In case scenario #1, a 17 –years old boy comes to the clinic for a check-up after a head injury during a football game. He indicates he would like to play in the next round, which is in three days. The health assessment includes a physical examination of the head to check for any bumps and conduct a thorough HEENT to check for alcohol. Also, diagnostic tests such as an MRI and head X-ray will identify if there is damage done to the internal parts of the head. In case scenario # 1, the patient has a concussion which is a traumatic brain injury affecting the functionality of the brain function (Malcolm et al. 2018).
The details a healthcare professional requires from the patient are the chief complaint and associated symptoms, past medical and surgical history, medication he is taking, any allergies. The objective information includes checking the vital signs such as temperature, blood pressure, pulse, heart rate, weight and, height. According to Malcolm et al. (2018), checking the HEENT is essential, mainly because the patient experienced a head injury.
The health concern arises from the wish for the patient to play very soon after experiencing a head injury. Healthcare is ethically obligated to inform the importance of taking time to recover in case of a head injury (Shore & Janssen, 2020). Providing the patient with risks associated with returning to the game quickly without enough time to recover, including severe head damage when another head injury is experienced (Baugh et al. 2020). Also, it is essential to clarify the importance of waiting by providing educating decision which can persuade the patient to take the recommended time and not play in the next game until complete recovery. According to Baugh et al. (2020), the patient should take reasonable precautions to protect the patient by making a decision that outweighs the risk; in this case, the patient needs regular monitoring for a whole week and not participate next game.
Baugh, C. M., Kroshus, E., Meehan, W. P., McGuire, T. G., & Hatfield, L. A. (2020). Accuracy of US College Football Players’ Estimates of Their Risk of Concussion or Injury. JAMA network open, 3(12), e2031509-e2031509. doi:10.1001/jamanetworkopen.2020.31509 https://jamanetwork.com/journals/jamanetworkopen/article-abstract/2774487
Malcolm, D. (2018). Concussion in sport: Public, professional and critical sociologies. Sociology of Sport Journal, 35(2), 141-148. DOI: https://doi.org/10.1123/ssj.2017-0113
Shore, J., & Janssen, I. (2020). Adolescents’ engagement in multiple risk behaviors is associated with concussion. Injury Epidemiology, 7(1), 1-5. DOIhttps://doi.org/10.1186/s40621-020-0233-8 https://injepijournal.biomedcentral.com/articles/10.1186/s40621-020-0233-8
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