Future work should aim to refine chart review data towards identifying
any patterns observed within specific groups and explore interventions
offered and the relative efficacy of these care pathways between
people living with a significant mental disorder/ illness as compared
to others. It is also important to explore unconscious bias displayed
by the clinicians while documenting the intensity of pain in the
presence of mental ill health and the capacity of the person
presenting at an emergency setting to offer appropriate interventions
and discharge care pathways.
We raise this case to stimulate awareness and encourage
multidisciplinary discussion that reconceptualising acute MSK injury
event as both potentially injurious and distressing, influenced by
pre-existing vulnerabilities or resiliencies of the person and the
socioenvironmental context within which the person lives and
functions.
Also, that under-recognised pre-existing psychopathology may represent
as a risk-factor for poor recovery from an MSK presentation. While
challenging, unrecognised vulnerabilities could promote multiple ED
presentations and an incomplete diagnostic and therapeutic landscape.
This single-study case followed the repeated ED admissions for
recurrent experienced by a young female person in a district hospital
ED for repeated acute MSK concerns while living with pre-existing
mental health issues.
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