosis.
Plan
Medication plan: Tylenol 500 mg PRN.
Saline nasal spray to thin mucus.
Phenylephrine nasal decongestant alleviates sinus swelling and drains mucus (Maurya et al., 2019).
Non-pharmacologic: Warm compressions on tender areas of the face.
Health Education: The patient will be educated on regular physical exercises, stretching, massage, balanced meals, and adequate sleep to prevent frequent headaches. Massage helps to relieve tight muscles in the back of the head, neck, and shoulders, alleviating headaches (May, 2018).
Consultation: Otolaryngology consultation if the headache worsens.
References
De Corso, E., Kar, M., Cantone, E., Lucidi, D., Settimi, S., Mele, D., Salvati, A., Muluk, N. B., Paludetti, G., & Cingi, C. (2018). Facial pain: sinus or not? Acta otorhinolaryngologica Italica: organo ufficiale Della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 38(6), 485–496. https://doi.org/10.14639/0392-100X-1721
García-Azorín, D., Farid-Zahran, M., Gutiérrez-Sánchez, M., González-García, M. N., Guerrero, A. L., & Porta-Etessam, J. (2020). Tension-type headache in the Emergency Department Diagnosis and misdiagnosis: The TEDDi study. Scientific reports, 10(1), 2446. https://doi.org/10.1038/s41598-020-59171-4
Maurya, A., Qureshi, S., Jadia, S., & Maurya, M. (2019). “Sinus Headache”: Diagnosis and Dilemma?? An Analytical and Prospective Study. Indian journal of otolaryngology and head and neck surgery: official publication of the Association of Otolaryngologists of India, 71(3), 367–370. https://doi.org/10.1007/s12070-019-01603-3
May A. (2018). Hints on Diagnosing and Treating Headache. Deutsches Arzteblatt international, 115(17), 299–308. https://doi.org/10.3238/arztebl.2018.0299