Musculoskeletal Focus Nurses are involved in the patient care and management in the emergency department. One of the major cases they deal with in the emergency department is bone fractures which mainly result from falls. Not all falls result in bone fractures because the fractures will depend on the type of falls and the density of the bone structure (Granhed Altgarde Akyurek David 2017). It also depends on the age where pediatrics and geriatrics are the most susceptible groups. The quality and quantity of the collagen used to make the bone greatly affects the bone density and thus the vulnerability of the bone to breakage. One of the conditions that affect the strength of the bone is osteogenesis imperfecta. Osteogenesis imperfecta also known as the Brittle bone disease is a disorder that leads to weak bones that break easily (Morrison MD 2015). In most cases it is a genetic (PCCF) Part I: Location and morphology of 2 292 upper extremity fractures in children and adolescents. Acta orthopaedica 88(2) 123-128. Romand S. Spaggiari D. Marsousi N. Samer C. Desmeules J. Daali Y. & Rudaz S. (2017). Characterization of oxycodone in vitro metabolism by human cytochromes P450 and UDP-glucuronosyltransferases. Journal of pharmaceutical and biomedical analysis 144 129-137. Brown D. Edwards H. Seaton L. & Buckley T. (2017). Lewis's Medical-Surgical Nursing: Assessment and Management of Clinical Problems. Elsevier Health Sciences. Tiwari M. Khan A. Rahim A. Hussain S. Yadav K. & Rashid D. (2016). prospective study of functional & radiological outcomes of subtrochanteric femur fractures treated by proximal femur nailing. International Journal of Orthopaedics Sciences 278-284. Srour M. Inaba K. Okoye O. Chan C. Skiada D. Schnüriger B. ... & Demetriades D. (2015). Prospective evaluation of treatment of open fractures: effect of time to irrigation and debridement. JAMA surgery 150(4) 332-336. [...]
Nursing Written Assignment – Musculoskeletal Focus 2000 words - Min 12 references In text referencing and reference list required / APA 6th Edition acknowledging all sources used throughout the assignment Case Study Harriet Potter (Medical Record Number MRN568923) is an 8-year-old girl with a current medical history of osteogenesis imperfecta. She has presented to the emergency department following a simple fall at school with a query fracture to her left femoral shaft. Her mother Jeannie is in attendance and has assisted in completing the admission notes as below. From the information you have read above and the attached information regarding Harriett, answer the following critical thinking questions. 1. Critically discuss the mechanism of injury of falls in a younger patient. In your answer explain how it is possible that Harriet sustained a fractured femoral shaft, a fracture requiring significant force, despite the mechanism being a simple fall. Identify the significance of observing for limb length disparity and external rotation that is documented in the nursing progress notes? 2. Identify the medications, both routine and those prescribed for this admission, and discuss their pharmacology. Explain their indication for use in this patient. 3. Based on the assessment data discuss the immediate nursing priorities for this patient (i.e. within the ED). 4. Critically analyse the ongoing holistic nursing care for this patient linking to both the acute and chronic diagnoses and possible post-operative complications for this patient.