Preview

Acute Shoulder Injury Case Study

Good Essays
Open Document
Open Document
530 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Acute Shoulder Injury Case Study
This is a situation that most physicians can relate to. Imagine that there is a new patient scheduled for a physical. The patient also wants to address a list of concerns like: heart trouble, a mystery rash, sleeplessness, a family history of cancer and some minor infection in the toe. How would you prioritize these concerns? Do you let him know that a physical exam involves focusing on preventive health and doesn’t usually have enough time to address every concern and ailment?
A lot of physicians are facing this issue. Especially the ones that are trying to build their practices. Word of mouth is crucial for the success of a private practice. Hence, it is understandable if the physician does not want to be too rigid in approaching patients. However, this results in working overtime. To avoid this, there is a need for a new approach. We have a couple of examples.
…show more content…
Owing to significant co-morbidities, it was not a clear cut pre-op clearance. The patient also wanted to address an acute shoulder injury. The physician had to tell him that he does not have enough time to address the shoulder injury as there is another patient waiting. However, the patient waiting was the last patient of the day and so the physician would gladly return to the shoulder injury issue if he was willing to wait. The patient agreed, and so the physicians day was extended, and so was the medical assistant’s, and the X-ray technician’s.
The second patient who had come in for a 20-minute evaluation of allergy symptoms was in reality a much more complicated respiratory issue. Moreover, the patient also reported of having episodes of shooting sensation down her left leg. The patient later divulged that the only reason she made the appointment was the leg. The physician offered to finish up with the next patient and come back in the exam room during lunch to evaluate the additional

You May Also Find These Documents Helpful

  • Good Essays

    Delay in communication between staff and Physician either due to unavailability of the physicians after hours contact information or lack of communication.…

    • 1778 Words
    • 8 Pages
    Good Essays
  • Better Essays

    B) was brought into the emergency room for pain to left leg and left hip. The injury occurred when the patient had a fall due to him losing his balance after tripping over his dog. The hospital is a 60 bed rural hospital located in Mr. B’s hometown. Mr. B was brought in by his son and neighbor. Upon triage Mr. B was complaining of pain 10/10 on the numerical pain scale and his vitals were found to be stable. Mr. B has a history of impaired glucose tolerance, prostate cancer, and chronic pain which he is on oxycodone. The Patient states he had no known allergies or previous falls. Upon the nursing assessment Nurse J. has noticed that the patient has limited range in motion, his left leg has swelling and appears shortened in comparison to the right. Nurse J. has informed the ED physician which he came to his bedside for…

    • 2877 Words
    • 12 Pages
    Better Essays
  • Good Essays

    o A 7-year-old is brought into the office unexpectedly by his mother on a very busy clinic day. He is coughing and wheezing. He has no known history of asthma, but frequently gets like this while playing soccer. He is in moderate distress. An H&P and physical exam is performed.…

    • 655 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    RTT1 Task 2

    • 6008 Words
    • 17 Pages

    Detailed description of event including timeline: Thursday 3:30 pm Mr. B a 67 year old patient was admitted to the ER after a tripping and falling over his dog at his home by nurse J. He was complaining of 10/10 pain to his left leg and hip region but appears to be in only moderate distress. Mr. B’s vital signs were stable at time of admit with a blood pressure of 120/80, heart rate of 88 and increased respirations of 32. Left leg is shortened, swollen in the calf, bruising present and limited range of motion to left leg. Dr. T looked over data and ordered Mr. B to have medications for pain control and sedation in order to perform a manual manipulation in realigning Mr. B’s dislocated hip. 4:05 nurse J administered IV Diazepam per Dr. T’s orders. With no affect Dr. T. orders Nurse J to give 2mg IVP Dilaudid at 4:15. 4:20 Dr. T. orders nurse J to give 2mg IVP Dilaudid for muscular skeletal relaxation. Dr. T. notes that per patient’s weight and regular usage of Oxycodone, it was making it more difficult to achieve the level of sedation required for manual manipulation. 4:25 Mr. B appears sedated and comfortable and procedure of manual manipulating the dislocated hip back in place goes successfully and concludes at 4:30 with the patient resting and no signs of distress. Nurse J. places Mr. B on an automatic blood pressure machine and oxygen saturation to go off every five minutes and leaves to take care of another patient, with Mr. B’s son at the bedside. 4:35 Mr. B’s blood pressure is 110/62 and saturation of 92% on room air. The LPN hears a “low saturation O2” alarm and notes Mr. B’s saturation is 85% room air and repeats the blood pressure setting and resets the alarm. 4:43…

    • 6008 Words
    • 17 Pages
    Powerful Essays
  • Satisfactory Essays

    Assignment: For each scenario that follows, explain how and why you would schedule an appointment or suggest a referral based on the patient’s reported symptoms. Be sure to first review the “Guidelines for Patient-Screening Exercises” found on page iii in the Introduction section of your Workbook.…

