Case Study Analysis Assignment 2022

Running head: CASE STUDY ANALYSIS
CASE STUDY ANALYSIS
Name of the student
Name of the university
Author’s name

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CASE STUDY ANALYSIS
Introduction
As per this case study, Mrs Grace, an 80 year old woman who was admitted to the
Emergency Department (ED), had an unwitnessed fall and was later found on the floor. She was
not able to stand up. When she was brought to the ED, her right leg was found to be shortened
and internally rotated and was in excruciating pain. From the above medical condition, it can be
clearly understood that Mrs Grace had encountered hip dislocation characterised by legs
shortening and internally rotated. Mrs Grace also had other medical conditions like bruising is
noticed on her face and in the right arm and her lower arm has a laceration of 4 cm, which
indicates that she must have come across any injury. There is a strong need for conducting an
overall assessment of the patient including medical history and collecting information on the use
of past medications. The “old aged” people are more susceptible to hip dislocation compared to
that of the yon or middle aged adults. The rate of occurrence of hip fracture and hip dislocation
increases with age.
Discussion
Nurses in the Emergency Department needs to be highly skilled and experienced to
accurately perform a comprehensive assessment of the patient by monitoring several health
aspects and identifying the urgency of treatment of the patients. It is important to recognise any
potential hazards involved with the patient that seeks immediate clinical attention. Current
medical condition along with the historical factors of the patient that indicates the patients being
either injured or chronically ill and has the potential to deteriorate the situation determines the
urgency and demands for urgent medical intervention. Assessing medical history and collecting

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CASE STUDY ANALYSIS
data on important health information of the patient, past medical history including the use of
medications and collecting information on whether the patient has undergone any surgery or
other treatments after admitting to the ED, is considered to be a crucial factor before
commencing the treatment. It should be the responsibility of the nurses to collect functional
health patterns of the patients and also consider their health perception, their involvement in
daily activities or exercise. To deliver a quality care and treatment for a better health outcome of
the patient, the nurses must carry out a thorough assessment of the patient including collecting
certain information related to health and the current medical condition (Dawson-Amoah et al.,
2018). Along with the above stated information, it is also essential to check and analyse the
cognition level of the patient. After the patent has admitted to the ED, a thorough analysis of the
current medical condition is done along with obtaining data regarding the area of injury or the
current position of the injury. It is also important to note the Integumentary data of the patients
whether they have skin lacerations, cool or warm or bluish skin. Upon patient admission,
cardiovascular, neurologic and musculoskeletal assessments are also done (Masiewicz&
Johnson, 2019). The cardiovascular assessment evaluates whether a patient has reduced or absent
pulse distal to injury, delayed capillary pill or has a low skin temperature. The neurologic
assessment covers information on parenthesias, hypersensation and decreased or no sensation.
The Musculoskeletal assessment is a crucial step in the diagnosis of the above medical condition
as it gives information on the affected or injured part of the body and gives an interpretation of
the physical condition related to the medical condition by identifying local bony deformities,
shortened or rotated physical features, if any.

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CASE STUDY ANALYSIS
Pathophysiology of the above medical condition
The medical condition identified in the above case study is hip dislocation characterised
by excruciating pain, where the limb gets shortened and internally rotated. Disruption in between
the femur and pelvis joint leads to dislocation of hip. The symptoms usually includes agony and
movement restriction of hip and unable to stand and walk. The above medical condition can lead
to further complications like avascular necrosis of the hip and injury to the sciatic nerve, or even
arthritis (Masiewicz& Johnson, 2019). Hip dislocation usually occurs when the internal structure
of the hip including the capsule, muscles, bones, labrum, ligaentumteres and the mechanical
anatomy are overruled by a large amount of energy transmitted through the joint. The patient
has developed a condition called Posterior hip dislocation characterised by the amount of pain
stimulated as well as the inability to walk or stand. A physical deformity is usually noticed in
these patients associated with limbs and hip (Masiewicz& Johnson, 2019).
Nursing considerations for the above condition
Managing the risk of peripheral dysfunction- The patient with hip dislocation are likely to
develop symptoms of peripheral neurovascular dysfunction that includes a terrible pain near the
affected area, parenthesias, pain on moving the “body parts” therefore unable to stand or walk,
weakness, a lower temperature, pallor and diminished or reduced pulses. Therefore, the nurses
must take serious actions to prevent further complications through monitoring and accessing
these since they are at a potential risk of developing peripheral dysfunction related to nerve
compression. The nurses must know the ways to control and manage such situation by several
interventions like applying ice on the affected areas to reduce pain and provide comfort to the
patients. Notifying the physicians straightaway if the patient complains of an increased pain