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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. The nursing interventions and clinical skills used that addressed the priority client problem: • Prevention of Further Injury: Assist with mobility to prevent further injury from fractures and provide education on safe movement and positioning to prevent further injury. • Vital Signs Monitoring: Regularly monitoring the patient’s vital signs, particularly blood pressure due to her hypertension. to report any significant changes to the healthcare team. • Pain Management: Administering prescribed pain medication and monitoring its effectiveness and using non-pharmacological methods for pain relief, such as positioning and relaxation techniques. In performing the interventions/skills, where may be your strengths and what area(s) do you need to improve?
SCIENCE
HEALTH SCIENCE
NURSING

 
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