Substitute decision maker

An elderly male has sustained multiple injuries related to a significant fall outside of his assisted living facility which required that he be taken to hospital to be assessed for injuries. The intake interview with the patient’s substitute decision maker revealed that the patient has recently been diagnosed with Type II diabetes as well as intermittent atrial fibrillation. Patient was diagnosed with frontotemporal dementia 7 years ago and has difficulty speaking.

The intake nurse records the following additional information in his chart:

Don't use plagiarized sources. Get Your Custom Essay on
Substitute decision maker
Get a plagiarism free paper Just from $13/Page
Order Essay

Male, 85 years old
131 lbs
167 cm

Patient was hospitalized for heart surgery in 2010 (Cardiac Bypass)

Current Medications:

metformin (500mg b.i.d) – for diabetes
ramipril (1.25mg b.i.d.) – for hypertension
hydrochlorothyazide (50mg q.d.) – diuretic for hypertension

atorvastatin (20mg q.d.) – for hypercholesterolemia
rivaroxaban (15mg q.d.) – anti-coagulant for stroke prevention due to atrial-fibrillation

The following additions are made to the chart after physical assessment:

    • Pain, bruising and swelling over posterior left elbow and left hand/wrist
    • Normal flexion and extension (with pain) of left wrist
    • Limited flexion and extension (with pain) of left elbow
    • Patient has limited and painful lateral rotation and abduction of his left shoulder with painful arc between 90 – 110 degrees in abduction
    • He is unable to fully extend his left elbow.

He shows normal ROM for extension and flexion of both wrists although his left wrist is painful on palpation and active-free movement.

He also seems to be complaining of a headache at the time of intake


Please answer the following questions as they relate to this scenario:

1.Which structures are the most likely to have been injured? (please be specific and support your clinical impression with specific references as to why)

2.Besides ROM, are there any additional clinical assessments you would suggest are necessary to determine the extent of this patient’s injuries?

3.Why is it important to note that this patient has a history of hypertension (high blood pressure), diabetes and dementia?

Master Homework
Order Now And Get A 20% Discount!
Pages (550 words)
Approximate price: -

Advantages of using our writing services

Custom Writing From Scratch

All our custom papers are written by qualified writers according to your instructions, thus evading any case of plagiarism. Our team consists of native writers from the USA, Canada, and the Uk, making it convenient for us to find the best to handle your order.

Unlimited Free Revisions

If you feel your paper didn't meet all your requirements, we won't stop till it's perfect. You're entitled to request a free revision within 7 days after we submit your paper.

Quality Writing In Any Format

If you have issues with citing sources and referencing, you need not worry. Our writers are highly knowledgeable in referencing, including APA/MLA/Havard/Chicago/Turabian and all other formatting styles.

Fast Delivery And Adherence To The Deadline

All our custom papers are delivered on time, even the most urgent. If we need more time to perfect your paper, we may contact you via email or phone regarding the deadline extension.

Originality & Security

At Master Homework, your security and privacy is our greatest concern. For this reason, we never share your personal information with third parties. We use several writing tools to ensure your paper is original and free from plagiarism.

24/7 Customer Support

Our agents are online 24 hours a day, 7 days a week, and are always ready to serve you. Feel free to contact us through email or talk to our live agents whenever you need assistance with your order.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

We work nonstop to see the best client experience.


Flexible Pricing

We offer pocket-friendly prices that coincide with the preferred client's deadline.


Admission help & Client-Writer Contact

Our support team is always ready to ensure vital interaction between you and the writer whenever you need to elaborate on something.


Paper Submission

We deliver our papers early within the stipulated deadlines. We are glad to help you if there should be an occurrence of any alterations required.


Customer Feedback

Your review, positive or negative, is of great concern to us and we take it very seriously. We are, consequently adjusting our policies to ensure the best customer/writer experience.