肩部疼痛：不那么轻微——急诊科病例报告研究

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2024-12-01 DOI:10.1016/j.ienj.2024.101548

Joshi Dookhy , Barry McBrien

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引用次数: 0

摘要

简介及重要性肩关节疼痛在急诊科（ED）通常是一个低优先级的病例。然而，这与许多潜在的病因有关，包括镰状细胞危象。全面的病史记录和全面的评估，以及一个开放的方法，可以提高临床决策过程时，照顾病人的肩痛。一名35岁男性因左肩疼痛就诊于急诊科。由于他没有报告任何重要的既往史或创伤，表现良好，并且在就诊时报告的疼痛评分较低，因此给予低优先级评分。临床讨论高级执业护士开明的方法为患者提供了适当的诊断、疼痛管理、护理和随访。结论：该病例强调了“反复检查”的重要性，直到对年轻健康患者肩膀疼痛的病因有了明确的解释。

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A shoulder pain: Not so minor – An emergency department case report study

Introduction and importance

Shoulder pain frequently presents as a low priority case in the Emergency Department (ED). However, this is associated with many potential aetiologies, including sickle cell crisis. A thorough history taking and comprehensive assessment, along with an open-minded approach can enhance clinical decision-making processes when caring for patients presenting with shoulder pain.

Case presentation

A 35-year-old male presented to the ED with left shoulder pain. He was given a low priority score as he did not report any significant previous history or trauma, appeared well, and reported a low pain score at the time of presentation.

Clinical discussion

The open-minded approach by the Advanced Nurse Practitioner led to an appropriate diagnosis, pain management, care, and follow up for the patient.

Conclusion

This case underscored the critical importance of ‘probe and probe again’ until a clear rationale emerged for the aetiology of the shoulder pain experienced by a young and healthy patient.

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.