Critical Thinking and Competencies

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0 Undergraduate Writing from scratch Essay Not needed 5

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Nursing

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Critical Thinking and Competencies

Given that Tina Jones has an open wound on her lower extremity and has diabetes, choose the Musculoskeletal Exam Assessment. Considering your assessment in this unit, identify at least 2 diagnoses and why you have identified them. Locate and summarize at least 1 scholarly peer reviewed article for each diagnosis. Each article should support your understanding of the diagnosis selected. Also locate and summarize at least 2 scholarly articles that address evidence-based practice when treating this patient with the diagnoses identified. Use bibliografy less than 5 years. This is Tina Jones Musculoskeletal exam assessment: Musculoskeletal Reports limited weight-bearing ability on injured foot. Right ankle sprain two weeks ago, now resolved. Patient reports persistent right ankle stiffness. Reports “crick in my neck.” Has experienced limping with recent injury. Denies history of fractures, gout, and arthritis. Denies myalgias and arthralgias. Denies back and neck pain and trauma. Denies generalized weakness. Does not exercise regularly. Muscle tone and bulk symmetric. No masses or deformities. No scoliosis, kyphosis, or lordosis. No cyanosis or pallor. No joint swelling. Full range of motion in all joints with 5/5 strength in cervical spine and all four extremities with exception of right ankle. Right ankle displays decreased range of motion and 4/5 strength. On plantar surface of the right foot an open wound is noted, it is inferior to the base of the first and second metatarsal. The wound is oval shaped and measures 2 cm x 1.5 cm, depth is 2.5 mm. Wound bed is beefy red with a whitish area at the center of the lesion, wound edges are irregular and appear white and moist. There is erythema surrounding the wound. There is a small amount of local edema. No drainage or odor appreciated. Nursing diagnosis: 1–Impaired Tissue integrity Related To damaged tissue secondary to trauma As Evidence By open and oval shaped wound, measures 2 cm X 1.5 cm, depth 2.5 mm on plantar surface of the right foot. 2– Impaired Physical mobility Related To alterated mobility As Evidence By patient displays decreased range of motion and 4/5 strengh in her right foot



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