Supracondylar fracture.pptx
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Mr. Xyz is a 15-year-old male who presented with pain in his left elbow and inability to fully bend or extend it for 2.5 months following a supracondylar fracture from a fall from his bed that was managed conservatively. Examination found disunity in the supracondylar region of the left humerus, reduced range of motion and muscle strength in the left elbow, and altered posture. He has moderate difficulty lifting objects and requires assistance with dressing and eating due to pain and weakness in his left arm.
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Immobilization and prolonged bed rest can lead to significant physiological changes and health risks. It causes fluid shifts, reduced cardiac function, muscle and bone loss, increased risk of infection and blood clots. Specific problems include dehydration, low blood pressure with standing, muscle and joint stiffness, lung function decline, and bone loss or fractures over time. Those who are already ill or elderly are most vulnerable to the negative effects of immobilization.
Pulmonary Function Testing.pptx
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Supracondylar fracture.pptx
- 2. HEALTH STATUS • mr.Xyz is a 15 yr. old male , with no known comorbidities presenting with a chief complaint of pain in left elbow during movement and unable to completely bend and extend the left elbow since 2.5 months. He has a history of fall from bed and supracondylar fracture which was managed conservatively.
- 3. BODY STRUCTURES integrity impaired Source of info Problem description qualifires Clinical reasoning Str. Of the nervous sys. str,. Of the eye ear Str. Of voice and speech Str. Of cvrs and immunologica l sys. Str . Of digestive and metabolic sys. Str. Od genitourinary and reproductive sys. Str. Related to movement -left humerus Technical investigation s Discontunity seen in supracondyl ar region of humerus Q1- 2[moderate] Q2- 5[discontiuty ] Q3-2[left] There was a fall from bed on left elbow Causing trauma which led to exertion of excessive forces on the left humerus [supracondylar region] Result in break in continuity of bones.
- 4. BODY FUNCTIONS Integrity impaired Source of info. Problem description qualifier s Clinical reasoning Mental functions Voice and speech funct. Functions of cvrs,hemmatol ogical , immunological Functions of digestive and metabolic syst Genitourinary and reproductive functions Sensory function and pain history Nrs On activity-6 On rest-4 2 moderat e Due to fall from bed on left elbow There is traumatic injury Humerus fracuture Managed conservatively Release of inflammatory mediators – bradykinin& cytokinin
- 5. Sensitize specific pain receptors nerve endinds present in body tissue initiated specific nerve to spinal cord It stimulates 2nd order pain receptors relays the message through higher centers including thalamus Pain perception
- 6. ROM of left upper extremity Muscle power Clinical examination Clinical examination Rom Flexion-0-90 Extension-90-0 MMT Flexors-2 Extensors-2 2 3 Traumatic injury to humerus managed conservatively Leads to immobilization of elbow joint Tightness of muscles of flexors and extensors Decreased ROM Supracondylar humerus fracture Immobilization leads to weakness of muscles Reflex inhibition of muscles Decreased in number of sarcomere
- 7. posture clinical examination Anterior view- redueced left neck shoulder angle Lateral view- Rounded shoulders 2 altered length tension relationship of muscle Redueced strength Due to fracture Plaster cast present about 2.5 months Pain at elbow joint Adaptive changes in posture Reduced neck shoulder angle[ rounded shoulder]
- 8. ACTIVITIES AND PARTICIPATION CAPABILITIES ACTIVITY LIMITATION AND PARTICIPATIO N RESTRICTION CAPACITY QUALIFIER PERFORMANCE QUALIFIER Learning & applying knowledge General task &demand Communicatio n Domestic life Interpersonal relations Major life Mobility -lifting and carrying object with left hand. Self care -dressing -eating Patient faces moderate diificulty in lifting objects for long time due to pain and reduced strength. Patient is unable to dress up and eat on his own using left hand due to pain & reduced 2(moderate) 3(severe) He avoids lifting objects with left hand & uses his right hand. Needs assistance from his relatives. 1(mild) 1(mild)
- 9. CONTEXTUAL FACTORS Environmental factors Source of information Facilitatorbarrier Description Qualifier Products and technology Attitude Support & relationship Services,systems &policy Patient history Patient history Patient history Facilitator Facilitator Facilitator Facilitator Medications & physiotherapy treatment facilitates recovery. Cooperative and positive attitude. Supportive family. Receives charity. +3(severe) +2(moderate) +3(severe) +2(moderate) Personal factors Source of information Facilitator/barrie r Description Qualifier Age Comorbidities Coping style Patient history Patient history Patient history Facilitator Facilitator Facilitator Young age aids recovery No known comorbidities Positive and relaxed +3(severe) +3(severe) +2(moderate)