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QUESTION
Casey is a 17-year-old high school student admitted to the ER with a compound fracture of the left leg obtained when falling at the local skateboard park while practicing for a national competition. He has never been hospitalized before. His mother has been notified and is on her way. The EMTs gave him morphine and he reports his pain level as “okay.â€
What part of the interview and examination can be done prior to his mother’s arrival?
As you enter the room for the first time, what should you observe as part of the general survey?
As you complete his history, what areas are especially important?
What are the important developmental considerations for Casey?
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| Subject |
Nursing |
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3 |
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Answer
Prior the mom arrives the 17 year old can provide the team offering treatment with biographical data. In fact, an interview can be undertaken and the teenager can give information about the chief complaint as well as events leading up to the accident. This information is vital and would serve as the basis for treatment history (Bledsoe et al, 2008).
As one enters the room, an observation to be made would involve blood stains from the fractured left leg as well as redness of the surrounding skin area. In addition, immobility can be observed because a compound fracture of the leg would typically mean that the teenager is unable to move around freely. Indeed, a fracture is viewed a medical condition in which there is harm in the continuity of the bone and the fact that the teenager suffers from compound fractures implies that bones are likely exposed (Physicians Premier, 2016). The implication is that one would observe would that communicate with his fracture.
On completing the teenager’s history, an area of interest would be about his past medical history. This is very important simply because it informs the treatment team about the necessary course of action with regard to diagnosis. In fact, a patient is treated according to her or his past medical history to avert unwarranted reactions that may exacerbate the situation.
Some of the developmental considerations for the teenage boy involve the fact that injuries are of little consequence due to the limited growth potential. More so, any growth plate injury at his age is improbable to be clinically significant (Emergency Medical Services, 2001). This implies that the boy’s age means he has limited growth potential and thus would not necessarily lead to significant problems including a variety of clinical effects.
References
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Bledsoe, B et al. (2008). Paramedic care. USA: Pearson Prentice hall.
Emergency Medical Services. (2001). Emergency Medical Services, vol. 30, Emergency Medical Services.
Physicians Premier. (2016). Broken bones. Retrieved from http://mdpremier.com/broken-bones-urgent-care-or-emergency-room/
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