iHuman Case Study - Andrew Chen, 14yrs oldMale CC: Pain & swelling in the right ankle (Latest)2023 may NUR 560
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h 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., [Show Less]