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Clinical Scenario with Structured Questions
Pages 6 (1506 words)
Appendix: Clinical Scenario A 44 year old white Anglo Saxon male client was admitted to drug and alcohol detoxification unit for detoxification from long term use of alcohol – approximately 1 x bottle of Vodka daily. Client is obese with weight of 165Kg; Difficulty sleeping due to be investigated for same as yet has not had any sleep studies?
A nurse’s aid who is also a second year nursing student at university saw the client , took his blood pressure which was found to be elevated at 185/112. His heart rate was rapid at 113 beats per minute. The clinical picture indicated that the man was most probably having a heart attack. The student / nurse called an ambulance. As per unit protocol an accident/incident form was filled. Chest pain is a common occurrence with older patients. In the Emergency Department, chest pain needs to be isolated as cardiac or non-cardiac in origin. Physical assessment and proper history taking is very important in identifying the type of chest pain the patient is experiencing. This will also help the health care provider prioritize the plan of care. Proper assessment and history taking through detailed interview could have helped greatly in avoiding errors and reducing incidence reporting. This also indicates that the quality of care is improving. Pain is a very subjective matter. McCaffrey defined pain as whatever the person experiencing pain says it is, existing whenever the person communicates or demonstrates it does (McCaffrey, 1986). ...
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