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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 Evaluation†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 Together†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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