Assignment: Gout Case Study

prognosis. 2. Demonstrate the ability to access and critically evaluate information from a wide variety of sources (such as Library databases and internet sources). Read the case presentation and answer the questions that follow. The Case Study Rubric will be used to assess your work. The Case Study rubric lists the criteria for each question (required resources, word counts and citation requirements). Case Presentation Scott, a 67 year old male, presents with severe pain in his right great (big) toe. It began the previous evening and kept him up through the entire night.

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He wore open toe sandals because “there is no way I can wear socks, let alone put on a shoe’. He is taking extra strength Tylenol to keep the pain under control. He can’t bear any weight on his right foot. He has no history of injury to his right foot. Scott’s medical history indicates a recent diagnosis of hypertension. He doesn’t smoke, but drinks 2-3 craft beers each day, a maybe a “few extra” on the weekend. His diet consists of fast food, mainly hamburgers, because his job requires him to travel. His medications include lisinopril and a baby aspirin. Upon physical examination, he has a temperature of 100.1 F and his blood pressure is 166/100 mm Hg.

He is 6’ tall and weighs 250 pounds. The first metatarsophalangeal joint is erythematous and very tender to even light touch. Scott has limited range of motion in the joint. Sensation and capillary refill are intact. His lab values show a WBC of 5,400 (Normal 4,300-10,800 per microliter) and a serum uric acid level of 9.7 mg/dL (Normal < 7.0 mg/dL). Based on exam and lab results, the physician diagnoses Scott with gout. He wants to perform an arthrocentesis of the affected joint to confirm his diagnosis. His physician wants to rule out septic arthritis. 2 of 2 Photo: Wortmann, R., MD. (n.d.). Hyperuricemia and Gout: Understanding the Drivers of Quality of Care [Digital image]. Retrieved July 7, 2018, from https://www.medscape.org/viewarticle/732722 Questions 1. Define the bold words. 2. Describe the cause of gout. 3. The physician wants to rule out septic arthritis. Differentiate septic arthritis from gout, by comparing the etiology, signs and symptoms, diagnosis and treatment. 4. Scott needs to be educated on the treatment for gout. Explain the treatment using terms that Scott can understand. Treatment will include any at-home measures, overthe-counter medications and prescriptions. 5. Explain the prognosis of gout to Scott and any preventative measures he can take to decrease flare ups. Case Study Rubric Criteria 3 points Terminology N/A 2 points 1 point 0 points

All of the following criteria are met: Any of the following criteria Any of the following criteria are met (all points must be are met: met to advance to the next All bold words are correctly level of achievement): Answer does not defined. demonstrate accurate All bold words are correctly knowledge of the Accurately covered defined. terminology required topic and required No work submitted or points using original Topic covered accurately, contribution(s) do not thought, not just the words but over-reliance on comply with the principles from sources. sources, and not much of academic honesty or original thought. other University policies At least one professionalrelated to student conduct. level source cited. Source AND/OR is from the DU Library, text, or a credible medical Minor errors related to dictionary. accuracy. APA formatting is used to cite sources At least one professionallevel source cited. APA formatting is used to cite sources Cause 3 points 2 points All of the following criteria are met: Any of the following criteria are met (all points must be met to advance to the next level of achievement): 1 point 0 points Any of the following criteria Any of the following criteria are met (all points must be are met: met to advance to the next Accurately covered level of achievement): Answer is incorrect or does required topic and required not demonstrate sufficient points using original Accurately covered Topic covered accurately, depth of knowledge thought, not just the words required topic and required but over-reliance on from sources. points using original sources, and not much No work submitted or thought, not just the words original thought. contribution(s) do not Length at least 50 words from sources comply with the principles At least one peer-reviewed, Length at least 40 words professional-level source cited. Source is from the At least one peer-reviewed, DU Library. professional-level source cited. APA formatting is used to cite sources. APA formatting is used to cite sources. Differential Diagnosis Minor error(s) related to accuracy. of academic honesty or other University policies related to student conduct. No sources cited AND/OR questionable source used.

