Mr. RT, is a 32-year old admitted to your short-term rehabilitation unit after a hospitalization for a bike crash during a triathlon competition. He had a closed head injury and was in a coma for 14 days. He is now alert and oriented to person, place, day and time. He also fractured his right femur and tibia and right radius. His leg fracture has been repaired and he wears a brace to keep it aligned until it completely heals. His right arm fracture has a fiberglass cast on it from the hand to the elbow. He can bend his elbow. He can propel self in the wheelchair.

He has an order for no weight bearing on the right leg. He also has an order for Percocet every four hours for pain. He tells you "I can't believe they put me here with a bunch of old people. What will my girlfriend and friends think?"

His vital signs are:  Temperature 98.2^o F, heart rate is 68 and regular, respirations are 16 and regular, blood pressure is 110/72. He states is pain is an "8" on the numeric scale.

Using library find any databases, articles, or a journal on Evidence-based Practice that corresponds to the above patient.

Answer:

The following are the databases, articles, or a journal on Evidence-based Practice that corresponds to the above patient:

1. Pain management in patients with long-bone fractures in a district hospital in KwaZulu-Natal, South Africa

• Reference: Awolola, A. M., Campbell, L., & Ross, A. (2015). Pain management in patients with long-bone fractures in a district hospital in KwaZulu-Natal, South Africa. African journal of primary health care & family medicine, 7(1), 818. https://doi.org/10.4102/phcfm.v7i1.818
• Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709650/

2. Management of Pain Associated with Fractures

• Reference: Elsevier, H., & Cannada, L. K. (2020). Management of Pain Associated with Fractures. Current osteoporosis reports, 18(3), 130-137. https://doi.org/10.1007/s11914-020-00578-3
• Link: https://pubmed.ncbi.nlm.nih.gov/32236905/

3. Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury

• Reference: Hsu, J. R., Mir, H., Wally, M. K., Seymour, R. B., & Orthopaedic Trauma Association Musculoskeletal Pain Task Force (2019). Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury. Journal of orthopaedic trauma, 33(5), e158-e182. https://doi.org/10.1097/BOT.0000000000001430
• Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6485308/

4. Long-bone fracture pain management in the emergency department

• Reference: Minick, P., Clark, P. C., Dalton, J. A., Horne, E., Greene, D., & Brown, M. (2012). Long-bone fracture pain management in the emergency department. Journal of emergency nursing, 38(3), 211-217. https://doi.org/10.1016/j.jen.2010.11.001
• Link: https://pubmed.ncbi.nlm.nih.gov/21435705/

5. Pain Relief After Operative Treatment of an Extremity Fracture: A Noninferiority Randomized Controlled Trial

• Reference: Helmerhorst, G., Zwiers, R., Ring, D., & Kloen, P. (2017). Pain Relief After Operative Treatment of an Extremity Fracture: A Noninferiority Randomized Controlled Trial. The Journal of bone and joint surgery. American volume, 99(22), 1908-1915. https://doi.org/10.2106/JBJS.17.00149
• Link: https://pubmed.ncbi.nlm.nih.gov/29135664/

6. Closed Head Trauma

• Reference: Ginsburg J, Huff JS. Closed Head Trauma. [Updated 2020 Nov 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557861/
• Link: https://www.ncbi.nlm.nih.gov/books/NBK557861/

7. Head Trauma

• Reference: Shaikh F, Waseem M. Head Trauma. [Updated 2020 Nov 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430854/
• Link: https://www.ncbi.nlm.nih.gov/books/NBK430854/