Case Study – Mrs. Catherine Jones is a 74-year-old

Case Study

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Case Study Analysis – . Submit a 1-2 page paper.

     Use the following information to formulate your analysis

     Mrs. Catherine Jones is a 74-year-old female who presents to you clinic with complaints of increased difficulty in getting up from a seated position and worsening right knee pain over the last few months. 

     The patient reports the pain is a 6/10 and is not relieved with Tylenol.  The pain is sharp at times to her knees but aches at night when she is trying to rest.  The patient denies any recent injuries to her knee. 

       PMH > Diabetes Mellitus type 2 and Hypertension. 

       Medications > Metformin 500mg PO twice daily and Lisinopril 10mg po daily. 

       Vital Signs > Height ss 5’8” and Weight 220 pounds.  BP is 122/84, pulse is 72, resp 18, regular and non labored, pulse ox 96%, and temp 98.8F.

       Physical exam > Reduced ROM to right knee and complaints of pain with flexion; bilateral knee crepitus worse in the right knee.  No erythema to knee joints but mild edema noted bilaterally.    The patient reports tenderness to both knees upon palpation. 

      Diagnostic testing > Lab: ESR 14 mm/hr.  CMP otherwise normal except for non fasting glucose of 220 mg/dL.

          Right and left knee xray:  Moderate degenerative changes with joint space narrowing, no radiographic evidence of osteoporosis or joint effusion. 

      Assessment > Osteoarthritis

Answer and Analysis these topics

1. The musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. (Include three pathophysiologic processes with  detail)

2. Any racial/ethnic variables that may impact physiological functioning.

3. How these processes interact to affect the patient. (For instance, how does the diagnosis affect the muscles (Musculoskeletal system), balance (Neurological system), or Quality of Life (Chronic Pain or Functional Limitations?)

Answer the questions using APA format – title page, introduction, body of the paper, conclusion, and a Reference page.

Include two scholarly references.

See the attached template for Walden MSN students.   

Explanation & Answer

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