Question Answered step-by-step CASE: A.T., a 25 y/o female patient and a former hockey varsity player were referred to your clinic. She sustained multiple injuries and fractures, including her spinal column, due to a motor vehicular accident (MVA) and was diagnosed with complete Spinal Cord Injury at the level of T10 – T11 that led to paralysis from the waist down. She was referred to PT as an in-patient for more evaluation and treatment intervention. She has a chronic cough and high fever upon admission.As Physical Therapy practitioner, you are instructed by the physiatrist to evaluate, provide initial patient care, and treatment intervention for this patient. When you arrived at the patient’s room, she is in a supine position with an appropriate number of blankets, pillows, and linen. But upon endorsement, the following findings were noted:Ocular inspection:(+) Redness on the sacral area(+) Grade 1 pressure/bed sore on the sacral areaPalpation:(+) Grade 3 tenderness on the distal and lateral aspect of the left thigh and left leg (cannot tolerate too muchpressure on the area)Mental status:Oriented as to time, place, and personAble to follow simple to complex instructionsMotor/muscle strength:2/5 muscle strength on trunk and core muscles (partially able to actively move the trunk)4/5 muscle grade on both upper extremities (able to move the extremities with mild weakness)0/5 muscle grade on both lower extremities (no muscle contraction; complete loss of muscle strength)Question:How would you assess each vital sign (blood pressure, respiratory rate and temp) in a step by step process?How would you properly position and expose/drape the patient if you want to expose the lower back?In documenting the findings of the patient, what would be the normal ranges of each vital sign in the PT clinic? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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