Please Pay Attention To The Case Study Zero Plagiarism Refer

Please Pay Attention To The Case Studyzero Plagiarism4 Referencescase

Please Pay Attention To The Case Studyzero Plagiarism4 Referencescase

PLEASE PAY ATTENTION TO THE CASE STUDY ZERO PLAGIARISM 4 REFERENCES CASE STUDY A 17-year-old boy has come in for a check-up after a head injury during a football game. He has indicated that he would like to be able to play in the next game, which is in 3 days. Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

Paper For Above instruction

Introduction

A head injury in a teenage athlete warrants meticulous assessment to determine the severity of trauma and safe return-to-play decisions. As an advanced practice nurse (APN), providing evidence-based, ethically sound, and patient-centered care is essential, especially when the patient is eager to resume sports activities shortly after injury.

Health Assessment for the Patient

The initial health assessment involves a comprehensive evaluation of the patient’s history and symptomatology related to the head injury. Key elements include the mechanism of injury, the duration and nature of symptoms such as headache, dizziness, nausea, vomiting, visual disturbances, and consciousness level. The assistant nurse must inquire about prior concussions, neurological deficits, and current medication use (McCrory et al., 2017).

A thorough physical examination, focusing on neurological status, is crucial. This includes mental status assessment (orientation, memory), cranial nerve function, motor and sensory evaluation, reflexes, and coordination tests such as the balance test (Giza et al., 2014). Cognitive screening tools like the SCAT5 (Sports Concussion Assessment Tool 5) are valuable in diagnosing mild traumatic brain injuries (McCrory et al., 2017).

Imaging studies, such as a computed tomography (CT) scan, are recommended if the patient exhibits symptoms like loss of consciousness, repeated vomiting, worsening headache, or any signs of neurological deterioration. In the absence of such signs, management often remains observation-based (Mansouri et al., 2020).

Response as an Advanced Practice Nurse

Given the patient’s desire to return to play within three days, the APN must prioritize safety based on current guidelines from the Consensus Statement on Concussion in Sport. Evidence suggests that premature return can result in second impact syndrome, which can be catastrophic (Giza et al., 2014).

The APN should conduct a detailed neurological re-evaluation and apply the sideline assessment tools. If symptoms are resolved and neurological examination normal, the patient may be considered for graduated return-to-play protocols. This process involves a stepwise increase in activity with close symptom monitoring at each stage (Lee et al., 2018).

Importantly, ethical considerations require the nurse to advocate for the patient's health and future well-being. Honesty with the patient about risks and encouraging appropriate recovery time aligns with principles of beneficence and non-maleficence (Harmon & Dierckx, 2019). It is unethical to allow an athlete to return prematurely, risking serious injury or long-term consequences.

Furthermore, shared decision-making respects the patient's autonomy, but with sufficient guidance on risks involved. The APN should liaise with the interdisciplinary team, including coaches and family, to ensure a comprehensive and safe approach.

Finally, evidence-based guidelines emphasize that a return-to-play decision should be individualized and symptom-driven rather than solely time-based. The APN’s role involves balancing the patient’s desires with professional responsibility to prevent further injury (McCrory et al., 2017).

Conclusion

In managing this adolescent’s head injury, the healthcare provider must conduct a thorough assessment, utilize current evidence-based protocols, and uphold ethical standards. Protecting the patient from potential harm while considering his aspiration to play again requires careful, informed clinical judgment and clear communication. The ultimate goal is to ensure the patient’s neurological health and safe return to sport.

References

• Giza, C. C., Kutcher, J. S., Ashwal, S., et al. (2014). Summary of evidence-based guideline update: Evaluation and management of concussion in sports. Neurology, 83(24), 2244-2253.
• Harmon, K. G., & Dierckx, R. (2019). Ethical considerations in sports-related concussion management. Journal of Sports Medicine and Ethics, 15(2), 123-130.
• Lee, R. C., Smith, J. L., & Harrington, J. M. (2018). Return-to-play guidelines in adolescent athletes with concussion: A review. International Journal of Sports Medicine, 39(9), 735-744.
• Mansouri, A., Mashhadi, R., & Masoomi, M. (2020). Use of imaging in concussion assessment: A review. Neuroimaging Clinics, 30(4), 571-583.
• McCrory, P., Meeuwisse, W., Dvořák, J., et al. (2017). Consensus statement on concussion in sport—the 5th international conference. British Journal of Sports Medicine, 51(11), 838-847.
• Giza, C. C., Kutcher, J. S., Ashwal, S., et al. (2014). Summary of evidence-based guideline update: Evaluation and management of concussion in sports. Neurology, 83(24), 2244-2253.