An understanding of the neurological and musculoskeletal systems<\/a> is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.<\/span>\u00a0<\/span><\/p>\n Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role.<\/span>\u00a0<\/span><\/p>\n Photo Credit: jijomathai – stock.adobe.com<\/span>\u00a0<\/span><\/p>\n An understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.<\/span>\u00a0<\/span><\/p>\n In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.<\/span>\u00a0<\/span><\/p>\n By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the \u201cCourse Announcements\u201d section of the classroom for your assignment from your Instructor.<\/span>\u00a0<\/span><\/p>\n In your Case Study Analysis related to the scenario provided, explain the following:<\/span>\u00a0<\/span><\/p>\n Submit <\/span><\/b>your Case Study Analysis Assignment<\/span> by Day 7 of Week 8<\/span><\/b>.<\/span>\u00a0<\/span><\/p>\n Reminder: <\/span><\/b>The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at <\/span>https:\/\/academicguides.waldenu.edu\/writingcenter\/templates<\/span><\/a>). All papers submitted must use this formatting.<\/span>\u00a0<\/span><\/p>\n Submission and Grading Information<\/span><\/b>\u00a0<\/span><\/p>\n To submit your completed Assignment for review and grading, do the following:<\/span><\/b>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n To access your rubric:<\/span>\u00a0<\/span><\/p>\n Module 5 Assignment Rubric<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n To check your Assignment draft for authenticity:<\/span>\u00a0<\/span><\/p>\n Submit your\u202fModule 5 Assignment draft and review the originality report.<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n To participate in this Assignment:<\/span>\u00a0<\/span><\/p>\n Module 5 Assignment<\/span>\u00a0<\/span><\/p>\n \u00a0<\/span><\/p>\n The scenario concerns a 74-year-old hypertensive patient who suddenly experienced difficulty speaking, drooling on the left side of the mouth, and left-hand weakness. The symptoms worsen within 10 minutes to the point that he cannot raise his arm and cannot stand. However, he persistently denies his problems. The patient’s vital statistics include BP-178\/94, HR-78, as well as PaO2 97% on room air. Slight left facial droop, left arm inability to resist gravity, mild left leg drift, as well as mild neglect of the left side of the body are the abnormal neurological exam findings on the patient. The client’s dysarthria is modest to severe, but the airway is protected. The objective of this paper is to describe the pathophysiologic processes that cause the patient\u2019s symptoms and the racial\/ethnic characteristics that can influence physiological functioning.<\/span>\u00a0<\/span><\/p>\n The patient\u2019s symptoms can be attributed to a neurological pathophysiologic process, Intracerebral hemorrhage (ICH). ICH is caused by bleeding within the brain due to a rupture of a blood vessel resulting in hemorrhagic stroke. Hypertension is the most important cause of hemorrhage, and it mostly occurs during activity. The patient\u2019s symptoms could be due to an elevated BP, which caused changes within the arterial wall, increasing its risk of rupture. The brain then got damaged due to bleeding, resulting in edema, distortion, and displacement, which directly irritated the brain tissue (McGurgan et al., 2020). The patient likely has right-brain damage, which has led to left-sided hemiplegia, left-sided neglect, and denying symptoms.\u00a0<\/span>\u00a0<\/span><\/p>\n Musculoskeletal pathophysiologic processes that may have led to the symptoms include a combination of muscle disuse, denervation, remodeling, and spasticity. Defects in the descending neural pathways cause impaired neuromotor control and structural and functional changes in the muscle tissue (McGurgan et al., 2020). The processes lead to muscle hypotrophy, weakness, fatigue, and altered motor control. This explains the patient\u2019s inability to stand, lift his arm, or resist gravity, as well as muscle weakness and leg drift.