Please respond to discussion below using current APA edition and 2 scholarly references. Must be 150 words.
Lateral Epicondylitis Confirmation
The best way to confirm the diagnosis is to perform physical assessments and examinations. One should check for tenderness and pain in the arm. One should focus on the lateral epicondyle area and ask the patient if they are feeling any pain or tenderness. Due to the language barrier, the nurse should also look at the patient’s reactions when they are palpating. One should perform the resisted wrist extension. The patient should extend their wrist as the nurse resists the movement (Karabinov & Georgiev, 2022). If the patient experiences pain, it indicates that the patient might be having lateral epicondylitis. One should also perform a range of motion examination on the wrist and elbow areas. The motion examinations will help in eliminating other possible causes of pain. Lastly, one should perform neurological examinations. Neurological examinations will help in determining if neurological deficits may be the case of the symptoms.
Reason Why the Daughter Seems Distressed with Further Questioning
As more questions are asked about her father’s history, distress is noted in the daughter. The daughter’s distress may be because she fears the father might lose his job due to the injury or his immigration status. The daughter may be fearing that discussing any work-related injury with the employer might lead to the father losing his job. She also fears that discussing the father’s injury with the employer and a health practitioner might lead to legal issues since there is a possibility the father is an undocumented immigrant. With the two possibilities, it is important to ensure that the daughter realizes that her father’s health is more important compared to her fears. The matter should also be approached with sensitivity to ensure that the daughter trusts the healthcare practitioner to collect all necessary health information concerning the patient.
Other Assessments in Addition to Visual Inspection
Other assessments may be required to confirm or rebut lateral epicondylitis. One should test the patient’s grip strength. If it is weakened, it may mean that the patient has lateral epicondylitis (Speers et al., 2018). Provocative tests such as Cozen’s and Mill’s tests may be recommended.
Treatment For Lateral Epicondylitis
The treatment involves a combination of conservative measures which include resting, icing, bracing, physical therapy, pain medication, and corticosteroid injections. The patient should be advised to rest the affected arm while avoiding activities that cause pain to the arm. Apart from the pain medication that may be prescribed, the patient should also use ice on the affected area. Ice will help in reducing inflammation and pain (Ma & Wang, 2020). Bracing may be necessary if the patient requires support on the affected arm. Physical therapy also helps in ensuring that the patient stretches which in turn strengthens the forearm muscles hence improving flexibility. Lastly, corticosteroid injections may be used to reduce inflammation and pain.
Making the Patient More Comfortable
The first step to ensure that the patient and the daughter are comfortable is creating an environment they feel safe and reassures trust. Such an environment can be created when the nurse has knowledge of the culture of the patient and uses the knowledge to make them feel like they fit in. One should also make sure that they understand that the information shared will be kept private and confidential. The nurse should also allow the patient and daughter to share their views and discuss the treatment options available. The nurse should also address the fears that the patient and daughter have making sure that their worries do not hinder them from seeking medical attention (Beck et al., 2019). Overall, creating a safe and welcoming environment while prioritizing the patient’s health is essential in such situations.
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