Shadow Health For Musculoskeletal Essay Assignment

INSTRUCTIONS TO WRITER:::::::
GO HERE ON MY BLACKBOARD SHADOW HEALTH:::
Advanced Health Assessment – Clinicals – January 2023
202310nur6001801

Patient Exam : Assess the Musculoskeletal system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, and document your findings. On average, this assignment should take from 60-90 minutes to complete

1. Assignment Description: Assess the Musculoskeletal system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, document your findings, and complete post-exam activities. On average, this assignment should take from 60-90 minutes to complete. Shadow Health For Musculoskeletal Essay Assignment

2. Please log on to my shadow health from my institution page. Its on BlackBoard. My log in credentials are: username – virmanip
Password – Chinoo@1000 Please use these credentials to log in the webpage mentioned in next point.

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3. instituition is William Paterson University. webpage to get in : https://bb.wpunj.edu/ultra/courses/_28718_1/cl/outline

4. Interview is being conducted by NP – Puneet Virmani, so intorduce yourself as Ms. Puneet while conducting an assessment on Gastrointestinal

5. Deadline is 2 days please. Must remember.

6. Follow RUBRIC v v strictly in all excellent section Boxes. Writer will Submit the Shadow health part. I will submit the word document part. A Score of 95-100% is a must

7. V V IMPORTANT :::: SOAP NOTE NOT REQUIRED. TYPE N/A IN DOCUMENTATION SECTION:::::::

8. A score of 100% is must

INSTRUCTIONS TO WRITER:::::::

GO HERE ON MY BLACKBOARD SHADOW HEALTH:::

Advanced Health Assessment – Clinicals – January 2023

202310nur6001801

Patient Exam : Assess the Musculoskeletal system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, and document your findings. On average, this assignment should take from 60-90 minutes to complete Shadow Health For Musculoskeletal Essay Assignment

1. Assignment Description: Assess the Musculoskeletal system of Tina Jones, a Digital Standardized Patient. Interview and examine the patient, document your findings, and complete post-exam activities. On average, this assignment should take from 60-90 minutes to complete.
2. Please log on to my shadow health from my institution page. Its on BlackBoard. My log in credentials are: username – virmanip

Password – Chinoo@1000     Please use these credentials to log in the webpage mentioned in next point.

3. instituition is William Paterson University. webpage to get in : https://bb.wpunj.edu/ultra/courses/_28718_1/cl/outline
4. Interview is being conducted by NP – Puneet Virmani, so intorduce yourself as Ms. Puneet while conducting an assessment on Gastrointestinal
5. 5. Deadline is 2 days Must remember.
6. Follow RUBRIC v v strictly in all excellent section Boxes. Writer will Submit the Shadow health part. I will submit the word document part. A Score of 95-100% is a must Shadow Health For Musculoskeletal Essay AssignmentIn examining the musculoskeletal system it is important to keep the concept of function in mind. Note any gross abnormalities of mechanical function beginning with the initial introduction to the patient. Continue to observe for such problems throughout the interview and the examination.

   On a screening examination of a patient who has no musculoskeletal complaints and in whom no gross abnormalities have been noted in the interview and general physical examination, it is adequate to inspect the extremities and trunk for observable abnormalities and to ask the patient to perform a complete active range of motion with each joint or set of joints.

   If the patient presents complaints in the musculoskeletal system or if any abnormality has been observed, it is important to do a thorough musculoskeletal examination, not only to delineate the extent of gross abnormalities but also to look closely for subtle anomalies. Shadow Health For Musculoskeletal Essay Assignment

   To perform an examination of the muscles, bones, and joints, use the classic techniques of inspection, palpation, and manipulation. Start by dividing the musculoskeletal system into functional parts. With practice the examiner will establish an order of approach, but for the beginner it is perhaps better to begin distally with the upper extremity, working proximally through the shoulder. Then, beginning with the temporomandibular joint, pass on to the cervical spine, the thoracic spine, the lumbar and sacral spine, and the sacroiliac joints. Finally, in the lower extremity, again begin distally with the foot and proceed proximally through the hip.

   Use the opposite side for comparisons: it is easier to spot subtle differences as well as identify symmetrical problems. If there is any question, use your own anatomy as a control.

   Glean the maximum information from observation. Concentrating on one area at a time, inspect the area for discoloration (e.g., ecchymoses, redness), soft tissue swelling, bony enlargement, wasting, and deformity (abnormal angulation, subluxation). While noting these changes, attempt to determine whether they are limited to the joint or whether they involve the surrounding structures (e.g., tendons, muscles, bursae)Shadow Health For Musculoskeletal Essay Assignment.

   Observe the patient’s eyes while palpating the joints and the surrounding structures. A patient’s expression of pain depends on many factors. For this reason the verbalization of pain often does not correlate directly with the magnitude of the pain. The most objective indicator of the magnitude of tenderness produced by presence on palpation is involuntary muscle movements about the eyes. Therefore, the examiner should observe the patient’s eyes while palpating the joints and surrounding structures. With practice the examiner will become skilled in evaluating the magnitude of pain produced by the examination and will be able to do a skillful evaluation without producing excessive discomfort to the patient. Note areas of tenderness to pressure, and if possible identify the anatomic structures over which the tenderness is localized.

   One should also note areas of enlargement while palpating the joints and surrounding structures. By noting carefully the consistency of the enlargement and its boundaries, one can decide whether this is due to bony widening, thickening of the synovial lining of the joint, soft tissue swelling of the structure surrounding the joint, an effusion into the joint capsule, or nodule formation, which might be located in a tendon sheath, subcutaneous tissue, or other structures about the joint.

   While palpating the joints, note areas of increased warmth (heat). A method for doing this that will help even the most inexperienced to perceive subtle increases in heat is to choose the most heat-sensitive portion of the hand (usually the dorsum of the fingers) and, beginning proximally, lightly pass this part of your hand over all portions of the patient’s extremity several times. As you proceed from proximal to distal, the skin temperature gradually cools. If you find an area becoming slightly warmer, this represents increased heat.

   Have the patient perform active movements through an entire range of motion for each joint. Defects in function can be most rapidly perceived by having the patient perform active functions with each region of the musculoskeletal system. This reduces examination time and helps the examiner to identify areas in which there is poor function for more careful evaluation.

   Manipulate the joint through a passive range of motion only if the patient is unable actively to perform a full range of motion, or if there is obvious pain on active motion. In passively manipulating a joint, note whether there is a reduction in the range of motion, whether there is a pain on motion, and whether crepitus is produced when the joint is moved. Note also whether the joint is stable or whether abnormal movements may be produced Shadow Health For Musculoskeletal Essay Assignment.