Assignment Help | What would be important for this boy to know to prevent further health concerns with his injuries?

An 11-year-old boy presents to the emergency room (ER) with a 4-inch laceration on his right arm. He was with his friends doing bicycle stunts when he fell off his bike and cut his arm on a rusty nail from the ramp. In addition, his wrist is swollen, bruised, tender to touch, and warm, with limited mobility. He will most likely need stitches to close the laceration and a splint for the sprain.

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After treatment, as he prepares to leave, you give him last-minute care instructions for laceration and sprain. What would be important for this boy to know to prevent further health concerns with his injuries?
The boy concernedly asks you, “My uncle lost his foot because he got gangrene in it. Am I going to lose my arm if I get an infection in this cut?” How would you respond?

SAMPLE SOLUTION

Disorders of Musculoskeletal Function

  1. After treatment, as he prepares to leave, you give him last-minute care instructions for laceration and sprain. What would be important for this boy to know to prevent further health concerns with his injuries?

The primary concern for me would be to prevent the boy from infecting the wound and complicating his muscle sprain. The important thing that the boy should learn is the way to avoid or decrease the risk of injury in the future. This means that the boy should not undertake any stunt activities, or if he does, he should wear protective gear such as knee pads, a helmet, and stick to the basic bicycle riding and not the risky stunts.

According to Grossman & Porth (2014), a laceration is the form of an injury that results in discontinuity within the skin or causes the tear of the skin. Such fractures can only be treated by closing the wounds after the lacerated skin part is cleaned. The seriousness of a laceration depends solely on the size or depth of the wound. To repair laceration, one has to use hemostasis. If there is a risk for infection to a laceration, one has to receive a tetanus injection. According to Grossman & Porth (2014), a sprain is a form of an injury that affects the ligamentous structures especially those surrounding joints and takes longer to heal. Ligaments around joints could either heal completely or not treat entirely depending on the extremity of the injury caused. Sprains have their complications, such as there is the risk of muscle contractions to pull each other apart during the ligaments’ healing process. There is also the risk of adhesion where tendons would pass through the undesired channels forcing the cords to be useless. I would, therefore, advise the boy to undertake active exercises and report any form of pain to the parents so that they can bring him back to the hospital to be checked. Moreover, I would…

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