Reply separately to two of your peer’s posts (See attached peer’s posts, post#1 and post#2). 

INSTRUCTIONS:

Your responses should be in a well-developed paragraph (300-350 words) to each peer. Integrating an evidence-based resource!!

Note: DO NOT CRITIQUE THEIR POSTS, DO NOT AGREE OR DISAGREE, just add informative content regarding to their topic that is validated via citations. 

  • Insight on a solution to an identified peer challenge.
  • Resources that may be helpful related to your peers’ post. 

Utilize at least two scholarly references per peer post. 

Please, send me the two documents separately, for example one is the reply to my peers Post #1, and the second one is the reply to my other peer Post #2.

– Minimum of 300 words per peer reply.

I also attached my “INITIAL POST” for you to use it as a point of reference.

Background: I live in South Florida, I am currently enrolled in the Psych Mental Health Practitioner Program, I am a Registered Nurse, I work in a Psychiatric Hospital.

Reply Posts

Respond to your peers’ post and include the following:

· Insight on a solution to an identified peer challenge.

· Resources that may be helpful related to your peers’ post.

POST # 1 AYME

(Ayme’s initial Post)

Reflect on the focus area or system(s) for the week.

· What challenges might you anticipate in completing this assessment?

· What differences might you anticipate when assessing patients across the lifespan?

· Share findings from scholarly resources that help in the performance of this assessment.

The musculoskeletal system comprises skeletal and muscular tissues that provide structural support to the body and aid in movement. This system is, therefore, linked to other body systems including the peripheral vascular and neurological systems. As such, owing to the complexity of this system, one of the challenges that might be anticipated relates to the overlapping of symptoms between the musculoskeletal system and other linked systems. For instance, it might be difficult to understand whether a patient reporting musculoskeletal pain is suffering from a musculoskeletal disorder or disorders of the peripheral vascular and neurological systems. On the other hand, pain is one of the most common complaints among patients with musculoskeletal issues. In this regard, I anticipate a challenge in winning the cooperation of a patient due to pain and the discomfort or anxiety that comes with it.

   It is also important to take into account that different age-groups have different musculoskeletal issues. For instance, in the pediatric population, one might anticipate dealing with conditions caused by injuries such as bone fractures and muscle sprains, as opposed to the elderly population where the most anticipated issues are caused by underlying age-related physiological and structural alterations (Egan, 2019). For instance, the elderly population is more likely to present with symptoms caused by conditions such as osteoarthritis and osteoporosis as well as rheumatoid arthritis. The general adult population on the other hand may present with musculoskeletal disorders caused by work-related injuries. This means that different physical examination strategies have to be employed for each population or age-group (Egan, 2019). For example, among children, it is important to incorporate their parents and motivators such as snacks to enroll their commitment in the physical examination activities. On the other hand, it is important to use effective communication skills and a high level of empathy when assessing adults and elderly patients as a way of winning their cooperation.

   One of the strategies to subdue some of the challenges associated with musculoskeletal assessment is collaboration and seeking assistance/advice from peers including more experienced nurses and physicians (Rosenberg, Nanos & N

Reply Posts

Respond to your peers’ post and include the following:

· Insight on a solution to an identified peer challenge.

· Resources that may be helpful related to your peers’ post.

POST # 1 Woudelyne

(Woudelyne’s initial Post)

Reflect on the focus area or system(s) for the week.

· What challenges might you anticipate in completing this assessment?

· What differences might you anticipate when assessing patients across the lifespan?

· Share findings from scholarly resources that help in the performance of this assessment.

The musculoskeletal system, the reason why we move. The system is composed of muscles, bones, joints, and the other connective tissue components that join these structures; it is the main mechanism by which the body performs all mechanical functions guided by our brains (Se Won Lee, 2017). This system can be very complicated when it comes to dealing with the joints, muscles, tendons, bursae and bones. For example, did you know that there are approximately 18 bursae in the hip region (Putukian & Miller, 2020). It is important to understand the anatomical location and function of each. The main musculoskeletal complaints that patients have is pain, and because pain is subjective, it can be very challenging for practitioners to manage effectively. Thorough examination and screening will aid in determining the correct diagnosis for treatment. This week, the most challenging part for me will be to remember all the appropriate maneuvers that comes with the musculoskeletal assessment and apply them appropriately. I often get confused with the terms such as adduction, abduction and many other musculoskeletal terms which I plan to familiarize myself with this week. 

When it comes to assessing patients across the lifespan, it is of utmost importance to assess the elderly population for risk for falls, because a child can fall and recover, however a fall can be detrimental and deadly to an elderly with multiple comorbidities. As practitioners, be aware of the musculoskeletal changes that occurs in our bodies as we age. We lose bone strength and volume, articular cartilage degrades, and intervertebral discs narrows which contributes to increase pain and loss of mobility in the aging adult (Roberts et al, 2016). 

I find this book by Se Won Lee (2017) very precise and helpful in aiding in the assessment and diagnoses of musculoskeletal system and would recommend it for practitioners to have on hand.

References

Se Won Lee, M. (2017). Musculoskeletal Injuries and Conditions: Assessment and Management. Demos Medical.

Putukian, M. & Miller, M.G. (2020). Musculoskeletal examination of the hip and groin. UpToDate. Retrieved from 

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REFLECTION (MUSCULOSKELETAL) 4

Reflection (Musculoskeletal)

Name:

Course Name:

Course Number:

Instructor’s Name:

Institution:

Date of Submission:

1. What challenges might you anticipate in completing this assessment? 

One of the challenges anticipated as far as conducting a musculoskeletal assessment stems from the fact that one has to rely on the subjective responses from the patient. Although physical assessment is objective, when carrying out musculoskeletal assessment it is hard to rely only on objective findings since the patient has to share subjective perceptions. For instance, when determining the range of motion for a certain joint, it is expected that a health practitioner will rely on the patient’s response in terms of pain perception. As such, the subjective dimension of musculoskeletal assessment poses a major challenge since subjective information is not verifiable and can easily hinder accurate assessment. The other challenge is deeply rooted in the inter-systemic connectedness of the musculoskeletal system. According to Fernandes, Gonçalves & Conti, (2018), musculoskeletal assessment findings should be well-thought beyond the musculoskeletal scope to consider other possibilities such as disorders affecting the skin, neurological, and even cardiovascular system.

2. What differences might you anticipate when assessing patients across the lifespan?

Age is one of the musculoskeletal health determinants due to age-related lifestyle and daily living aspects and age-related disorders. As such, differences in musculoskeletal complaints, assessment techniques, and findings have to be expected. For example, the elderly population has the highest propensity to suffer from age-associated musculoskeletal disorders. In the same way, children are prone to physical development disorders and complaints emanating from their daily play environment such as joint dislocation. Age is also a major determinant of self-expression and communication skills. For example, elderly people may have other underlying mental issues such as dementia that may impair effective communication. Therefore, it is important to anticipate age-related differences in musculoskeletal assessment and take patient-centered assessment techniques as dictated by their age and stage in development (Schoenwald & Douglas, 2017).

3. Share findings from scholarly resources that help in the performance of this assessment.

  Having a sound knowledge of the common musculoskeletal complains and issues for each age-group is one of the evidence-based strategies to enhance physical examination (Brennan-Olsen, Hayes & Duque, 2019). Having sound background kno