PNA100N1M – Clinical Scenario Assignment(50 marks total

PNA100N1M – Clinical Scenario Assignment(50 marks total = 10% of Final Grade) A 23-year-old male patient is referred to the Emergency Department (ED) of your hospital after visiting his primary care provider for an urgent appointment. The referral includes a note explaining that your patient has recently returned from a “survivalist canoeing/camping trip” in Algonquin Provincial Park. The note goes on to explain that on the last day of his 3-week trip, the patient slipped on some rocks, striking his head, and received a deep laceration to his right hand. He explains that since he had no first-aid kit, he tore a piece of the t-shirt he was wearing at the time and wrapped his hand until he could complete his trip at the end of the week and have it examined upon returning to the city. The patient then visited his primary care provider who removed the dirty, blood-soaked t-shirt dressing, washed the wound with saline and applied a fresh gauze dressing. Upon the completion of his health assessment, the patient was immediately directed to visit the nearest hospital emergency department for further evaluation and treatment. You record the following additional details in his chart: male 23 years old, 73 kg, physically active, non-smoker, vegetarian, right-handed Blood type AB-neg no history of major surgery or prolonged illness no current medications Vitals: Heart Rate 120 bpm (elevated) Blood pressure 135/80 (slightly elevated) Temperature 39.9o C (febrile) Respiration 25 breaths/minute (elevated) O2 saturation 99% (normal) Wrist and hand injury: general bruising and swelling over right lateral wrist and forearm visible, linear, open wound on the palmar surface of the right hand wound is approx. 8cm in width, full-thickness, and purulent with visible debris area surrounding the hand wound is red, hot, swollen and painful pain = 7/10 (right hand) at rest increasing to 10/10 with any wrist movement patient unable to actively flex or extend right wrist; unable to grip/squeeze No history of prescription medications No current medications Additional information: patient has a visible ‘bump’ and bruising on the right frontal/temporal region right axillary lymph nodes are enlarged and palpable; painful on palpation The patient is diaphoretic (sweating) and complaining of severe headache, blurred vision and nausea which has worsened since arriving home the day before The patient has become increasingly confused and agitated since attending his family doctor in the morning he patient is diaphoretic (sweating) and complaining of severe headache, blurred vision and nausea which has worsened since arriving home the day before The patient has become increasingly confused and agitated since attending his family doctor in the morning Please answer the questions below using internet based on PNA 100 in your answer make sure to include” in text citation and References in the end”. Please explain well your answers for why questions gives examples to expend your answers. QUESTIONS:Part A 1) a) Using your cumulative knowledge of anatomy and physiology describe three ways in which you believe various processes of homeostasis have been disrupted and suggest actions (both intrinsic and extrinsic) that would help to restore homeostasis for each example. b) Please explain your reasoning (answer the ‘why’) and include in-text citations and references to support your answer. 2) Name three anatomical structures that are likely to have been injured. Please explain your reasoning (answer the ‘why’) and “include int-text citations and references “to support each part of your answer. Part B 3. Using your understanding of anatomy and physiology, why is the bump and bruising on the patient’s frontal region a reason for concern? Which of his symptoms may be related to this particular injury? Use your knowledge of anatomy and physiology to explain why and provide in-text citations and references to support your answer accordingly. 4. Based on what you know about the mechanism and timing of the deep cut to his hand, what types of physiological processes are associated with the body’s responses to such an injury? Which of his other symptoms might be related to these intrinsic processes? Please explain your reasoning and include references to support your answer. Your assignment is worth a total of 50 marks and counts for 10% of your final grade. SCIENCE HEALTH SCIENCE NURSING PNA 100

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