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An 81-year-old caucasian male was brought to EMS following a fall. The patient stated that he was walking in the driveway after getting a mail and tripped over his foot and fell over his wrist and hand having bruises on his arms and forehead. CT chest performed in the ED showed minimally displaced left 9-10 rib fractures, emphysematous changes throughout the lungs, opacity within the left inguinal may represent scaring atelectasis or infectious process, and extensive multivessel coronary atherosclerosis. XR right hand/wrist showed nondisplaced 4th metacarpal fracture, second metacarpal base irregularity unsure acute or chronic. CT head and C-Spine negative for acute traumatic injury. CT face, CTA neck, and CTA chest/abdomen/pelvis ordered. The patient has emphysematous changes throughout the lungs and is on an 8L oxymask, indicating difficulty in breathing. This is further complicated by the rib fractures, which cause pain and limit the ability to take deep breaths, potentially leading to atelectasis. Nursing interventions and clinical skills were: Positioning: Position the patient in a way that maximizes lung expansion, such as semi-Fowler’s or high Fowler’s position. • Breathing Exercises: Teaching and encouraging the patient to perform deep breathing exercises and use incentive spirometry. This can help to improve lung function. • Regular Assessment: Regularly assess the patient’s pain level, respiratory status, and overall comfort. This helps to detect any changes in the patient’s condition early for immediate attention. what cultural, ethical, and/or diverse considerations did you identify while caring for your client?
SCIENCE
HEALTH SCIENCE
NURSING

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