1. June Frankel, a 23-year-old patient, presents to the emergency department with a sports-related fracture injury to her right arm and receives a long-arm fiberglass cast. (Learning Objective 2) 2. Sue Newhart, a 55-year-old patient, is admitted to the medical-surgical unit after a total hip arthroplasty due to osteoarthritis. (Learning Objective 7)

Introduction

In the field of healthcare, patients present with various illnesses and injuries that require specific medical interventions. This assignment focuses on two different patient cases – June Frankel, a 23-year-old with a sports-related fracture, and Sue Newhart, a 55-year-old who underwent a total hip arthroplasty due to osteoarthritis. The objective is to analyze the medical interventions provided to each patient, their outcomes, and the implications for their respective conditions.

June Frankel’s Case

June Frankel, a 23-year-old patient, presents to the emergency department with a sports-related fracture injury to her right arm and receives a long-arm fiberglass cast. The primary objective of her treatment is to facilitate the healing process and ensure proper alignment of the fractured bones. The decision to use a long-arm fiberglass cast shows a preference for a lightweight and durable material that offers adequate support for the fracture.

The use of fiberglass in casting provides several advantages compared to other materials. Fiberglass casts are lightweight, allowing for greater patient comfort and improved mobility, which is especially important for young patients like June. Additionally, fiberglass casts are water-resistant, allowing patients to shower or perform other activities with minimal restrictions. This feature reduces the risk of complications, such as skin infections, which can occur when traditional plaster casts become wet.

It is crucial to monitor June’s progress during the healing process to ensure the cast remains effective. Regular clinical assessments should be conducted, including evaluation of pain levels, range of motion, and signs of complications such as swelling or restricted blood flow. Radiographic imaging may also be necessary to assess bone healing and verify alignment.

Sue Newhart’s Case

Sue Newhart is a 55-year-old patient who is admitted to the medical-surgical unit after undergoing a total hip arthroplasty due to osteoarthritis. The primary objective of the surgery is to alleviate pain, improve mobility, and enhance overall quality of life. Total hip arthroplasty involves the replacement of the damaged hip joint with a prosthetic implant.

Following the surgical procedure, Sue will require careful monitoring to ensure successful recovery. Post-operative care will include pain management, infection prevention, and rehabilitation exercises to promote joint mobility and strength. Pain management may involve the use of analgesics, such as opioids, non-steroidal anti-inflammatory drugs (NSAIDs), and physical modalities like ice or heat.

Preventing infection is crucial in the early post-operative period. Sue will receive prophylactic antibiotics and will be encouraged to maintain good hygiene practices. Nurses should regularly assess the surgical incision site for signs of infection, such as redness, swelling, or drainage.

Rehabilitation exercises will play a vital role in Sue’s recovery. Physical therapy will focus on regaining joint mobility, strengthening the surrounding muscles, and promoting ambulation. The therapist may employ various techniques, including range of motion exercises, gait training, and muscle strengthening exercises.

Conclusion

In conclusion, the medical interventions provided to June Frankel and Sue Newhart align with their specific conditions and treatment goals. For June, the use of a long-arm fiberglass cast ensures proper bone alignment and promotes healing while allowing for patient comfort and mobility. Sue’s total hip arthroplasty focuses on pain management, infection prevention, and rehabilitation exercises to restore joint function and improve overall quality of life. These cases illustrate the importance of tailoring medical interventions to individual patients and their unique clinical needs. Effective monitoring, assessment, and interdisciplinary care are essential for ensuring positive patient outcomes in these scenarios.

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