Case Study: Ms Jane Green

Running head: CASE STUDY
Ms Jane Green
Name of the Student
Name of the University
Author Note

1CASE STUDY
Student number:
CNA253 AT2 Scenario: Miss Jane Green
Interpret:
In the following table, list the data that you consider to be normal/abnormal (not included in word count)
Normal (Subjective & Objective) Abnormal (Subjective & Objective)
GCS: 15
Temp: 36.6C
Sp02: 97%
BP: 155/90 mmHg
Pulse: 107bpm
RR: 22 bpm
Complaining of tingling sensation in toes
Anxious regarding mother’s welfare
Blood pressure is normally “quite low”
Pain score (left leg): 9/10 on movement. 8/10 on rest
Relate & Infer (450 words):
An analysis of the case scenario suggests that following her accident with the car, Ms. Jane Green has
suffered from a fracture in her lower leg. There is mounting evidence for the fact that low and high-force
trauma are responsible for causing bone fracture injuries. Motor vehicle accident are categorised as a high-
force trauma that resulted in the condition (Cassidy, Boyle and Carroll 2014). The natural healing process
of fracture typically begins when the damaged bone and the surrounding tissues start bleeding, thereby
leading to the formation of a fracture hematoma. Coagulation of the blood leads to the formation of a clot
between the fragments of the broken bone. Taking into consideration the fact that Ms Green had been hit
by a car, it can be suggested that new blood vessels have brought phagocytes to the affected area, thereby
leading to removal of non-viable material (McCarthy and Frassica 2014). Although the patient suggests
that her blood pressure is generally on the lower side, an assessment of the vital signs indicates presence
of hypertensive symptoms. Time and again, research evidences have established a correlation between
risks for fracture and hypertension. Increase in systolic blood pressure has also been associated with an

2CASE STUDY
improvement in survival rates of patients having hypotension (Yang et al. 2014). Blood pressure
commonly increases after an accident due to massive internal bleeding and damage to the internal organs.
Hence, the hypovolemic shock caused due to car accident was responsible for severe loss of fluids and
blood, which elevated the pressure. Motor vehicle accidents are also associated with acute respiratory
failure. Although the normal range for respiratory rate in healthy adults is 12-18 breaths/min. However,
the increased respiratory rate in the patient can be explained as the onset of tachypnea that led to shallow
and rapid breathing. This condition can be accredited to disruption of balance between oxygen and carbon
dioxide in the human body. It is commonly found that patients who have suffered from motor vehicle
accidents, are subjected to chest trauma that increases their respiratory distress and lead to laboured
breathing (Chen et al. 2014).
In addition, while the normal pulse rate for adults ranges between 60-100 beats/min, presence of 107 pulse
rate in Ms Green can be termed as tachycardia that is manifested by an abnormal beating of the upper and
lower chambers of the heart. The high-force trauma resulted in a disruption in the electrical impulses that
control the functioning of the heart. In addition, presence of pain can be associated with tissue injury at the
legs that occurred due to activation of nerve fibres and peripheral pain receptors (Sommer 2016). The
sensation of pain is a kind of normal response to the injury. Severity of pain can be accredited to chronic
sensitisation of nociceptors that contribute to persistent pain in the patient.
Predict (100 words):
If no action is taken, uncontrolled hypertension might result in stroke by weakening and damaging the
blood vessels of the brain. Blood clots will also be formed in the arteries, thereby leading to blood flow.
Tachypnoea if not treated immediately might lead to a bluish colouration of the skin, and also lead to
respiratory failure. The pain will also exert emotional and physical impacts on the body and increase the
muscle tension, in addition to causing change in appetite, sleeping problems, and fatigue. Having
increased pulse rate will also increase the risk of death in the patient, besides elevating the chances of
stroke and sudden cardiac arrest.