. Errors in APA formatting are present. 3.5 to 4 points 2.5 to 3 points 1.5 to 2 points All of the following points are covered accurately and in sufficient detail for diagnosed disease and disease to rule out: Cause/Etiology Signs & Symptoms Diagnosis Treatment Any of the following criteria are met (all points must be met to advance to the next level of achievement): Any of the following criteria Any of the following criteria are met (all points must be are met: met to advance to the next level of achievement): Answer is incorrect or does not demonstrate sufficient One of the following points depth of knowledge is covered accurately and in sufficient detail No work submitted or diagnosed disease and contribution(s) do not disease to rule out: comply with the principles of academic honesty or Cause/Etiology other University policies Signs & Symptoms related to student conduct. Diagnosis Treatment Two or three of the following points are covered accurately and in sufficient detail for diagnosed disease and disease to rule out: Accurately covered required topic and required points using original Cause/Etiology thought, not just the words Signs & Symptoms from sources Diagnosis Treatment Length at least 200 words Accurately covered At least one peer-reviewed, required topic and required professional-level source points using original cited. Source is from the thought, not just the words DU Library. from sources APA formatting is used to cite sources. Length at least 150 words

Topic covered accurately, but over-reliance on sources, and not much original thought. OR Topic covered accurately, but answer(s) are too short At least one peer-reviewed, to demonstrate complete professional-level source knowledge. cited. 0 to 1 points APA formatting is used to cite sources. Length less than 100 words. No sources cited AND/OR questionable source used. Errors in APA formatting are present. Patient Education General 3 points 2 points 1 point All of the following criteria are met: Any of the following criteria are met(all points must be met to advance to the next level of achievement): Any of the following criteria Any of the following criteria are met(all points must be are met: met to advance to the next level of achievement): Answer is incorrect or does not demonstrate sufficient One of the following points depth of knowledge is covered accurately and in sufficient detail: No work submitted or contribution(s) do not At home care comply with the principles Over the counter of academic honesty or medications other University policies Prescriptions (includes related to student conduct. pharmacological, therapy) Alternative or complementary care All of the following points are covered accurately and in sufficient detail:

: At home care Over the counter medications Prescriptions (includes pharmacological, therapy) Alternative or complementary care Two or three of the following points are covered accurately and in sufficient detail: At home care Over the counter medications Prescriptions (includes pharmacological, therapy) Accurately covered Alternative or required topic and required complementary care points using original thought, not just the words Accurately covered from sources required topic and required Length at least 200 words points using original thought, not just the words At least one peer-reviewed, from sources professional-level source cited. Source is from the Length at least 150 words DU Library. At least one peer-reviewed, APA formatting is used to professional-level source cite sources. cited. Assignment: Gout Case Study

Topic covered accurately, but over-reliance on sources, and not much original thought. OR Topic covered accurately, but answer(s) are too short to demonstrate complete knowledge. 0 points APA formatting is used to cite sources. Length less than 100 words. No sources cited AND/OR questionable source used. Errors in APA formatting are present. Patient Education Prevention and/or Prognosis 3 points 2 points All of the following criteria are met: Any of the following criteria are met (all points must be met to advance to the next level of achievement): 1 point 0 points Any of the following criteria Any of the following criteria are met (all points must be are met: met to advance to the next Accurately covered level of achievement):

Answer is incorrect or does required topic and required not demonstrate sufficient points using original Accurately covered Topic covered accurately, depth of knowledge thought, not just the words required topic and required but over-reliance on from sources points using original sources, and not much No work submitted or thought, not just the words original thought. contribution(s) do not Length at least 150 words from sources comply with the principles OR of academic honesty or APA formatting is used to APA formatting is used to other University policies cite sources. cite sources. Topic covered accurately, related to student conduct. but answer(s) are too short Length at least 100 words. to demonstrate complete knowledge. Length less than 75 words. No sources cited AND/OR questionable source used. Errors in APA formatting are present.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses. Assignment: Gout Case Study

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source. Assignment: Gout Case Study

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Assignment: Gout Case Study

Assignment: Gout Case Study