The 41-Year-Old Patient Evaluation & Management Plan

 

 

 

A 41-year-old male patient presents at the community walk-in clinic with complaints of severe elbow pain
radiating into the forearm. His 13-year-old daughter is serving as a translator because her father is unable to
speak English and understands only a few words in English. The daughter explains that he has been taking
Tylenol to manage pain, but the pain is getting worse and is keeping him from working. You ask the daughter to
describe the type of work her father does, and you notice she is hesitant to respond, first checking with her
father. He responds, and she translates that he works in construction. Based on the response and the apparent
concern, you suspect that the patient may be an undocumented worker. Further conversation reveals that
several members of the family are working with the same local construction company.
You suspect the pain reported as coming from the elbow and radiating down the forearm is caused by
repetitive motions, perhaps indicating lateral epicondylitis. What can you do to confirm this diagnosis?
While performing the physical examination, you ask the patient, through his daughter, if he has reported this
injury to his employer, because the injury is most likely work-related. The daughter responded without
consulting her father that this is an old injury that happened before he started working at his current place of
employment. You could tell that she was becoming more distressed. What is the most likely explanation for her
concern?
Visual inspection reveals erythema around the affected area with no evidence of overlying skin lesions, scars,
or deformities. What other assessments should you perform?
How is lateral epicondylitis treated?
When discussing possible treatment approaches, you notice that the patient is very worried and seems to
suggest to his daughter that they should leave. The daughter begins trying to explain why they have to leave
right away. What would you tell the patient and his daughter to help them feel comfortable staying for
treatment?

Sample Solution

 

Neediness; It’s Breaking Us Down

Numerous people have no clue about what it resembles to be uninformed of how they will get their next feast or if their youngsters will be seen at the emergency clinic since they don’t have the correct protection. These are largely worries in the consistently life of an individual who lives in destitution. These anxieties are interminable. A couple of stresses that appear to be regular to the breakdown of a nuclear family are, a serious decrease in a steady salary, vulnerability of a people life circumstance, just as individuals from the family going to limits to attempt to better their present status. Albeit many contend that it is family breakdown that causes neediness, it has been demonstrated that the burdens that go with destitution add to the expanding number of families that are “separating”.

In a circumstance where a family realizes that they will have an extreme decrease in their salary, the guardians might be put under inconceivable pressure, stressing over how they are going to cover their tabs or feed themselves and their kids. This can prompt pointless quarreling and deviating, which debilitates the connections inside the nuclear family. At the point when these connections get put under a lot of pressure, it is the initial phase in separating the family.

The following “advance” in the breakdown of the family, which is firmly related with the first, is the inclination of vulnerability of the individual life circumstances. This, in itself, is sufficient to detrimentally affect the family. At the point when the guardians are not sure of how they will buy some staple goods for the following month or where they will get cash to pay for their kids’ prescription, it can leave the guardians feeling remorseful and dishonorable of their situation as a parent. On the off chance that the parent is feeling terrible enough, it could prompt them either surrendering their kids for reception or sending them to another relative that they feel can all the more likely consideration for them.

Numerous individuals who get themselves …

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