Exam (elaborations)
Andrew Chen, 14y/o Male – CC: Pain and swelling in the right ankle
- Course
- Andrew Chen IHuman
- Institution
- Chamberlain College Of Nursing
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iHuman Case Study - Andrew Chen, 14yrs old Male CC: Pain & swelling in the right ankle (Latest) i-Human Patient Activity: Andrew Chen NUR 560 Health Promotion Plan Andrew Chen, 14 -year-old male, with a past medical history of cystic acting taking tetracycline, benzo -peroxide and salicylic acid face washes. He presents after a fall at his basketball game with injury to the right ankle. Patient states that he went to take a shot and tripped over another player’s foot and fell with other players falli ng on his right ankle. He states that the pain is worsening; 10/10, with worsening swelling and bruising. The treatments that he has been using are ice, elevation, ace wrap and ibuprofen. On assessment of the right ankle there was a moderate amount of swel ling and bruising, circumferential swelling but medial and posterior side of right ankle was most impressive and extends to the anterior tibia/fibula sparing the dorsum, significant tenderness of the right medial malleolus and posteriorly less severe dista l tibia and fibula, bilateral pedal pulses were equal and decreased range of motion of the right ankle and unable to bear weight on that ankle related to pain. The x -ray showed a Salter Harris type 2 fracture of the right ankle. The diagnosis based on pati ent presentation, assessment and imaging is fracture. Part of this health promotion strategy is patient education on the importance of elevation of the ankle for this diagnosis. Elevating the ankle will have numerous benefits for the healing process and re covery from a Salter Harris type 2 fracture. This component of the treatment plan is an effective way to reduce swelling (Seo et al., 2020). A main complaint from this patient was that the swelling continued to increase after his injury, resulting in more pain. To manage this component of the fracture elevation is a useful treatment method. Providing education on the importance of this strategy will help the patient and his family understand the purpose and benefits of elevation for comfort and healing. Evi dence -based practice indicates that elevation after a fracture improve swelling and can result in accelerated healing in some cases (Seo et al.,The benefits of buying summaries with Stuvia:
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