NR 576 Week 3 Assignment; SNAPPS Oral Presentation Template

NARROW Based on the H&P key 昀椀ndings, iden琀椀fy an appropriate di昀昀eren琀椀al. Considering the pa琀椀ent’s signs and symptoms, speci昀椀cally acute low back pain con昀椀ned to the right sacroiliac region several condi琀椀ons need to be ruled out. These includes lumbar strain, sacroilii琀椀s as well as spinal metastases, given the pa琀椀ent's history of breast cancer. Other possible but less probable factors may involve osteoarthri琀椀s or a herniated disc, the absence of which is indicated by the lack of neurological problems. ANALYZE Analyze the di昀昀eren琀椀al by comparing and contras琀椀ng the possibili琀椀es. Use per琀椀nent posi琀椀ve and nega琀椀ve 昀椀ndings to argue for or against each diagnosis in your di昀昀eren琀椀al. Rank your diagnoses in order of most likely to least likely. • Lumbar strain is a likely diagnosis as there was sudden onset of pain, no evident history of trauma, and no systemic or neurological abnormali琀椀es. It accounts for the recurrent acute lower back pain in older people. • Sacroilii琀椀s could also be caused by the pain's loca琀椀on in the sacroiliac area. Nevertheless, this is secondary since no signs of in昀氀amma琀椀on and general clinical manifesta琀椀ons exist. • Spinal metastasis to the spine is a possibility because the client has a history of breast cancer, which is known to a昀昀ect the bones commonly. So, a neurological exam is standard, and the pa琀椀ent has had basal breast cancer since 2014 and no signs of the disease relapse. • Osteoarthri琀椀s may also be playing a role in her pain about her age and history of osteopenia. However, this diagnosis is not likely to be accompanied by pain without a prior history of its worsening. PROBE Verbalize any knowledge gaps, points of confusion or dilemmas that you have regarding your understanding of the case by iden琀椀fying ques琀椀ons that you would (or did) ask your preceptor. Chronic low back pain (CLBP) is common in diverse client groups and can present in cancer survivors. For pa琀椀ents with musculoskeletal problems resul琀椀ng from breast cancer treatments such as surgery, chemotherapy sessions and others, physical therapy is an e昀昀ec琀椀ve non-drug interven琀椀on for managing pain and enhancing func琀椀onal capacity (Coronado et al., 2020). My self-directed learning involved understanding how physical therapy can be e昀昀ec琀椀vely used to address the needs of cancer survivors who have CLBP, taking into considera琀椀on the long-term e昀昀ects of treatment on 琀椀ssues such as neuropathy and muscle weakness. Physical therapy for CLBP includes procedures such as exercise, which may involve an emphasis on the abdominal and lumbar musculature, 昀氀exibility exercises as well as posture correc琀椀on. Such interven琀椀ons are more essen琀椀al among pa琀椀ents with past cancer care since the treatments might compromise their musculoskeletal systems (Ladislav Batalik et al., 2024). The pa琀椀ent, in this case, may bene昀椀t from exercises that strengthen her back and increase the range of mo琀椀on with the aim of minimizing the pain in her back as well as avoiding future instances that may lead to back pain. One major factor about PT is that it requires di昀昀erent treatments for di昀昀erent people. Few pa琀椀ents have similar disorders, and every individual, especially cancer