Module 8 Discussion Forum

Forum Instructions

In a post below, respond to the following prompt, which assess(es) course outcome(s) 1, 4 and module learning objective(s) 5, 6 Then, you must respond to two (2) of your classmates' posts. After you post a response, you will be able to see other responses. You are not required to post more than once, but feel free to respond to other posts and engage with your classmates.

[Adopting instructors should edit the bold text to suit forum function/requirements].

Your [first] post is due on [day of week] by [time] CST. Your response to another student is due on [day of week] by [time] CST. [Adjust for number of posts required.]

Your response should be at least [length requirement in words, sentences, or paragraphs] long. This includes responses to other students' posts. [Include previous sentence if necessary.] A simple “I agree” or “Yes” or “LOL” will not count. Please think about the questions and your peers' responses and reply thoughtfully and courteously, according to netiquette rules. Use good English grammar, correct punctuation, and complete sentences. While the posts will mostly be judged by their thoughtfulness and completeness, I reserve the right to take off points for grammatical errors, especially if they interfere with the clarity of the post. [Edit as needed.]

Prompt

Read the information provided in the following Electronic Health Record. Then, answer the questions below.

Assessment of a Patient with a Tibia Facture

Patient’s Name: Jaun
Age: 17 years
Sex: Male
Chief Complaint:

Pain in the left lower leg after collision playing hockey
Presents with the inability to bear weight and deformity of the left lower leg

Medical History:

diagnosed with concussion two years ago: sport (hockey) injury
forty-two stitches applied to chin last year: sport (hockey) injury
tonsillectomy at age four

Vital Signs:

temperature: 93.3 °F
heart rate: 132 bpm
blood pressure: 152/94 mm Hg
respiratory rate: 32 breaths per minute
oxygen saturation: 98 percent on room air
BMI: 28

Recent Laboratory Results:

WBC count: 10,000/µL (normal)
hemoglobin: 13.5 g/dL (normal)
hematocrit: 40.5 percent (normal)
platelets: 250,000/µL (normal)
electrolytes:
sodium: 138 mmol/L (normal)
potassium: 4.0 mmol/L (normal)
chloride: 102 mmol/L (normal)

Imaging Results:

Imaging includes full-length AP and lateral views of the affected area; also AP, lateral, and oblique views of the ipsilateral knee and ankle.
Fracture noted to left distal tibia.

Progress notes:

Patient reports sudden onset of sharp pain in lower leg after colliding with another player in a hockey game, followed by throbbing when attempting to walk.
Mild diaphoresis was observed upon admission.
Patient otherwise presents as an active young adult with no other health disparities.

Current medications:

acetaminophen: 500 mg every night as needed for pain

Discussion Questions:

Choose two of the following questions to answer.

What information in the patient’s chart concerns you? Explain why.
What is an expected finding? Explain why.
What information should you obtain from the patient? Explain how this will help you provide treatment.
What should you educate the patient about? Explain why.