The patient is a 53-year-old individual who was injured on 06/12/2016. During that time, he was stacking rims together and putting them inside the box. The patient states that each box would weigh up to 80 pounds. Suddenly one of the rims fell in-between the 2 separate stacks of rims. He reached down with his right hand to grab the falling rim. As he was pulling his arm up, he straightened his right index finger that got caught on one side of the stacked rims causing a cut.
The patient was diagnosed with complete traumatic metacarpophalangeal amputation of right index finger, initial encounter, right index finger amputation at PIP joint, and a right index finger tendonitis.
X-ray of the right hand dated 8/03/2017 revealed a right hand
index finger amputation through the PIP joint. Medical records reviewed included Requests for Authorization DWC Form RFA dated 8/3/2017; Initial Worker’s Compensation Evaluation dated 8/3/2017; and Managed Care Services Referral Form dated 8/14/2017. An Initial Worker’s Compensation Evaluation dated 8/3/2017, stated that the patient complained of intermittent pain with numbness. Current medications included an over the counter Tylenol. He was on a full duty status. His physical examination was unremarkable. The plan of care included the application of ice/heat to the areas of discomfort as needed, a home exercise program, an over-the-counter non-steroidal anti-inflammatory and analgesic medications as needed, occupational therapy, Volataren gel, and a full duty work status. Follow up in 4 weeks. This is a prospective review of Occupational Therapy, 2 times weekly for 4 weeks, right index finger; Voltaren gel 1% 3-100g #1, per 08/03/17 order.
On the morning of the 17th of May 2005, Nola Walker was involved in a two vehicle motor accident. She had just dropped her son off at his new job, when she ignored a give way sign at an intersection. When the ambulance arrived the officers, Nucifora and Blake, recall Walker being “able to converse” and “orientated”. Blake conducted multiple assessments and did her vital signs twice. The results deemed Walker to be within normal ranges, with the only noticeable trauma involving superficial skin injuries on the left hand, an abrasion over the right clavicle which was assumed to be a seatbelt injury. Ms Walker denied she was ever in pain. Nucifora mentioned on several occasions that it would be best to take Walker to the hospital to be further
While being treated for an unrelated illness at the Pennsylvania Hospital a patient named Mary Flagiello fell and broker her ankle.
The Daniel Pelka serious case review is one of many that are conducted around the United Kingdom every year. A serious case review is a local enquiry into the death or serious injury of a child, where abuse or neglect are known or suspected. These are conducted by the Local Safeguarding Children Boards; with the main focus being on what lessons can be learnt locally to prevent this from happening again (Brandon, Bailey, Belderson, 2010). In this textual analysis we will be looking back at previous case reviews including Jasmine Beckford and Baby P. We will then look at what recommendations have been made and use the Peka case to see weather we have learned from our previous mistakes or are we still in the same position now as we where then.
Tendinopathy is a generic description that encompasses many pathologies of clinical conditions arising from chronic overuse in and around the tendon such as ruptures/tendinitis, tendinosis and paratendinitis, which can only be classified post histopathological examination (Maffulli, Sharma, & Luscombe, 2004; Khan, Cook, Bonar, Harcourt, & Astrom, 1999). There has been a shift to replace the pathological term ‘tendinitis’ with ‘tendinosis’ as increasing research fails to detect the presence of prostaglandin mediated inflammatory cell infiltration within the pathological tendon (Khan, Cook, & Kannus, 2002; Khan et al. 1999). Achilles tendinosis pathology is now attributed to a failure of the cell matrix to adapt to repetitive trauma. With fiber disorientation, ...
Being obedient to a leader… what comes to mind? Most people would say a dog and it’s owner but in the 1900’s what came to mind was women being obedient to their husbands. The short story “The Hand”, by Sidonie-Gabrielle Colette, shows how the women were to be obedient to the male and what they were to do. This story uses the hand of the husband to show its power and strength over the women and simultaneously showing the roles of what the women were to do. In the short story, “The Hand”, it reflects the period of time by showcasing the women's roles due to the overpowering male role.