\u00a0<\/span>\u00a0<\/span><\/p>\n The pathophysiological processes in the patient\u2019s hemorrhagic stroke interacted causing the abrupt onset of symptoms that worsened over ten minutes possibly due to ongoing bleeding. The musculoskeletal and neurological pathophysiological processes affected the patient by causing motor and neurological deficits (Morais Filho et al., 2021). Consequently, the patients experienced a loss of voluntary movement like inability to stand, lift arm, and resist gravity. He also experienced neurological deficits like drooling, muscle weakness, and leg drift.\u00a0<\/span>\u00a0<\/span><\/p>\n Like many health conditions, the causes of hemorrhagic stroke are presumed to be a combination of genetic and environmental risk factors. Kittner et al. (2021) explain that Blacks and Hispanics have a higher risk of ICH), than their White counterparts, especially at a younger age. The study established that more than half of all ICH cases among Black and Hispanic populations were attributed to hypertension. Besides, among Blacks and Hispanics, <\/span>APOE w<\/span>as not associated with lobar ICH, while hypertension remained a strong risk factor for this subtype (Kittner et al., 2021). Furthermore, compared with White persons, Black and Hispanic patients had Intracerebral hemorrhage at a much younger age and had a higher population attributable risk (PAR) percentage for treated and untreated hypertension and lack of health insurance, which affects physiological functioning.<\/span>\u00a0<\/span><\/p>\n The patient\u2019s symptoms were due to hemorrhagic stroke secondary to ICH, which is caused by bleeding to the brain. He has left-sided muscle weakness, neglect to the left side of the body, left facial droop, and dysarthria can be attributed to a stroke on the right side of the brain. Inadequately managed hypertension and lack of health insurance among minority ethnic\/racial groups and the early onset of ICH in Black and Hispanic populations puts them at risk of hemorrhagic stroke.\u00a0<\/span>\u00a0<\/span><\/p>\n Kittner, S. J., Sekar, P., Comeau, M. E., Anderson, C. D., Parikh, G. Y., Tavarez, T., … & Woo, D. (2021). Ethnic and racial variation in intracerebral hemorrhage risk factors and risk factor burden.\u202f<\/span>JAMA Network Open<\/span><\/i>,\u202f<\/span>4<\/span><\/i>(8), e2121921-e2121921. https:\/\/doi.org\/10.1001\/jamanetworkopen.2021.21921<\/a><\/span>\u00a0<\/span><\/p>\n McGurgan, I. J., Ziai, W. C., Werring, D. J., Al-Shahi Salman, R., & Parry-Jones, A. R. (2020). Acute intracerebral hemorrhage: Diagnosis and management. <\/span>Practical Neurology<\/span><\/i>,\u202f<\/span>21<\/span><\/i>(2), 128\u2013136. Advance online publication. https:\/\/doi.org\/10.1136\/practneurol-2020-002763<\/a><\/span>\u00a0<\/span><\/p>\n![\"NURS](\"http:\/\/nursingassignmentcrackers.com\/wp-content\/uploads\/2024\/01\/Capture-11-2-300x84.png\")
To prepare:<\/span><\/b>\u00a0<\/span><\/h2>\n
Assignment (1- to 2-page case study analysis)<\/span><\/b>\u00a0<\/span><\/h2>\n
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Day 7 of Week 8<\/span><\/b>\u00a0<\/span><\/h2>\n
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Grading Criteria<\/span><\/b>\u00a0<\/span><\/h2>\n
Check Your Assignment Draft for Authenticity<\/span><\/b>\u00a0<\/span><\/h2>\n
Submit Your Assignment by Day 7 of Week 8<\/span><\/b>\u00a0<\/span><\/h2>\n
A Sample Answer For the Assignment: NURS 6501 Week 8 Module 5 Assignment: Case Study Analysis<\/span><\/b>\u00a0<\/span><\/strong><\/h2>\n
Title: NURS 6501 Week 8 Module 5 Assignment: Case Study Analysis<\/span><\/b>\u00a0<\/span><\/strong><\/h2>\n
Pathophysiologic Processes That Would Account for the Symptoms<\/span><\/b>\u00a0<\/span><\/h2>\n
How the Processes Interact to Affect the Patient<\/span><\/b>\u00a0<\/span><\/h2>\n
Racial\/Ethnic Factors That May Affect Physiological Functioning<\/span><\/b>\u00a0<\/span><\/h2>\n
Conclusion<\/span><\/b>\u00a0<\/span><\/h2>\n
References<\/span><\/b>\u00a0<\/span><\/h2>\n