Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410

Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410

Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410

Topic 5 DQ 1

Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions. Explain what symptoms are associated with the findings and how these affect patient function.

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There are a number of pathophysiological findings and disorders associated with musculoskeletal, metabolism and multi system dysfunctions. For example, one common abnormal musculoskeletal finding is osteoarthritis. This is a degenerative condition where repetitious actions cause wear and tear on synovial joints, causing inflammation and pain (Falkner, 2018). Symptoms may include joint tenderness, pain and stiffness with use of the joints, and a more knobby appearance over time. This makes daily life for the patient significantly more difficult because of the pain and stiffness.

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The metabolism is largely regulated by the endocrine system. Hormones released by the pancreas work to regulate blood sugar, when this is not functioning properly it can lead to conditions such as diabetes mellitus. Diabetes is one of the most prevalent disorders and involves abnormally high blood sugar levels due to the pancreas not producing enough insulin or the body is unable to use insulin effectively (Sapra, 2021). Hallmark symptoms of diabetes are increased thirst, frequent urination and fruity smelling breath. Living with diabetes can be challenging for patients because there is always risk of complication, hypoglycemia could occur or diabetic ketoacidosis (Sapra, 2021). It can be challenging to learn to manage diabetes, including how to check blood sugar levels, how to administer insulin if indicated, and how to alter their lifestyle to improve their health.

Finally, multi-system dysfunction can lead to very serious health conditions. When an infection spreads to the blood it causes a systemic inflammatory response and sepsis, which can quickly progress to septic shock if left untreated. Septic shock is a severe condition which causes the patient to rapidly deteriorate, leading to respiratory failure and multi organ dysfunction (Falkner, 2018). Symptoms of a multi system inflammatory response include fever, tachycardia, tachypnea or hypothermia. Symptoms of septic shock also include hypotension, change in mental status, dizziness, and oliguria (Falkner, 2018). When multi system dysfunction is involved, typically this will involve a long recovery for the patient after the initial infection and shock is treated.

Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410 References:

Falkner, A. (2018). Musculoskeletal, metabolism and multisystem complexities. https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/5

Sapra A. and Bhandari P. (2021). Diabetes Mellitus. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK551501/

Thank you for contributing to this post. Diabetes is a very prevalent condition that affects millions of people around the world. One risk factor that is modifiable is being overweight or obese. As nurses, it is important that those who are overweight or obese be educated on the possibility of their weight leading to DM. It is also important to utilize the nursing process to ascertain what is causing the patient to be overweight and formulate the appropriate nursing diagnoses, followed by making attainable goals with the patient. Once the interventions have been established and implemented, it is essential that the nurse evaluate whether or not the interventions helped the patient to reach the goals that they were looking for.

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Replies to Mary Kate Morrisette

Musculoskeletal, metabolic, and multisystem health dysfunctions represent one of the most challenging health conditions that may have a complex challenge to the affected patient (Beefcroft & Hough, 2016). Symptoms of these conditions may range in severity. Musculoskeletal complications can affect the muscle, bone, tendons and joints. A major symptom that patients encounter is pain. Conditions may range from the ones that are sudden and short-lived to the ones that are lifelong and are associated with disability as well as ongoing pain. Among the notable changes that a patient with this condition may experience include persistent pain as well as mobility limitations. In this, the patients who may suffer from the long-term condition may experience severe pain that may be related to the wearing out of the tendons. For some patients with complex conditions, they may experience joint deformity that may be a long term condition, and it may be relatively challenging to treat it. When these abnormal changes occur, the involved patient may find it hard to handle some of the changes in weight, thus affecting some parts of the body (Black, 2016). Although musculoskeletal conditions may arise in many forms as well as a result of different factors, there are many ways that the situation may represent itself. The identification of specific symptoms of the disorder plays an essential role in the development of an approach to assist in the management of the stated condition.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410

 

Beecroft, C., & Hough, M. (2016). Perioperative management of patients with musculoskeletal disease and for the burns patient. Surgery (Oxford), 348), 405-410.