5. Plaintiff’s nerve was severed under her left arm when an epee sliced through plaintiff’s jacket.
The patient presented with common signs of compartmental syndrome. The interventions suggested to the staff at the hospital were not fully completed. The interventions given during the case presentation consisted of assessing the six Ps, swelling, and vital signs. I took the vital signs of the patient and the nurse recorded them in their system. The patient’s blood pressure was not within normal limits, so the blood pressure completed manually. The manual blood pressure was still elevated. An increase in blood pressure can indicate pain, swelling, and impaired blood flow to the extremities. When I was with the nurse, she sent the patient for an x-ray. Furthermore, the nurse should have then assessed what the patient has been doing and done education with the patient to elevate the leg above his heart. Many people do not know the scientific rationale and positioning of elevating the extremity above the heart. The nurse should have also assessed the patients expectation of pain relief, since his current medication (Ibuprofen) was not working to his expectations. This is when we left the floor; therefore, I was not able to discuss the patient care with the nurse. The nurse simply asked the patient about some of the six Ps of compartmental syndrome and did not complete the assess...
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture. A pneumothorax is defined as “the presence of air or gas in the plural cavity which can impair oxygenation and/or ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation.
In life, no matter who you are, everyone strives to find a job that makes enough money. In addition, to also make you happy and to feel important. People that fail to do this often lose ambition and the confidence they need to succeed. There are multiple outlets to purse including college, a trades union or construction, and also the military. Unless you are able to get lucky, these are the three most common paths to take in life. Matthew Crawford is a perfect example of this, who is also the author of “The Case for Working with Your Hands.” Crawford got a prestigious degree but ultimately decided that he would be better off working in a motor cycle garage. He is proof that you can find success outside of college if you take the right direction. Anthony Depalma provided a great example in the artile he wrote called “Fifteen Years on the Bottom Rung.” Depalma tells the story of John Zannikos and his former employees where Zannikos came to this country and started a booming restaurant due to luck, not being smarter or craftier then the other immigrants. The other immigrants got left in the dust due to being stuck in a dead end job. Fast food though and other entry level jobs, is not a boulevard of dreams you can find achieve enough to find wealth and peace of mind.
A person looks at his hand; the palm facing up and forms his hand into a claw. He pays particular attention to his fingers and the feel of the tendons, ligaments, and muscles as he forms a claw. He imagines that this is happening to him over time. He has no control over it and cannot stop it. Unlike people with Dupuytren’s disease, he can straighten out his hands. I struggle with Dupuytren’s condition in both of my hands.
At Ten P.m on September 23, 2006, my mother Kelli Elizabeth Dicks was hit by a car on Route 146 southbound trying to cross the high speed lane. She was being picked up by a friend. Instead of taking the exit and coming to the other side of the highway, her ride suggested she run across the street. The impact of the car caused her to be thrown 87 feet away from the original impact zone and land in a grassy patch of land, her shoes stayed where she was hit. She was immediately rushed to Rhode Island Hospital where she was treated for serious injuries. When she arrived at the hospital she was rushed into the operating room for an emergency surgery. The amount of injuries she sustained were unbelievable. She broke 18 different bones, lacerated her liver and her spleen, ruptured her bladder, and she collapsed both lungs. When she went in for her emergency operation, and had her
My first statement is a story about a man named Liu Hai. He was working at a mine in China under quite harsh conditions. When he collapsed on the job. He was taken to the hospital and died 72 hours later. This seems like it would be a work related injury, but it was not. The Chinese law says that work related injuries are only valid it the person dies after 48 hours. So Liu Hai’s wife was stuck with a 40,000 yuan bill. She could not afford it so she went to work on a landscaping project outside of Qindao. She states that “I couldn’t move the big stones, so I moved the small ones. I got tired using the wheelbarrow to move soil so I would only fill it halfway. By night time my whole body was hurting and the pain was so bad I could not sleep.”
As this case study is evaluated we look at who is involved. This case involves a 44 year old patient this is the plaintiff in this case. The issue began when the patient noticed bumps on his wrist; one may think that this
You’ll want to get medical care immediately after the injury occurred. Most importantly, it demonstrates that the injury was serious enough that it required immediate attention.
Due to this type of medical malpractice, people may experience a range of effects. These may include infections, broken bones and other serious ailments. As a result, surgical patients may require further medical treatment and care, which may include undergoing additional surgical procedures. The complications caused by preventable surgical mistakes may lead to temporary or permanent disability, as well as death, for some patients.