Clinical Procedures Case Studies - Science
Complete the three case studies in the Clinical Procedures Case Studies worksheet.Submit your assignment.
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Cinical Procedure Case Studies
NRP/571 Version 1
University of Phoenix Material
Cinical Procedure Case Studies
1. A 35-year-old Hispanic female presents to the office. She complains of severe pain in her left
1st metatarsal (big toe) on the medial corner of her nail bed. She reports that the pain has
gradually worsened over the last week and she can now barely walk. She has tried soaking
her foot in Epsom salts and putting antibiotic cream on her toe, none of which have helped.
On physical exam her toe is swollen and erythematous with tenderness. She also has
purulent drainage present.
PMHx: none
SHx: married with two children
Allergies: none
•
What is your diagnosis?
•
What stage of ingrown toenail does she have?
•
What is the treatment plan?
•
What postprocedure instruction should she receive?
2. A 47-year-old male presents to the clinic. He has a 3-inch laceration on his right forearm and
reports that he was replacing a bedroom window when the window broke, cutting his right
arm. He reports that “it bled quite a bit.” He wrapped it in a shirt and came directly to the
clinic. He does not know when he had his last Td shot, but he thinks it was at least 12 years
ago.
On physical examination you observe a 3-inch laceration extending through the dermis layer
of skin not affecting tendons or ligaments and determine if sutures are warranted.
PMHx: asthma
SHx: married with no children
Allergies: none
VS: T 98 BP 134/60 HR 78 R 18 02 sat 98\%
•
What sequence of steps would you take to treat this patient?
•
What would be your postprocedure instructions to the patient?
•
Should he receive a Td immunization today?
1
Cinical Procedure Case Studies
NRP/571 Version 1
3. A 45-year-old male was in his garage grinding a piece of metal when he experienced sudden
pain in his right eye. He went inside and flushed his eye with water, but he still felt like there
was something in the eye.
On physical examination, his visual acuity in both eyes is 20/20. There is no obvious foreign
body seen in the eye; however, the conjunctiva is injected. You consider that he may have a
corneal abrasion.
PMHx: none
SHx: divorced with no children
Allergies: sulfa
VS: T 98 BP 136/60 HR 70 R 12 02 sat 97\%
•
Describe the process involved with assessing a patient for a corneal abrasion.
•
What would your treatment be if this patient was positive for a corneal abrasion?
•
How would your treatment differ if there was a change in visual acuity?
•
Would this patient require a tetanus shot?
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4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
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5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
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4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
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I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
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3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
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