Multiple Sclerosis Process Papers

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Multiple Sclerosis Process Paper
During my clinical rotation I cared for a patient who was admitted to the hospital for a broken femur, she also had a diagnosis of Multiple Sclerosis ten years ago. I was able to spend a fair amount of time with this patient on the medical surgical floor, as well as being able to observe her internal fixations surgery to repair her broken femur.
Case Summary
The patient (V.C.) was a 61 year old female who had suffered from a fall, which occurred at a sporting event, as a result of the patient’s family members attempting to transfer the patient into her wheelchair. The patient instantly started noticing pain in her left leg and was taken to the emergency room immediately. Upon admission to the emergency room the patient was evaluated with labs and imaging. The x-ray results concluded that the patient had suffered a femur fracture to her left leg. The fracture was a comminuted fracture, on the …show more content…

Her skin was warm, dry, and the appropriate color for her race. Capillary refill was less than 3 seconds tested via upper extremity left and right hand fingernails. She showed no signs of cyanosis. There was no reported chest pain or peripheral edema. Patient has absence of a pacemaker. Pulse measured 78 beats per minute. All pulses were able to be located and were all equal bilaterally as well as adequate in strength. Patient showed some edema in both feet, with greater edema on the left foot.
Patient was NPO (nothing by mouth) prior to her surgery due to preparation for anesthesia, and after surgery the patient was back on her normal diet with no restrictions. Upon her elimination assessment, bowel sounds were present in all four quadrants. Abdomen appeared soft and was non-tender. Liver span is normal, and her spleen is not palpable. No other masses were palpated and hernia sites are normal. The patient has a suprapubic catheter that is draining

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