Describe the technique for applying an elastic wrap

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Reference no: EM133858580

Assignment:

D.M., a 25-year-old man, hops into the emergency department (ED) with complaints of right ankle pain. He states that he was playing basketball and stepped on another player's foot, inverting his ankle. You note swelling over the lateral malleolus down to the area of the fourth and fifth metatarsals, and pedal pulses are 3+ bilaterally.

His vital signs are 124/76, 82, 18.

1. What is some subjective data that your patient main note?

2. What is some objective data you may see?

3. What initial assessment questions will you ask this patient?

4. When assessing D.M.'s injured ankle, what should be evaluated?

5. What initial management will you implement to prevent further swelling and injury?

Case Study Progress

X-ray results are negative for fracture, and a second-degree sprain is diagnosed. The physician orders immobilization with an elastic bandage and an air stirrup brace, with instructions for crutches. The physician instructs D.M. not to bear weight on his ankle for 2 days, then to use only partial weight-bearing until the ankle heals.

6. Describe the technique for applying an elastic wrap. Give the rationale.

7. When instructing D.M. to use crutches, D.M. states that he "likes it better" when the crutches rest under his arms while walking with the crutches. Is this correct? Explain.

8. You instruct D.M. on using the three-point gait with the crutches. Which would be the correct first step for the three-point gait?

a) Step first with the affected leg.

b) Step first with the unaffected leg.

c) Step first with both crutches and the affected leg.

d) Step first with the affected leg and the crutch opposite of the affected leg.

9. You are to instruct D.M. on application of cold, activity, and care of the ankle. What would be appropriate instructions in these areas?

10. Four days later, D.M. hobbles into the ED and boldly informs you that he "did it again, only this time it was touch football." He states that the pain pills worked so well, he thought it would be OK. You detect the odor of beer on his breath. What are you going to do?

Reference no: EM133858580

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