Black, D. M., & Rosen, C. J. (2016). Postmenopausal osteoporosis. New England Journal of

Medicine, 374(3), 254-262

 

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Ebony Adagun

replied toBianca Guerra

Jul 23, 2022, 7:42 PM

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Replies to Bianca Guerra

Hello Bianca,

Pain is one of the physical symptoms that can be debilitating for these patients. With that being said, it is extremely important for nurses to remember that pain can be not taken lightly. Although we do live in a time where some abuse pain medications, we have to remember that we never judge anyone for seeking pain relief. In some cultures, it is not customary to show any outward expression of pain. However, this does not mean that the patient is not in pain. On the other side of it, a patient can be extremely expressive of pain, which can be due to their low tolerance of pain compared to another person.

 

  Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410References

Grand Canyon University. (2018). Pathophysiology: Clinical applications for client health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/

 

• JM

Jennifer Manske

replied toBianca Guerra

Jul 23, 2022, 7:42 PM

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Replies to Bianca Guerra

Bianca,

All the musculoskeletal problems lead to a person being uncomfortable or some loss of function, whether the patient is treated or not. Diabetes is a very common metabolic problem the contributing factors to the development of diabetes and subsequent complications are diet, genetics, obesity, and alcohol, and tobacco use (Falkner & Green, 2018). I’m sure we all have taken care of patient who is diabetic as it is so common. Diabetes is becoming more and more prevalent and people are becoming less and less healthy.

Falkner, A. & Green, S. (2018). Musculoskeletal, metabolism, and multisystem complexities. Pathophysiology Clinical Applications for client health. Grand Canyon University (Ed). https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/#/chapter/5

• GP

Gregory Pryor

replied toBianca Guerra

Jul 23, 2022, 11:56 PM

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Replies to Bianca Guerra

Hello Bianca,

Your post was quite informative. It’s amazing how many in society are affected by musculoskeletal conditions. These conditions can be quite disabling and prevent many from functioning. Some individuals have difficulty performing basic activities of daily living. Some require electrical wheelchairs for mobility and are no longer able to ambulate or bear weight. Due to mobility limitations. Weight gain becomes an issue  and further complicates mobility issue. Individuals should still continue with as much exercise as tolerated but often because of pain exercise is not attempted. Passive range of motion can help to prevent contractures which are often a result of lack of mobility and exercise . Patients with knee and hip osteoporosis who engage in exercise are able to slow down the deterioration of the condition(Jonsson et al., 2019).

 

  Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410 Reference

 

Jönsson, T., Eek, F., Dell’Isola, A., Dahlberg, L. E., & Ekvall Hansson, E. (2019). The Better Management of Patients with Osteoarthritis Program: Outcomes after evidence-based education and exercise delivered nationwide in Sweden. PloS one, 14(9), e0222657.

• JT

Joyce Turner

replied toBianca Guerra

Jul 24, 2022, 9:48 AM

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Replies to Bianca Guerra

Bianca, great post!

If I had to choose a multi-skeletal disease, I would choose osteoarthritis over rheumatoid arthritis. I have observed patients with both pathological diseases. However, those with rheumatoid suffer in my opinion suffer the most. Although both cause pain, rheumatoid appears to be more debilitating. Those with rheumatoid arthritis are often on more medications than those with osteoarthritis. Early consistent treatment plans are better for both diseases, but even for more for those with rheumatoid arthritis.

Professor Turner

EA

Ebony Adagun

Jul 23, 2022, 12:39 PM

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Replies to Mary Kate Morrisette

As one ages, normal pathophysiological changes occur in the body. One that occurs in the musculoskeletal system is osteoarthritis (OA). OA occurs from “the wear and tear on synovial joints, especially through repetitive actions, resulting in degeneration of the protective cartilage at the juncture of two bones” (Grand Canyon University, 2018). Those that have OA, in their hand for example, “often experience pain, stiffness, functional impairment, and reduced quality of life, especially those with thumb-base OA or when there is severe damage to the interphalangeal (IP) joints” (Obotiba, et al., 2021). Experiencing these types of symptoms can have an impact on the patient’s activities of daily living.

Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410  References

Grand Canyon University. (2018). Pathophysiology: Clinical applications for client health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applications-for-client-health/v1.1/

 

Obotiba, A. D., Swain, S., Kaur, J., Yaseen, K., Doherty, M., Zhang, W., & Abhishek, A. (2021). Synovitis and bone marrow lesions associated with symptoms and radiographic progression in hand osteoarthritis: a systematic review and meta-analysis of observational studies. Osteoarthritis and Cartilage, 29(7), 946-955. doi:10.1016/j.joca.2021.03.018

Describe some of the more common pathophysiological changes and abnormal findings associated with musculoskeletal, metabolic, and multisystem health dysfunctions NRS 410 Grading Rubric

Performance Category	100% or highest level of performance 100% 16 points	Very good or high level of performance 88% 14 points	Acceptable level of performance 81% 13 points	Inadequate demonstration of expectations 68% 11 points	Deficient level of performance 56% 9 points	Failing level of performance 55% or less 0 points
Total Points Possible= 50	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic topics.	Presentation of information was exceptional and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was good, but was superficial in places and included all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information was minimally demonstrated in all of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in one of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in two of the following elements: Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information.	Presentation of information is unsatisfactory in three or more of the following elements Provides evidence of scholarly inquiry relevant to required TD topic(s). Presents specific information from scholarly sources to develop a comprehensive presentation of facts. Uses at least one outside scholarly reference that is relevant, less than 5 years old (use of older references requires instructor permission) and reliable for the required topic.* Uses in-text citation and full reference at end of posting when presenting another person’s thoughts as quotes or paraphrase of information
	16 Points	14 Points	13 Points	11 Points	9 Points	0 Points
Application of Course Knowledge Demonstrate the ability to analyze and apply principles, knowledge and information learned in the outside readings and relate them to real-life professional situations	Presentation of information was exceptional and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was good, but was superficial in places and included all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information was minimally demonstrated in the all of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in one of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from and scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in two of the following elements: Applies principles, knowledge and information from scholarly resources to the required topic. Applies facts, principles or concepts learned from scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.	Presentation of information is unsatisfactory in three of the following elements Applies principles, knowledge and information and scholarly resources to the required topic. Applies facts, principles or concepts learned scholarly resources to a professional experience. Application of information is comprehensive and specific to the required topic.
	10 Points	9 Points			6 Points	0 Points
Interactive Dialogue Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic.	Demonstrated all of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 3 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.			Demonstrated 2 of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.	Demonstrated 1 or less of the following: Initial post must be a minimum of 300 words. The peer and instructor responses must be a minimum of 150 words each. Responses are substantive Responses are related to the topic of discussion.
	8 Points	7 Points	6 Points	5 Points	4 Points	0 Points
Grammar, Syntax, APA Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition Error is defined to be a unique APA error. Same type of error is only counted as one error.	The following was present: 0-3 errors in APA format AND Responses have 0-3 grammatical, spelling or punctuation errors AND Writing style is generally clear, focused on topic,and facilitates communication.	The following was present: 4-6 errors in APA format. AND/OR Responses have 4-5 grammatical, spelling or punctuation errors AND/OR Writing style is somewhat focused on topic.	The following was present: 7-9 errors in APA format. AND/OR Responses have 6-7 grammatical, spelling or punctuation errors AND/OR Writing style is slightly focused on topic making discussion difficult to understand.	The following was present: 10- 12 errors in APA format AND/OR Responses have 8-9 grammatical, spelling and punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand.	The following was present: 13 – 15 errors in APA format AND/OR Responses have 8-10 grammatical, spelling or punctuation errors AND/OR Writing style is not focused on topic, making discussion difficult to understand. AND/OR The student continues to make repeated mistakes in any of the above areas after written correction by the instructor.	The following was present: 16 to greater errors in APA format. AND/OR Responses have more than 10 grammatical, spelling or punctuation errors. AND/OR Writing style does not facilitate communication
	0 Points Deducted					5 Points Lost
Participation Requirements	Demonstrated the following: Initial, peer, and faculty postings were made on 3 separate days					Failed to demonstrate the following: Initial, peer, and faculty postings were made on 3 separate days
	0 Points Lost					5 Points Lost
Due Date Requirements	Demonstrated all of the following: The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.					Demonstrates one or less of the following. The initial posting to the graded threaded discussion topic is posted within the course no later than Wednesday, 11:59 pm MT. A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT.