Multiple Cuts Medical Treatment

SH: the patient is an elderly man who lives alone in an own house. He is a widower and a retired soldier. He is a father to two sons, already married and away. He likes gardening and stays at home tending to his flower garden. He is wealthy and a possible target for burglars.
O/E: Sharp cuts extending past the skin on the face and neck. The cuts have been partly sutured at the station and bleeding arrested. The patient looks calm and less anxious.
Head and Neck: Second degree cuts on the face (3) and neck (1).
Hands: A deep palmar cut, left hand that exposes a bleeder and nerves.
Left Wrist: NAD
Lt. palm: deep and sharp about 10cm extending from the proximal phalange of the thumb to the index finger.
– Signs of previous bleeding noted, slightly swollen, no erythema, no atrophy, no sign of infection, no bruising, regular shape and no deformity
-on exploration, no foreign body seen, wound bed pink in colour and no underlying structure exposed (Davies et al. 2011, p.17).
Movement:
Active:
Flexion-FROM with minimal pain on anterior aspect of distal phalanx
Extension-FROM, pain free movement
Abduction-FROM, pain free movement
Adduction-FROM with minimal pain on anterior aspect of distal phalanx
Medial Rotation-FROM with minimal pain on anterior aspect of distal phalanx
Passive:
Flexion-FROM with minimal pain on anterior aspect of distal phalanx
Extension-FROM, pain free movement
Abduction-FROM, pain free movement

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