HCAS 133 Culminating Assessment – Patient Report

This is part two of the culminating assessment that is worth 15% of your overall grade in this course.
 
Course Outcomes:
 
Identify organs, structures, and functions of various body systems.
Explain cellular function and transport mechanisms.
Apply anatomical terminology to describe body regions, cavities, planes, and directional terms.
Analyze the interrelationships within and between anatomical and physiological systems of the human body.
 
Institutional Outcome:
 
Thinking Abilities – Employ strategies for reflection on learning and practice in order to adjust learning processes for continual improvement.
 
Relevant Background Information:
 
This patient report assessment will examine the organs, structures, and functions of various body systems.  In addition, it will analyze the interrelationships within and between anatomical and physiological systems of the human body. The knowledge and skills learned will allow the student to interpret basic medical information such as a chief complaint and findings in a physical examination that they would see within a patient’s medical chart.
 
Assessment Purpose:
 
To prepare the student to interpret basic medical information and physical examination findings in order to properly identify a primary problem and body system related questions to meet course outcomes.
 
Assessment Directions:
 
For this assessment, you will complete 8 short answer questions on the presented patient report.
Provide your answer in a well-developed paragraph of 50-75 words for each question.
 
Type your responses into a Word document with your name, date, and the title of this assessment at the top of the page.
Chief Complaint: a 31-year-old male was injured while rock-climbing.
History of Present Illness: A 31-year-old male was rock-climbing with two friends at a National Park. The National Park was 14 miles away from the nearest hospital. While rock climbing, he suddenly lost his footing and slid 18 feet to the ground. Both friends witnessed the fall and stated that he slid against sharp rock all of the way down; landing in an almost standing-up position, finally slumping to the ground. They also said that his head was not jarred during the slide. The man was alert and oriented when his friends reached him.  He could move all four extremities quite easily. He had multiple scrapes over his anterior torso and a large gash over his right inguinal region which was bleeding profusely. A makeshift tourniquet slowed the bleeding. The patient was transported to the hospital.
Physical Examination: The patient was lethargic.  He had multiple abrasions over his chin, neck, anterior thorax, and abdomen. A six-inch-long, half-inch deep laceration was noted in the right inguinal region. The tourniquet placed in this area was soaked with blood.
What is the patient’s primary problem?  Summarize the evidence that supports your conclusion.
Body regions and directional terms:  The laceration is in the inguinal region of the body.
Where is the inguinal region?  List organs located in this region of the body that might also sustain damage.
Cardiovascular:
Predict the difference in the damage to the patient if a vein is lacerated as compared to an artery.
Blood/Cells:
How would blood cells help stop the bleeding in this patient with this type of injury?
If blood is needed for transfusion, explain why it is important and what it means to find a match donor.
Endocrine:
Identify one hormone that would be elevated in the patient in response to trauma and loss of fluid. What endocrine gland is responsible for its production?
Nervous system:
Which part of the autonomic nervous system would be acting during a trauma, and how is this helpful to the patient?
Urinary:
Lack of blood flow to the kidneys can decrease their function.  Predict how the lack of blood flow to the kidneys would affect the patient in this situation.
Digestive/nutrition/chemistry:
During recovery, it is recommended that the patient consume added protein in theirdiet. Explain why adding protein to one’s diet can improve the healing process.

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