SOLVED163

The Patient is a 71 year old female restrained driver involved in motor vehicle accident in which her vehicle was T-boned. Airbags deployed and she does not think she lost consciousness. Patient stated she was driving earlier in the morning and zoomed out and ran a stop sign. She was not able to get herself out of the vehicle, but the driver of the other car helped her out, and she immediately had right hip pain. She was transported from the scene via ground EMS and arrived hemodynamically stable with a GCS of 15. CT head, cervical spine, CTA neck, chest on pelvis demonstrated C6 fracture, Sternal fracture, T2 burst fracture, age indeterminable T2 and L2 compression fractures, right superior and inferior pubic rami fractures, and a right sacral ala fracture. She complained of Sternal pain and right hip pain. Patient denies back or abdominal pain. The patient`s diagnoses are Motor Vehicle Collision, Sacral failure, Fracture of the Cervical vertebra, T2 vertebral fracture, and Sternal Fracture. Patient comorbidities include Osteopenia, Hypertension, and Hypothyroidism. Patient is married and lives with her husband in Indianapolis. 2. Describe the pathophysiology of your client’s diagnosis using your textbook. (Provide APA reference for citation) Sternal Fracture is a traumatic injury to the chest that contributes to many deaths. It is classified under Blunt trauma, which occurs when a chest strikes or is struck by an object. The external injury may appear minor, but internally may be severely damaged. Sternal Fracture can easily tear lung tissue. In a high-velocity impact, shearing forces can result in the tearing of the aorta. Compression of the chest may result in heart or lung contusion, crush injury, and organ rupture (Harding M. et al. 2023). 4. Derive a nursing diagnosis based on the identified priority client problem. (NOTE: No At Risk Nursing diagnosis)
SCIENCE
HEALTH SCIENCE
NURSING

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