Question

12:45 pm...Katie, 18 years old/Camper #4 Primary Problem/Story: Katie is a grounds worker who walked down the ramp of the food truck with a box of food when her leg went through a hole on the ramp. She reports twisting her left hip with a sudden onset of pain What Do You Notice? Clinical Significance: Katie limped into the health center and told the nurse, "My left hip hurts. I can move it but it hurts a lot." What Do You Notice? Clinical Significance: Past Medical History: Katie is a healthy 18-year old with no prior history of back or hip injuries Social History/Concerns: None to contribute to the current situation Vital Signs: T: Not taken What Do You Notice? Clinical Significance: What Do You Notice? Clinical Significance: P: 82 (reg) R: 22 (reg) BP: not taken 02 sat: not taken What Do You Notice? Clinical Significance: P-Q-R-S-T Pain Assessment: Provoking/Palliative: Onset with injury Quality: Constant Region/Radiation Left hip and leg Severity: 8/10 Constant and began with injury Timing: What Do You Notice? Clinical Significance: Initial Nursing Assessment: Patient unable to bear weight while walking on left leg. The range of motion of left hip decreased

Answer 1

Answer :

Katie 18 years old :

According to Katie's history may notice that " displacement of hip " or " Hip fracture ".

Nil significance of past medical history.

Q. No. 1. Answer :

Problem Is " severe pain ".

Cause is due to twisting her left hip on floor she got severe pain.

Q. No. 2. Answer :

Priority of nursing interventions :

* RACE should be follow during fracture time that is

R - rest,

I - immobilization,

E - elevation,

C - compression.

These all should be follow,

* and provide supportive bandages or splints and shift to the emergency department.

* provide psychological support and emotional support.

Q. No. 3. Answer :

Most likely complications are :

Swelling,

Bruising,

Bleeding,

Hematoma formation ect.

The nurse should follow RACE till emergency surgery or further procedure.

Put it all together :

Q. No. 1. Answer :

If all 5 patients presented at the same time, as a community health nurse I should first assess who is in emergency and can survival rate is high if by providing our care.

For them I will treat first. I will follow triage here.