Lateral Ankle Sprain Injury Health And Social Care Essay

Lateral Ankle Sprain Injury Health And Social palm EssayThe aim of this essay is to provide a factual survey and evaluation of the implications of a lateral mortise-and-tenon say sprain and the pathopysiological systemal processes that whitethorn be involved. This study discusses the social and psychological factors that whitethorn impact on the patients obtain of such injuries, highlighting the importance of . The following cutting study on Mr Attallah caravan inn provides a platform to discuss presenting biopsychosocial factors that need to be considered when qualification a management design.Mr Khan sprained his ankle whilst taking part in a three legged race. He inverted over on his right ankle experiencing intense smart with inability to bear saddle. The main(prenominal) structures within the ankle that would be affected in this type of stigma would be the three main lateral ligaments that cooperate to prevent the ankle form rolling forward and outward to keep up her with the muscles of the lateral compartment, peroneus longus and peroneus brevis.( re the anterior talofibular ligament, the posterior tablofibular ligament and the calcaneofibular ligament.) Hubbard T, Wikstrom E, states that anterior talofibular ligaments (ATFL), reported to be the weakest is the first ligament injured. This is followed by calcaneofibular ligament (PTFL) and finally to the posterior talofibular ligament (PTFL). X-rays of right ankle showed no fractures.Mr Khan is a week post blur and at sub nifty take of inflammation. The subacute stage is when heal and repair occurs. As a entrust of the inflammation Mr Khan has experienced soreness and swelling that causes him a diffuse of discomfort at the end of the day. He uses the crutch to admirer him get well-nigh and finds it tight managing stairs and manoeuvring around the office. Hubbard T, Wikstrom E states that in methodicalness to regain stability of the ankle sum, immediate c atomic number 18 and rehab ilitation should emphasis on enhancing ligament healing.2. Mr Khan lives with his wife and two children. He has been recently promoted to accessory in a city law firm. He is fairly ready and enjoys family activities such as playing with the children and family walks. Mr Khan may feel gigantic pressure and anxiety to carry on with his normal daily duties at home and at perish despite his suffering. He suffers from tension headaches which may be a emergence of heavy work pressures as a resolving of his demanding position, for this he takes ibuprofen. Although Mr Khan takes for his headaches it may slow down the healing of the damaged ligaments. NSAIDs work by inhibiting the production of prostaglandins, substances that are involved in pain and overly in the creation of collagen Warden S.J et al ( 2009) Collagen is the key portion of most tissues and without prostaglandins collagen cannot be made which allow for hinder the repair of the tissue. By taking such painkillers Mr Khan may continue daily duties without the signals of pain resulting in further injury to the affected area. Mr Khan in like manner continues to work and has to also commute to the city and meetings, this lack of rest and weight sort on the ankle may further delay the healing process. Mr Khan has forthcoming plans to travel in four months to America and then to Pakistan this will make a quick recovery his main priority.Mr Khan is a successful professional, intelligent and very motivated. With this in mind (Hegna T, Sveram M 1990) states that it is authorized to structure a rehabilitation plan that may influence motivating during recovery and it is obligatory to try and identify which factors arouse each individuals motivation so that strategies can be used to enhance it. In de boundine provide a successful plan for rehabilitation it would be necessary to set achievable, realistic goals in line with Mr Khan desired conclusion which to walk again uninhibited by pain or swellin g. To deliver the goods full compliance may prove to be very difficult but the practitioner being seen as the professional whose place is to help patients achieve their objective may promote patient adherence. In Mr Khans case the management plan moldiness(prenominal) include functional activities that are knowing to initiate full recovery of the injury which will in turn allow Mr Khan to get on with his life.Management of Mr Khans lateral ligament injury will involve protection, rest, ice ,compression and elevation (PRICE) and function rehabilitation ie. primal mobilisation with support states Mattacola G, Dwyer K (2002). Research shows that early mobilisation of the joint will stimulate collagen bundle orientation and therefore stimulate healing. The main(a) goal for Mr Khan is to manage the pain, control the inflammation and protect the joint so that healing can take place. Hubbard T, Wikstrom E, (2010). state that in the acute stages of healing it is important to protect t he lateral ligament of the ankle because the damage caused would arrive at caused increased laxity. Protection is required with ankle bracing to prevent re-injury man the ligament heals. Rest is a necessary element to Mr Khans plan, this may however be difficult to enforce as Mr Khan is a very agile man and may feel it necessary to place his treatment plan secondary to his family and work commitments. Enforcement of this rule may require discussions with Mr Khan in order to identify the factors that may hinder him from amply resting his ankle, this may also require the supervision and cooperation of the rest of his family. Factors to consider may be his work load as a new partner in the solicitors firm in which he works, together with the fact that the climbing of stairs with a crutch to get to his office is proving very difficult for him. This may require a ephemeral relocation of his office to the ground floor or a result of working at home until Mr Khan is able to bear we ight on the ankle. Mr Khan is an intelligent man and needs to appreciate the logic in the activities he has been asked to do. It is important for the rehabilitation plan to reflect Mr Khans objectives but equally as important is the requirement for Mr Khan to cooperate and fully embrace the plan in order for it to be successful. Mr Khan must also elevate the ankle to reduce the swelling which will result in less pain an ice compression will also assist in this process. With less pain present Mr Khan may begin to engage in gentle mobilisation techniques track onto exercises that sterilise motion and strength usually within 48 to 72 hours of injury. It is indispensable that the patient has complete confidence and have an understanding that if they cooperate and respect with each stage of the plan it will eventually lead to a successful outcome. Dividing the rehabilitation up into short term goals such as reducing the inflammation resulting in less pain progressing to long term goa ls will allow both patient and practitioner to monitor and touchstone the success of the treatment and make adjustments where necessary. When short term goals are realised this then provides encouragement and motivation for future stages in the treatment. Mr Khan must understands that if the inflammation is first addressed and dealt with then the pain will adjudicate leading to increased range of motion and joint stability, thus leading to a return of activities of daily living (ADL). Patients can become non-compliant to treatment plan if they do not appreciate the rationality behind what they are asked to do. Ley. P. (1988) states that by Improving communication by either increasing the meat of information provided or by using special techniques can very much led to increased understanding, recall and satisfaction.Mr Khan is impatient and frustrated with his injury and feels that it is an obstacle to fulfilling the commitments he faces with this in mind it is important to expl ain why it is necessary to engage with to the treatment and failure to do so may lead to a delayed recovery, that may prevent him from not except continuing in his weekend walks with the family but also may result in him having to cancel his forthcoming travel plans. The Biopsychosocial model of health outgo fits this case as it is vital to take into account the biological, psychological and socio-cultural factors touch Mr Khans case. By not focusing on the injury in closing off but taking into account Mr Khans lifestyle, mind-set, commitments, education, perception of control and his ultimate goals, a precise achievable treatment plan can be devised to help restore him not only back to full, pain-free mobility but to his role in society as a husband, father and lawyer.