04 Jun FNP mn555-A 55-year-old man presents with a history of dull low
Question
A 55-year-old man presents with a history of dull low back pain that began about 10 days ago and is getting worse. It is present all day, is accompanied by some stiffness, but it does not radiate to any other location. It seems associated with prolonged sitting and/or bending. Ibuprofen helps relieve the pain and he is most comfortable lying down. He has experienced an episode of this type of pain in the past and it resolved spontaneously. The pain was not associated with any specific precipitating event. His employer insisted that the patient be evaluated before returning to work.
CC: “I’m tired of this back pain.”
The physical exam reveals no visible abnormalities of the back, but he does have some paraspinal tenderness to palpation in the L3–L5 region. Lumbar flexion is markedly diminished because of pain, but otherwise his range of motion is almost normal.
- List at least 3 differential diagnoses.
- What are some specific exam techniques that should be used when examining this patient? What is the rationale behind some of these assessment techniques? What information is supplied? (Think anatomy and physiology.)
- Should you order x-ray films or other imaging exams?
- What are the “red flags” of low back pain?
- How would you manage the patient with low back pain? Address pharmacologic and physical measures as well as other advanced practice nursing interventions.
- What health promotion strategies are especially important for this patient at this point in time and WHY?
- What complementary therapies might help this patient at this point in time?
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Writedemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.