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6005 Week 6 Assignment 1
Discussion Latest SU
Assignment
1: Discussion Questions
Select
one of the two questions from the discussion questions listed below .By Week 6,
Day 3, respond to the selected discussion question and submit your response to
this Discussion Area .
Be
sure to respond to the question using the lessons and vocabulary found in the
reading .Justify your answers using examples and reasoning .Support your
answers with examples and research and cite your research using APA format .
Start
reviewing and responding to the postings of your classmates as early in the
week as possible .Respond to at least two of your classmates’ posts .Participate in
the discussion by asking a question, providing a statement of clarification,
providing a point of view with a rationale, challenging an aspect of the
discussion, or indicating a relationship between two or more lines of reasoning
in the discussion .
Discussion
Question 1
MP
is a sixty-five-year-old male who has recently retired .He is coming in today
for a complaint about pain in his back, knees, and hips .He reports that he has
been experiencing this pain for the past six months, and he has been able to
control the symptoms with OTC Advil .He describes the pain as stiffness and
occasional shooting and aching pains radiating all over .He denies any swelling
of his joints .However, the OTC medications are not working well, and he is
here to see whether there are any other options he might try .On physical exam,
he has tenderness on palpation on the right and left hips and both knees are
positive for crepitus .All blood work is within normal limits .Answer the
following questions:
What
additional information would you like to have? Does MP need any additional
testing?
What
possible issues could contribute to his symptoms?
He
asks about injections to both knees to increase his comfort .How would you
respond to that?
What
would your treatment plan be?
For
medications, include dosages and schedules .Include highlights of patient
teaching and/or lifestyle alterations .Support your decisions with at least one
reference to a published clinical guideline and one peer-reviewed publication .
Discussion
Question 2
EP
is a twenty-five-year-old African American female who has just moved to town
and comes to the clinic for her first visit .She has been diagnosed with
fibromyalgia .She reports that her previous primary care physician (PCP) was
treating her with opiates only .She has been taking hydrocodone/ibuprofen 7 .5
mg/200 mg four times daily but notes that this is not helping her .She is
asking you for a refill of this medication and any additional treatment you can
advise .On physical exam, she is in moderate distress and reports pain when
being touched .Answer the following questions:
How
would you validate the diagnosis of fibromyalgia?
How
would you handle EP’s request for ongoing hydrocodone? Locate any evidence of the
efficacy of this treatment for fibromyalgia .
Assuming
that the diagnosis is , what would your treatment plan be?
Would
you recommend any nontraditional therapies?
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