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Week 8 Case Study Scenario – A 58-year-old female presents to the clinic with a complaint of worsening knee pain over the past two years. She describes the pain as a deep

Welcome to Week 8!

You have a case study this week. The prompt is below. Remember to follow the rubric to get the maximum amount of points. 

Week 8 Case Study Scenario –
A 58-year-old female presents to the clinic with a complaint of worsening knee pain over the
past two years. She describes the pain as a deep, aching sensation that worsens with activity,
particularly after long periods of standing or walking. She reports morning stiffness that lasts
about 15 minutes and notices some swelling in her knees at the end of the day. The patient has
difficulty climbing stairs and feels her range of motion is becoming limited. She has a history of
obesity (BMI 32) and has worked as a retail cashier for over 30 years, which involves prolonged
standing. Physical examination reveals crepitus (a grating sensation) upon knee movement, mild
swelling, and decreased range of motion. X-rays show joint space narrowing and osteophyte
formation.
In 1 -2 pages, answer the questions below in detail. You must use current evidence-based
resources to support your answers. Follow APA guidelines. Follow the grading rubric.
Questions:
1. What are the risk factors that likely contributed to the development of osteoarthritis in
this patient?
2. What is the pathophysiology of osteoarthritis, and how does it relate to the patient’s
symptoms, such as pain and stiffness?
3. Why does the patient experience more pain after long periods of standing or walking?
Prolonged standing or walking increases mechanical stress on the knee joint, particularly
4. What is the significance of the crepitus and joint space narrowing observed during the
physical exam and on the X-ray?
5. How does obesity play a role in the progression of osteoarthritis in the knee joints?

This topic is closed for comments.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis by answering the questions provided following the case scenario. 

By day

Submit your Case Study Analysis Assignment by Day

Reminder: 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 https://academicguides.waldenu.edu/writingcenter/templatesLinks to an external site.). All papers submitted must use this formatting.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

  1. To submit your completed assignment, save your Assignment as WK8Assgn2_LastName_Firstinitial
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.

 

Rubric

NURS_6501_Week 8_Case Study_Assignment_Rubric

NURS_6501_Week 8_Case Study_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeDevelop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following: Explain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms.

30 to >27.0 pts

Excellent

The response accurately and thoroughly describes the patient symptoms. ... The response includes accurate, clear, and detailed explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by evidence and/or research, as appropriate, to support the explanation.

27 to >24.0 pts

Good

The response describes the patient symptoms. ... The response includes accurate, explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by evidence and/or research, as appropriate, to support the explanation.

24 to >22.0 pts

Fair

The response describes the patient symptoms in a manner that is vague or inaccurate. ... The response includes explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by explanations that are vague or based on inappropriate evidence/research.

22 to >0 pts

Poor

The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. ... The response does not include explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms, or the explanations are vague or based on inappropriate evidence/research.

30 pts

This criterion is linked to a Learning OutcomeExplain how obesity plays a role in the progression of osteoarthritis in the knee joints.

30 to >27.0 pts

Excellent

The response includes an accurate, complete, detailed, and specific explanation of how obesity plays a role in the progression of osteoarthritis in the knee joints and is supported by evidence and/or research, as appropriate, to support the explanation.

27 to >24.0 pts

Good

The response includes an accurate explanation of how obesity plays a role in the progression of osteoarthritis in the knee joints and is supported by evidence and/or research, as appropriate, to support the explanation.

24 to >22.0 pts

Fair

The response includes a vague or inaccurate explanation of how obesity plays a role in the progression of osteoarthritis in the knee joints, with explanations that are based on inappropriate evidence/research.

22 to >0 pts

Poor

The response includes a vague or inaccurate explanation of how obesity plays a role in the progression of osteoarthritis in the knee joints, with explanations that are based on inappropriate or missing evidence/research.

30 pts

This criterion is linked to a Learning OutcomeExplain risk factors that may contribute to the development of the disease.

25 to >22.0 pts

Excellent

The response includes an accurate, complete, detailed, and specific explanation of risk factors that may contribute to the development of the disease, and is supported by evidence and/or research, as appropriate, to support the explanation.

22 to >19.0 pts

Good

The response includes an accurate explanation of risk factors that may contribute to the development of the disease, and is supported by evidence and/or research, as appropriate, to support the explanation.

19 to >17.0 pts

Fair

The response includes a vague or inaccurate explanation of risk factors that may contribute to the development of the disease, and/or explanations that are based on inappropriate evidence/research.

17 to >0 pts

Poor

The response includes a vague or inaccurate explanation of risk factors that may contribute to the development of the disease, or the explanations are based on inappropriate or no evidence/research.

25 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting - Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. Content is supported by current evidence-based sources.

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. ... Content is supported by current evidence-based sources.

4 to >3.5 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. ...Some content is supported by current evidence-based sources.

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. ... Some content is supported by current evidence-based sources.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. ... No content is supported by current evidence-based sources.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting - English Writing Standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) APA format errors.

3 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100

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