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NUR231 CaseStudyS220.pdfNUR231Assessment 2:Case StudyBob, a 67-year-old school janitor presented to his GP with lower back pain. He informed his GP that he has been generally active, walking and cycling regularly but his lower back pain has started to restrict these activities lately, in addition to affecting his daily job.Upon questioning, Bob related that the lower pain has been there for the last 2 months and has gradually become more severe. On physical examination, there was acute tenderness over T12-L1. There were no other clinical signs. The GP was unsure of the origin of the lower back pain and prescribed a non-steroidal anti-inflammatory medication to be taken when he experienced pain. Bob saw his GP one week later and complained of worsening pain. The GP referred him to a rheumatologist.The rheumatologist advised Bob to have magnetic resonance imaging (MRI) of the spine. Two weeks later MRI scan was done, and the report showed metastatic lesions in thoracic and lumbar vertebrae. Bob received a call from the clinic to come for an immediate consultation.Please answer the following TWO questions:1. What happens to pain threshold and behavioural response to pain in the older people and discuss briefly the effectiveness of NSAIDS for pain management in elderly.(150 words approx.)2. Following the MRI report, and the pain being persistent, which analgesics should be prescribed to Bob? Support your answer with evidence.(250 words approx.)GENERAL GUIDELINES ON HOW TO WRITE YOUR ASSIGNMENT1. The maximum word limit for this assignment is 400, this does not include references.2. This assignment must be submitted via safe assign on Learnline.3. No other form of submission is acceptable including email, hand delivery or post.4. It is advised to have a foot note on your assessment containing your name, student number and unit code. No COVER SHEET REQUIRED for Safe assign submission as per CDU policy.5. Please click on assessment details where it says, -click on the above link to submit your assignment-. Please note there is NO DRAFT SUBMISSION for this assignment. Once you upload your file and click submit, it will be submitted for grading.6. I will not be able to check and let you know if I have received your assignment or not.7. All the information about the assignment is available on Learnline; please take time to locate the necessary documents prior to sending an email to me enquiring about the assignment details.8. Proof reading or feedback of any kind of ASSIGNMENT QUESTIONS will not be provided prior to submission.9. Please contact the Learnline technical support if you have problems submitting the assignment.FORMAT:1. Font size 12; Font Type: preferably Calibri or Arial;2. Line space 1.5 to 2.REFERENCING:Please use APA referencing style (7th edition). Number of references: between 5-10.EXTENSION:You will have to submit an official extension request with supporting documents at least 5 days before the deadline.ASSIGNMENT MARKS RELEASE:It is expected to take around 2 weeks or more to get your assignment marks being released after submission.
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