Module 6 Discussion The 41-Year-Old Patient Evaluation and Management Plan

Sample Answer

To confirm the diagnosis of lateral epicondylitis, you can perform specific physical tests such as the Cozen’s test where resistance is applied to the wrist extension with the elbow in extension and Mill’s test (Johns et al., 2020). The Mill’s test, involving passive pronation and wrist flexion, can elicit pain at the lateral epicondyle, supporting the diagnosis. Additionally, imaging studies like X-rays may be conducted to rule out other potential causes of elbow pain, such as fractures or arthritis. These assessments help in confirming the diagnosis and determining an appropriate course of treatment for the patient.

The daughter’s concern about reporting the injury to the employer may be related to fears of jeopardizing the father’s employment or potential immigration issues, especially if he is an undocumented worker (Benson et al., 2022). This fear could be a barrier to seeking medical attention or workers’ compensation, impacting both health and job security.

Considering the erythema observed, assess the range of motion of the patient’s elbow and perform palpation to identify any localized tenderness or swelling. Additionally, inquire about any exacerbating factors or activities that intensify the pain (Sayampanathanet al., 2020). Conduct neurovascular assessments, checking for sensory and motor function in the affected arm, and consider imaging studies like X-rays or ultrasound if needed to rule out other potential causes of the pain.

Lateral epicondylitis is typically managed with a combination of conservative measures. Initial treatment includes rest, ice, and over-the-counter pain relievers like ibuprofen. A brace or splint may help reduce strain (Lenoir et al ,2019). Physical therapy often focuses on stretching and strengthening exercises. In some cases, corticosteroid injections may be considered for more severe pain. Education on proper ergonomics and modifying activities to avoid exacerbation is crucial. If conservative measures fail, more invasive options, like platelet-rich plasma injections or surgery, may be considered. It’s essential to tailor the approach based on the individual’s symptoms, occupation, and overall health.

I would acknowledge their concerns and express understanding of their situation and assure them that I value their time and I am committed to providing efficient care. I would also emphasize the importance of addressing their pain and work-related concerns for his overall well-being (Launer, 2022). I would also offer flexibility in the treatment plan to accommodate their schedule, and assure them that I will work collaboratively to find solutions. Building trust through empathy and addressing their specific needs could also help alleviate their worries and encourage them to stay for the necessary medical attention.

References

• Benson, R. T., & Koroshetz, W. J. (2022). Health Disparities Research That Matters. Stroke, 53(3), 663–669. https //doi.org/10.1161/STROKEAHA.121.035087
• Johns, N., & Shridhar, V. (2020). Lateral epicondylitis Current concepts. Australian journal of general practice, 49(11), 707–709. https //doi.org/10.31128/AJGP-07-20-5519
• Launer, J. (2022). Dealing with difficult patients – by dealing with difficult doctors. Postgraduate medical journal, 98(1162), 649–650. https //doi.org/10.1136/postgradmedj-2022-141976
• Lenoir, H., Mares, O., & Carlier, Y. (2019). Management of lateral epicondylitis. Orthopaedics & traumatology, surgery & research OTSR, 105(8S), S241–S246. https //doi.org/10.1016/j.otsr.2019.09.004
• Sayampanathan, A. A., Basha, M., & Mitra, A. K. (2020). Risk factors of lateral epicondylitis A meta-analysis. The Surgeon Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland, 18(2), 122–128. https //doi.org/10.1016/j.surge.2019.08.003