Question: LAB ASSIGNMENT: vidence-based practice guidelines and ethical considerations for specific scenarios
06 Oct 2024,11:32 AM
CASE STUDY 7
A 60-year-old man who was diagnosed with inclusive body myositis several years ago is experiencing a rapid decline in his condition. He prefers to be stay home with hospice relief to receive end-of-life care, but his wife wants him to be admitted to an inpatient setting.
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.
Required Reading:
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel\'s guide to physical examination: An interprofessional approach (10th ed.). St. Louis, MO: Elsevier Mosby.
Chapter 25, “Sports Participation Evaluationâ€
In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation.
Chapter 24, “Putting It All Togetherâ€
In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship.
Expert answer
Case Study #7
Inclusive body myositis (IBM) is a progressive condition associated with the
weakening of muscles over time. Myositis includes muscle inflammation. The muscle biopsy
identifies inclusion bodies, which are abnormal structures in muscle cells. Symptoms of IBM
include frequent falls, muscle weakness, difficulty walking, and drop foot. These symptoms
develop and worsen over time, affecting an individual’s quality of life. A complete health
assessment and diagnostic tests are crucial for developing an appropriate therapeutic plan to
manage the patient's condition. One of the vital health assessments for this patient includes
Inclusive body myositis (IBM) is a progressive condition associated with the
weakening of muscles over time. Myositis includes muscle inflammation. The muscle biopsy
identifies inclusion bodies, which are abnormal structures in muscle cells. Symptoms of IBM
include frequent falls, muscle weakness, difficulty walking, and drop foot. These symptoms
develop and worsen over time, affecting an individual’s quality of life. A complete health
assessment and diagnostic tests are crucial for developing an appropriate therapeutic plan to
manage the patient's condition. One of the vital health assessments for this patient includes
muscle strength testing. Muscle strength testing is vital to evaluating weakness to
differentiate a true weakness from a poor endurance or imbalance (Naqvi & Sherman, 2022).
Functional assessment is essential to evaluate the patient’s capacity to perform activities of
daily living. The IBM functional rating scale (IBMFRS) is used to assess activities of daily
living, such as motor tasks, hygiene, and dressing in patients with IBM (Hunn et al., 2023).
This condition commonly affects the wrist bones, and it would be essential to evaluate
the patient’s grip strength. It would also be necessary to evaluate the patient’s medical
history, including past and current health conditions, especially chronic conditions. Other
information about the patient's medical history that should be evaluated includes current
medication that he takes. In this case, the practitioner should comprehend the patient’s
current diagnosis and its progression or development. The practitioner should also evaluate
the patient’s current symptoms to determine the severity of the current condition and inform
the appropriate management plan.
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