    • 270 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Checkpoint3

    • 264 Words
    • 2 Pages

    o A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event.…

    • 264 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Respiratory Therapy is on staff, not present, but available if needed. When Mr. B arrived he made the third patient in a six bed Emergency Department. Additional back-up staff was available if needed. Policy for nurse to patient ratio for the facility is unknown however one on one care should have been addressed with the potential for respiratory depression with Mr. B. Additional staff were available to care for the incoming patients but were not utilized. With the issue of one on one care for conscious sedation if the only concern was respiratory related the in-house respiratory therapist could have been paged to monitor Mr. B while Nurse J was caring for other patients. Knowing Mr. B’s medication history of oxycodone use for chronic pain and the added medication for sedation would most definitely qualify him for one on one care until discharge criteria were met due to the potential for respiratory depression. With the added stressors of an additional critical patient arriving for care and multiple patients with need to be seen in the Emergency Department lobby the back up staff should have been…

    • 2481 Words
    • 10 Pages
    Powerful Essays
  • Good Essays

    Assignment: For each scenario that follows, explain how and why you would schedule an appointment or suggest a referral based on the patient’s reported symptoms. Be sure to first review the “Guidelines for Patient-Screening Exercises” found on page iii in the Introduction section of your Workbook.…

    • 581 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Rotator Cuff Injuries

    • 888 Words
    • 4 Pages

    The rotator cuff is a group of 4 muscles, the supraspinatus, infraspinatus, subscapularis, and the teres minor. These muscles helps to lift your shoulder up over your head and also rotate it toward and away from your body. Unfortunately, it is also a group of muscles that is frequently injured by tears, tendonitis, impingement, bursitis, and strains. The major muscle that is usually involved is the supraspinatus muscle. Rotator Cuff Injuries are usually broken up into the following categories.…

    • 888 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Hospital Sentinel Event

    • 2311 Words
    • 10 Pages

    The pre-op nurse told the mother that once Tina (The patient), a 3 years old child, went to the OR, her surgery would take about 45 minutes and then she would go to recovery and she would be there at least one hour. The mother told the nurse that once Tina went to the OR, she needed to run a quick errand involving an older sibling and would return in time to pick her up once she got out of recovery. The mother gave the pre-op nurse her cell phone number with instructions to contact her if Tina got out of surgery sooner than expected.…

    • 2311 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    Many times an individual is embarrassed to revel symptoms or past medical history in fear they might be rejected or judged. The thought of another patient getting a glimpse of their medical chart is reason to withhold information or perhaps the medication prescribed makes them feel strange or sick? No matter their reasoning, holding back pertinent information could be costly and in worst cases deadly. There are a plethora of ways healthcare providers can ease the minds of individuals and ensure the line of communication between them stays open and honest. Patients want to believe their healthcare provider truly cares for their well-being. Verbal and non-verbal communication helps providers express interest and concerns to patients. Making eye contact, listening and questioning with thought, demonstrating understanding and compassion are examples of verbal and non-verbal communication. Bridging any social gap that may be present will help establish open communication between provider and patient. Viewing the relationship as a partnership in which each party contributes to maximize the outcome is an essential element in provider/patient relationships. The choice of words a provider uses can affect the line of communication between them and their patients a great deal. If an individual has no knowledge of the medical terms a physician is using they may become embarrassed by it and not ask the proper questions…

    • 888 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    Head To Toe Assessment

    • 249 Words
    • 1 Page

    This week in clinical, I got my first patient to take care of. I was very excited, but overwhelmed. I went in the patient's room and introduced myself. The patient stated he wants to eat breakfast, so I helped him with that and watched him eat because of him having aspiration pneumonia. My patient was a 64 year old male, diagnosed with aspiration pneumonia, with past history of stroke causing him to have left sided weakness, and was legally blind in right eye. Before helping the patient with breakfast, I quickly did a full set of vital signs. After breakfast, I did am care for my patient. After that, I did a head to toe assessment following the sheet provided by the clinical instructor. Then, I reviewed my chart more carefully and looked…

    • 249 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    healthcare

    • 729 Words
    • 3 Pages

    that caused a patient to seek medical attention as stated in that patient's own words?…

    • 729 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    Nurse Prescribing

    • 2608 Words
    • 11 Pages

    With reference to clinical practice, a referral was received from the GP to assess a patient whom he had seen at home and had diagnosed a chest infection and prescribed antibiotics. Whilst assessing the patient Katherine, she complained that she had tenderness in the sacral area. On examination the GP found she was suffering with a sacral pressure sore, but she was unsure of how long she had the pressure sore for. Katherine is a seventy two year old lady who lives with her husband and prior to feeling unwell had been fairly fit. Unfortunately a constant cough meant that her sleep was disturbed, so…

    • 2608 Words
    • 11 Pages
    Powerful Essays
  • Good Essays

    Firstly, it is really important to establish a good rapport when dealing with patients. A good rapport can create a relationship that is built on trust and commitment. Through this, patient can share private medical information without hesitations. An example of this was when the pharmacist greeted the patient and asked how can she be of help. She also showed empathy when she found out that the patient was in pain and told the patient she’d prepare the prescription right away.…

    • 367 Words
    • 2 Pages
    Good Essays