Answered: How health care professional would be…

Ciccarelli: Psychology_5 (5th Edition)

5th Edition

ISBN:9780134477961

Author:Saundra K. Ciccarelli, J. Noland White

Publisher:Saundra K. Ciccarelli, J. Noland White

Chapter1: The Science Of Psychology

Section: Chapter Questions

Problem 1TY

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Case study: Mr. Brown Dx: Partial thickness burn face, (right) hand and (right) thigh Date of birth October 1, 1975. Secondary dx (diagnosis): Schizophrenia, HTN (hypertension) PMH (Past medical history): drug abuse (rehab×3) Allergies: strawberries, dust, elastoplast tape, hydromorphone. Medication: Norvasc 10mg po (by mouth) OD (oculus Dexter), Zyprexa 15mg po od History of present illness: Mr. Brown is a 46 year old Male who sustained a full thickness thermal burn while at work. Mr. Brown works at a plastic factory in Toronto, Ontario. Mr. Brown reported that he attempted to remove some plastic that was stuck in the machine when the plastic "flew out" once the machine was fixed. The hot plastic became stuck to Mr. Brown's face, hands, and thigh. Mr. Brown reported that he left work and went home. Mr. Brown reported that his colleagues advised him to go to ED (emergency department) however, he declined. Mr. Brown is a recent immigrant to Canada and reported that he "didn't want to cause any problems ". Mr. Brown noticed that there was no improvement to his injury after 5 days and decided to go to his family doctor for assessment. After being assessed by his family doctor, Mr. Brown was advised to go to the ED immediately. Mr. Brown went to Sunnybrook health science center where he was treated with IV abx (intravenous antibiotic) and was seen by plastic surgeon. The patient will also require reconstruction surgery as some of plastic is still embedded in his hand and thigh. Mr. Brown reported that his supervisor refuses to contact WSIB (workplace safety and insurance board) to report the injury which occurred 10 days ago. Mr. Brown reported poor work conditions in the factory and expressed concern regarding the safety of machinery. Mr. Brown reported that he had minimal training prior to start his job. Current status: Mr. Brown is having trouble performing his personal care and ADLS (Activities of daily living). His wife is also assisting him to perform ADLS (Activities of daily living)(meal preparation and shopping etc. Mr. Brown also reported decreased ROM (Range of motion) at the site of his injury. He has large blisters and ++erythema to his surrounding skin. Mr. Brown doesn't have any insurance and cannot afford to pay for his medications. Mr. Brown's recent BP (blood pressure) was 160/90 and Mr. Brown has been rationing his medication. Mr. Brown's GP (general practitioner) expressed concern regarding this practice and provided Mr. Brown some samples of Norvasc until Mr. Brown can apply for his medication. Mr. Brown reported that he completed his last dose of Zyprexa 5 days ago and is not able to refill his prescription because he is unable to afford medication. Mr. Brown has experienced auditory hallucinations in the past. Mr. Brown denied that he is experiencing any auditory hallucinations or suicidal ideations. Mr. Brown reported that he completed a course in anger management 10 years ago and found the course to be very effective. Social: Mr. Brown is married with 3 children ages 5,4 and 6 month. Mr. Brown's wife was recently laid off from her job as a cashier and is currently receiving Employment Insurance. Mr. Brown currently lives in a apartment and has little to no savings. He is concerned about paying for his rent which is $2500 monthly along with food, clothes and diapers for his infant son. Mr. Brown will require surgery, however, he is concerned about missing time off work. Mr. Brown reported that he will not be paid if he takes time off work. Mr. Brown would like to return to work as soon as possible however Mr. Brown will require some time to recover from his surgery. The patient's surgeon recommended atleast 3 weeks off work post-op. How health care professional would be helpful.

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