Determining Expectations
Based on the data obtained, one should expect to see the following tests for Tommy Acker. According to Teeuw et al. (2019), it is necessary to include the combination of screening tests for a more accurate and better definition of the problem’s essence. The researchers recommend introducing the SPUTOVAMO checklist, a complete external TTI examination, as well as the combination of these methods inside the emergency department into the process of studying the case (Teeuw et al., 2019). Moreover, in addition to roentgen, medics should conduct a particular laboratory test. The child’s blood and bone condition are taken and thoroughly examined in this equipped room. Other tests that can be prescribed are studies of platelet aggregation, fibrinogen, urine analysis, blood clotting factors, von Willebrand factor, kidney, and electrolyte panel, phosphorus, calcium, albumin, alkaline phosphatase, and more (Hernandez & Ramaiah, n.d.). Specialists also need to conduct a survey that will reveal Tommy’s behavior and development, his manner of communication, and ways of interacting with adults (Mayo Clinic Staff, 2021). For example, nurses will be able to identify changes in behavior over the past few days and factors that have affected dehydration, tooth decay, and poor appetite.
Thus, the positive aspects of conducting such an exam are correctly identifying a small child’s abuse in the emergency department. This can eliminate the risk of further complications and death in the early stages and stop subsequent mistreatment from continuing. Accordingly, the negative aspects of this exam include difficulties in identifying and predicting the further outcome of events and the course of side effects. Consequently, a full-fledged examination is necessary since the results of ill-treatment could affect not only abdominal pain, lethargy, and decreased urine output.
Evaluating the Tests Results
According to the analysis results, the 26-month-old boy has external and internal domestic violence signs. The situation with Tommy is depressing because he is a special kid, but he does not get proper respect and care from his parents and other mentors. Obviously, the child is ill, but at the same time, the mother waited for two days, hoping and believing in the best. She even did not suspect that she could delay the moment of the onset of the worst consequences.
This child has significant bones, bladder, intestines, stomach, and oral cavity problems. He has apathy, lethargy, fatigue, indifference, and unwillingness to make contact. A violent consequence, as a rule, has long-term effects and can increase the risk of mental and medical disorders (Lippard & Nemeroff, 2020). This develops increased vulnerability and sensitivity to external phenomena within the framework of cognitive and emotional elements (Lippard & Nemeroff, 2020). Cases of stress, depression, suicidal thoughts, and inclinations are also unlikely (Felitti et al., 2019). In addition, Tommy Acker is also at risk of the formation and development of lung-related diseases due to passive smoking, as well as complications in the pelvis. At the moment, Tommy is in critical condition, and he needs urgent hospitalization and urgent surgical consultation.
A wide range of screening tests showed the most significant degree of correctness and accuracy of interpretation of the results, such as SPUTOVAMO and TTI. The experts say that the combined test is justified, but only until new results of the child’s research appear (Teeuw et al., 2019). However, in any such testing, it is necessary to consider and take into account several critical aspects. For example, medics should study not only the patient’s condition but also his family and their history. Based on the situation, it is necessary to conduct regular examinations and classes and appoint a specialist to stimulate commitment.
Relevant assessment results and the lab results that correlate with the assessment finding
Many points allowed the paper’s author to come to certain conclusions and judgments in relation to Tommy Acker. In order to answer questions about the causes of the patient’s problems, and the actual and possible consequences, studies of relevant literature and tests were conducted. Therefore, the medic made specific answers, conclusions, considerations, and treatment recommendations based on the information received. For example, possible risks and unfortunate cases of inaction or incorrect intervention are noted in the sources of information. Tests also indicate multiple fractures that have not healed completely. In fact, such phenomena often occur precisely based on beatings (Felitti et al., 2019). Moreover, in defective and dysfunctional families with a disabled child, abuse of the baby most often occurs.
The following laboratory study should also be cited as an example, which has a close connection with the results of this work. According to Hernandez & Ramaiah (n.d.), in traumatology laboratories, as practice shows, a general blood test is examined, and a coagulation study is also carried out. In this situation, doctors measure LFT, amylase, lipase, urine analysis without catheterization. Often, babies have poor blood clotting, bone disease, and reduced urine excretion (Hernandez & Ramaiah, n.d.). These studies are conducted only on young children and categorically do not fit the category of older children, schoolchildren. Moreover, it was noted that multiple fractures indicate possible complications, such as, for example, rhabdomyolysis (Hernandez & Ramaiah, n.d.). Fractures mainly occur on the collarbones, long bones, and even damage to the skull, which develops into morbidity and mortality.
References
Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V.,… & Marks, J. S. (2019). Reprint of: relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 56(6), pp. 774-786. Web.
Hernandez, B. S., & Ramaiah, V. (n.d.). Child abuse (non-accidental trauma). Society for Academic Emergency Medicine. Web.
Lippard, E. T., & Nemeroff, C. B. (2020). The devastating clinical consequences of child abuse and neglect: increased disease vulnerability and poor treatment response in mood disorders. American Journal of Psychiatry, 177(1), pp. 20-36. Web.
Mayo Clinic Staff. (2021). Child abuse. Mayo Clinic. Web.
Teeuw, A. H., Kraan, R. B., van Rijn, R. R., Bossuyt, P. M., & Heymans, H. S. (2019). Screening for child abuse using a checklist and physical examinations in the emergency department led to the detection of more cases. Acta Paediatrica, 108(2), pp. 300-313. Web.