iHuman case Andrew Chen. He is a 14-year-old boy with a
chief complain of pain and swelling in the right ankle(WITH
all the questions, test,
... [Show More] differential diagnosis)2023/2024
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 falling 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 swelling 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 distal
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 patient 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 recovery 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. Evidence-based practice indicates that elevation
after a fracture improve swelling and can result in accelerated healing in some cases (Seo et al.,
2020). To address the diversity, equity and inclusion (DEI) component of this strategy the
information provided should be given in relation to this patient's age. It should also be
considered that o [Show Less]