Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal Examination

Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal Examination

Assignment: Lab Assignment (Optional): Practice Assessment: Musculoskeletal Examination

Assignment: Lab Assignment (Optional):
Practice Assessment: Musculoskeletal
Examination
A description of symptoms alone is not enough to form an accurate diagnosis of musculoskeletal
conditions. Before forming a diagnosis, advanced practice nurses need to perform a physical
examination. Although the musculoskeletal examination is relatively simple, it still needs to be
performed multiple times before it can be mastered.
In preparation for the Comprehensive (Head-to-Toe) Physical Assessment due in Week 9, it is
recommended that you practice performing a musculoskeletal examination this week.
Note: This is a practice physical assessment.
To Prepare
 Arrange an appropriate time and setting with your volunteer "patient" to perform a
musculoskeletal examination.
 Download and review the Musculoskeletal Checklist provided in this week's Learning
Resources as well as review the Seidel’s Guide to Physical Examination online media.
The Lab Assignment
Complete the following in Shadow Health:
 Musculoskeletal (Practice)

Learning Resources

Required Readings (click to expand/reduce)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Seidel's guide to physical examination: An interprofessional approach (9th ed.).
St. Louis, MO: Elsevier Mosby.

 Chapter 4, “Vital Signs and Pain Assessment” (Previously read in Week 6)
 Chapter 22, “Musculoskeletal System”

This chapter describes the process of assessing the musculoskeletal
system. In addition, the authors explore the anatomy and physiology of the
musculoskeletal system.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment
and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary
Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019
by Mosby. Reprinted by permission of Mosby via the Copyright Clearance
Center.

Chapter 22, “Lower Extremity Limb Pain”
This chapter outlines how to take a focused history and perform a physical exam
to determine the cause of limb pain. It includes a discussion of the most common
tests used to assess musculoskeletal disorders.

Chapter 24, “Low Back Pain (Acute)”
The focus of this chapter is the identification of the causes of lower back pain. It
includes suggested physical exams and potential diagnoses.

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia,
PA: F. A. Davis.

 Chapter 2, "The Comprehensive History and Physical Exam" ("Muscle
Strength Grading") (Previously read in Weeks 1, 2, 3, 4, and 5)
 Chapter 3, "SOAP Notes"
This section explains the procedural knowledge needed to perform
musculoskeletal procedures.
Note: Download this Student Checklist and Abdomen Key Points to use during
your practice abdominal examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Musculoskeletal system: Student checklist. In Seidel's guide to physical
examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier
Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).
Musculoskeletal system: Key points. In Seidel's guide to physical examination:
An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Seidel's Guide to Physical Examination, 9th Edition by Ball, J. W.,
Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by
Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences
via the Copyright Clearance Center.

Katz, J. N., Lyons, N., Wolff, L. S., Silverman, J., Emrani, P., Holt, H. L., …
Losina, E. (2011). Medical decision-making among Hispanics and non-Hispanic
Whites with chronic back and knee pain: A qualitative study. BMC
Musculoskeletal Disorders, 12(1), 78–85.

This study examines the medical decision making among Hispanics
and non-Hispanic whites. The authors also analyze the preferred
information sources used for making decisions in these populations.

Smuck, M., Kao, M., Brar, N., Martinez-Ith, A., Choi, J., & Tomkins-Lane, C. C.
(2014). Does physical activity influence the relationship between low back pain
and obesity? The Spine Journal, 14(2), 209–216.
doi:10.1016/j.spinee.2013.11.010

Shiri, R., Solovieva, S., Husgafvel-Pursiainen, K., Telama, R., Yang, X., Viikari,
J., Raitakari, O. T., & Viikari-Juntura, E. (2013). The role of obesity and physical
activity in non-specific and radiating low back pain: The Young Finns study.
Seminars in Arthritis & Rheumatism, 42(6), 640–650.
doi:10.1016/j.semarthrit.2012.09.002

Document: Episodic/Focused SOAP Note Exemplar (Word document)

Document: Episodic/Focused SOAP Note Template (Word document)

Optional Resource
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic
examination (10th ed.). New York, NY: McGraw Hill Medical.

 Chapter 13, “The Spine, Pelvis, and Extremities” (pp. 585–682)
In this chapter, the authors explain the physiology of the spine, pelvis, and
extremities. The chapter also describes how to examine the spine, pelvis,
and extremities.

Required Media (click to expand/reduce)

Musculoskeletal System – Week 8 (12m)

Online media for Seidel's Guide to Physical Examination
In addition to this week's resources, it is highly recommended that you access and view
the resources included with the course text, Seidel's Guide to Physical Examination.
Focus on the videos and animations in Chapter 21 that relate to the assessment of the

musculoskeletal system. Refer to the Week 4 Learning Resources area for access
instructions on https://evolve.elsevier.com/