The Two Priority Problems For Mr. Jensen Are Poor Peripheral Circulation And Pain

735 Words Sep 13th, 2015 3 Pages
Question 3
Priority Problems
The two priority problems for Mr. Jensen are poor peripheral circulation and pain.
Poor peripheral circulation is present as evidenced by assessment data gathered such as cool extremities, diminished peripheral pulses and swollen leg. In this situation, it may be due to health issues, such as obesity, hypertension or hypercholesterolemia and diabetes which may be all present in the patient considering his history. According to UK GP Research Database, a retrospective study identified Type 2 diabetes as a risk factor for healing complications, regardless of the fracture site. For healing to take place, the site needs adequate stability, good circulation and adequate nutrition. Healing rates vary by person and are likely to be compromised by the risk factors above and as well as age and comorbidity. In addition, poor circulation can be a complication of the OREF surgery. Pins used in external fixation may injure vessels by directly piercing or resting and eroding the vessel wall. According to Lim et al (2010), vessel injury is secondary to indirect compression and impingement, direct or partial laceration and erosion. As a result, the patient may experience bleeding. Dhal et al. reported on thirteen pseudoaneurysms associated with extremity trauma, of these five (38.5%) were caused by external fixation pins. Signs of vascular injury following external fixator pin insertion included bleeding from insertion site, a pulsatile mass, loss of distal…

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