Bangor CY Medicine

JXH 4001 Exercise is Medicine Re-Sit Assessment 2017/18 The re-sit assessment for JXH 4001 Exercise is Medicine is a coursework assignment. You are required to prepare a clinical case review of ONE of the case studies outlined below. Check the files i uploaded in the additional files. Follow the instruction. 1 similar rate low than 5% 100% original 2 not out of topic 3 no mistake in Grammar 4 no format problem 5 no sources/citations issues ( all reference has in-text reference , all in-text reference put in reference list) 6 Word count enough 7 add table of content match subtitle 8 add introduction conclusion 9 add abstract 10 add recommendation 11 Instruction fully covered 12 Paper not lacks proper research 13 not Wrong data/statistics/calculations present 14 more refrence 15 require rich graphs, tables and/or charts to enrich paper 16 extension revision in 14days 17 sign high level top 10writer 18 The first name in topic is school name do nor sign same writer in one school 19 make sure 100% pass 20 reference is academic.

JXH 4001 Exercise is Medicine Re-Sit Assessment 2017/18

The re-sit assessment for JXH 4001 Exercise is Medicine is a coursework assignment. You are required to prepare a clinical case review of ONE of the case studies outlined below.

Clinical Case Review Requirements
The primary objective for the clinical case review is to present a concise and coherent overview of the case. In particular you must demonstrate awareness of current guidelines for exercise rehabilitation and research-led/evidence-based practice for the disease/condition that you have chosen. Assessment will focus on the following areas:
• Presentation of the case i.e. clinical context (e.g. underlying pathophysiology & clinical features) patient medical history, risk stratification)
• Assessment for exercise prescription, including contraindications for exercise
• Exercise training prescription supported by relevant literature.

The total maximum word count is 1500 words (± 10%), excluding title and references. Submissions should be in 12 point font, Times New Roman and the text should be double-line spaced on pages with 2 cm margins. References should be in a standard format. Please submit an electronic copy (using the Turnitin link on Blackboard under the Re-Sit Assessments Tab).

The mark will reflect the degree to which the marking criteria are met (see criteria below). Please note that all re-sit pass marks are capped at 50%.

1. Rheumatoid Arthritis
Mrs AP is a 48 year old female RA patient who was diagnosed with sero-positive Rheumatoid Arthritis 3 years ago (RF +ve and CCP +ve).
In 2015 Mrs AP was prescribed Methotrexate (MTX) and Hydroxychloroquine (HCQ) and continues to take this treatment. Currently she is taking 15 mg of MTX weekly and 200 mg of HCQ daily. At Mrs AP’s last rheumatology appointment her results were as follows:
ESR = 8 mm.hr-1
CRP = <10 mg.l-1
Tender joints = 1
Swollen joints = 0
DAS 28 = 2.31
Despite MRS AP responding well to treatment she has been complaining of feelings of extreme tiredness, with activities of her daily living becoming much more difficult over the past 6-8 months, in particular getting in and out of her car and climbing stairs. Her rheumatologist (Dr PD) also noticed that Mrs AP’s weight has increased by 5kg since diagnosis. To specifically address these issues, Dr PD has referred Mrs AP to your physiology clinic for assessment and exercise prescription.
Additional Information: Mrs AP has a family history of CVD and is currently taking simvastatin for dyslipidaemia.

2. Diabetes
Mr SR is 63 years old and was diagnosed with type II diabetes 5 years ago.
Medication: Metformin taken 2x’s/d; Captopril (ACE inhibitor), for blood pressure control and protection of kidneys; and Lipitor (atorvastatin) for control of hyperlipidemia.
Laboratory values: Last HbA1C = 8.8% (normal 4-6%); random blood glucose 9.5 mmol/l; total cholesterol = 5.6 mmol/L, LDL cholesterol = 4.5 mmol/L, HDL cholesterol = 0.85 mmol/L, triglycerides = 2.0 mmol/L; microproteinuria.
Physical examination: BP = 134/82 mmHg; resting HR = 70 bpm; BMI = 30.2, % body fat = 31%.
Medical history: Bypass surgery 5 years previously, moderate peripheral neuropathy, and early (stage 3) diabetic nephropathy. Stress ECG – normal.
Interests: He lives in a small rural village and owns a dog. Mr SR has been referred to your physiology clinic for assessment and exercise prescription

3. Osteoporosis
Mrs RF is 60 years old, 9 years post-menopausal and has never been on hormone replacement therapy. She smoked for 35 years but has recently quit. She has never regularly exercised. Fifteen years ago she was diagnosed with hyperthyroidism, which was treated by radioactive iodine (i.e. thyroid ablation).
Medication: Synthroid (synthetic thyroxine); ACE inhibitor for mild hypertension.
Laboratory values: no test results available.
Physical examination: BP = 126/80 mmHg; BMI 22.1.
Her GP has advised her to exercise, and she is keen to try it, but does not know how she should proceed. She has been referred to your physiology clinic for assessment and exercise prescription.