NU621-8 Unit 5 Discussion – Back Pain Herzing

Discussion Question/Prompt
Read the following case study and answer the posed questions
Case #1: 49-year-female assembly worker at automotive manufacturer presents to your clinic complaining of increasing back pain over the last week. Back pain is in the central low back region and radiates into both gluteal regions – no leg pain. Has been off work for the last 6/12 with no improvement in pain.

Create a list of possible differential diagnoses?
Discuss the evidence you would need to obtain to rule in or rule out each differential?
What additional aspects of the history and physical examination could provide relevant information to help in the diagnosis?

Case #2: A 65-year-old Caucasian female has a follow up appointment with a family orthopedist after visiting the emergency department for a wrist fracture. The orthopedist then turns her case over to you to schedule a bone mineral density (BMD) testing. Results of the BMD test show a T-score of 3.0, indicating osteoporosis. Her past medical history includes mild hypertension which is currently managed with propranolol. She also takes a daily multivitamin. She drinks and smokes occasionally and she has no children or spouse.

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What is the difference between degenerative bone disease and osteoporosis? Explain the pathology of each.
What treatment options should be discussed with the patient?
What lifestyle changes should be recommended to the patient?

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Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review the rubric to ensure that your response meets the criteria.
Estimated time to complete: 2 hours
Discussion Peer/Participation Prompt
Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least three of these prompts:

Comment on at least 2 answers and rationale given by your colleagues that differ from yours.
Take an opposing view to a peer and present a logical argument supporting the opposite opinion.
Share your thoughts on how you support their opinion and explain why.
Present new references that support your opinions.

Note: The value of each of the criterion on this rubric represents a point range (example: 25–20 points, 20–15 points, 15–10 points, 10–0 points).

Discussion Board Rubric – 100 Points
Criteria	Exceeds Expectations	Meets Expectations	Needs Improvement	Inadequate	Total Points
Quality of Initial Post	Initial post is on time and of the correct length (500–750 words). All components of the initial post requirements are addressed. Course content synthesis is applied. References are included according to the Discussion instructions. 25 points	Initial post is on time and of the correct length (500–750 words). Most components of the initial post requirements are addressed. Course content synthesis is applied but limited. References are included according to the Discussion instructions. 20 points	Initial post is one day late. Does not meet the correct length (500–750 words). Some components of the initial post requirements are addressed. Course content synthesis is weak or missing. References are included but not according to the Discussion instructions. 15 points	Initial post is more than one day late. Initial post much fewer than (500–750 words). Few components of the initial post requirements are addressed. Course content synthesis is missing. References are not included. 10 points	25
Peer Replies	On time. There was substantial evidence and synthesis of course content utilizing course topics and the introduction of questions and new information. Replies are 200–400 words. References are included according to the Discussion instructions. 25 points	On time. There was some evidence and synthesis of course content utilizing course topics and the introduction of questions or new information. Replies are 200–400 words. References are included according to the Discussion instructions. 20 points	There was either some synthesis of course content or the introduction of questions or new information. Replies are less than 200 words. References are included but not according to the Discussion instructions. 15 points	There was little or no evidence of course content utilizing course topics or the introduction of questions or new information. Replies are less than 200 words References are not included. 10 points	25
Frequency of Contribution	Initial post with two peer replies posted on two separate days. 25 points	Initial post with two peer replies posted on the same day. 20 points	Initial post with one peer reply. 15 points	Only initial post submitted or only replied to peers. 10 points	25
Organization, Writing Mechanics, and APA Format	Clearly organized, no or limited writing mechanics and/or APA errors. 25 points	Clearly organized, few to some writing mechanics and/or APA errors. 20 points	Poorly organized, several to moderate writing mechanics and/or APA errors. 15 points	Poorly organized, many writing mechanics and/or APA errors. 10 points	25
Total points					100

NU621-8 Unit 5 Discussion – Back Pain Herzing