Unit 15 Discussion – Laceration Injury

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format.

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

The practitioner is working in the urgent care when a young woman comes in with a man who appears to be a much older boyfriend. The woman appears young but states that she is 22 years old. Despite cool weather, the woman is dressed in shorts and a t-shirt with a sweatshirt. The man stays close to her in the examination room and answers most of the questions for her. When she does respond, her answers are short and vague, with the boyfriend elaborating on her responses. There seems to be tension between the two, and the man is harsh with the woman.

The woman has a large laceration on her upper thigh, which she says she received a week ago due to falling. The wound appears red and inflamed, and has greenish yellow drainage seeping from the lower aspect. The entire anterior surface of the thigh appears swollen and red, is warm to the touch, and is painful. The wound edges are not approximated, and it appears to be a partial thickness wound about 10 cm in length. The wound appears painful, but the woman is guarded in her answers to questions about pain. The woman has a temperature of 100.5°F, heart rate of 92 bpm, respirations of 24 breaths per minute, and blood pressure 110/60. As the practitioner, you sense something is “off” between the woman and the man, who will not leave her side.

Further examination reveals bruising on both thighs and arms, all in various stages of healing. The woman has a few minor lacerations on her forearm, which are healing. While reviewing the wounds, you are reminded of a recent in-service on human trafficking. During the in-service, you reviewed the article “Red Flags: Identifying Sex Trafficking Victims in the ED” found at this website: http://epmonthly.com/article/red-flags-identifying-sex-trafficking-victims-in-the-ed (Links to an external site.)/. Participants were also directed to the National Human Trafficking Hotline found at https://humantraffickinghotline.org (Links to an external site.)/. Remembering these resources, you feel concerned for the woman’s well-being.

Case Study Questions

1. What additional questions should the practitioner ask about the wound?
2. What testing should the practitioner consider for the wound?
3. What treatment should be provided to the wound?
4. What signs suggest that this may be an abuse and human trafficking situation?
5. What further assessment should the practitioner perform?
6. Who should the practitioner involve in the care to assist in assessing for human trafficking and in providing support to the woman?

Please be sure to validate your opinions and ideas with citations and references in APA format.

The post and responses are valued at 20 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.

Estimated time to complete: 2 hours

Peer Responses/Participation [Due Sunday]   

• Make sure to respond to at least two of your fellow classmates postings as well and challenge each other to go beyond just the surface.
• Share your thoughts on how you support their ideas and explain why.
• Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 1 hour