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.
- To submit your completed assignment, save your Assignment as WK8Assgn2_LastName_Firstinitial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6501_Week 8_Case Study_Assignment_Rubric
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NURS_6501_Week 8_Case Study_Assignment_Rubric
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Criteria
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Ratings
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Pts
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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.
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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.
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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.
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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.
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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.
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30 pts
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This criterion is linked to a Learning OutcomeExplain how
obesity plays a role in the progression of osteoarthritis in the knee joints.
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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.
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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.
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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.
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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.
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30 pts
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This criterion is linked to a Learning OutcomeExplain risk
factors that may contribute to the development of the disease.
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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.
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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.
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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.
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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.
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25 pts
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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.
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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.
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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.
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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.
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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.
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5 pts
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This criterion is linked to a Learning OutcomeWritten
Expression and Formatting – English Writing Standards: Correct grammar,
mechanics, and proper punctuation
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5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no
errors.
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4 to >3.5 pts
Good
Contains a few (1 or 2) grammar, spelling, and
punctuation errors.
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3.5 to >3.0 pts
Fair
Contains several (3 or 4) grammar, spelling, and
punctuation errors.
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3 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation
errors that interfere with the reader’s understanding.
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5 pts
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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.
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5 to >4.0 pts
Excellent
Uses correct APA format with no errors.
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4 to >3.0 pts
Good
Contains a few (1 or 2) APA format errors.
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3 pts
Fair
Contains several (3 or 4) APA format errors.
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3 to >0 pts
Poor
Contains many (≥ 5) APA format errors.
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5 pts
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Total Points: 100
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