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Nurses Using Critical Thinking to Implement Patient Care
Pages 4 (1004 words)
Name of the Student Name of the Professor Nursing 25 May 2012 Nurses using critical thinking to implement patient care Brief Case History Adam, a 29 year old male patient, construction worker by profession, presented to the hospital with chief complaints of shortness of breath, wheeze and low grade fever…
As the patient is acutely ill, assessment and interventions should proceed simultaneously. Assessment is done by history taking, physical examination and investigations. History taking should include the duration for which the symptoms have been present, the course of illness, associate symptoms such as cough, any obvious or clear triggering event, history of smoking and drug abuse in the recent past, history of significant weight loss and any significant past medical or surgical history. As the patient is having difficulty in speaking due to shortness of breath, history should be taken from the accompanying family member .The clinical record of the previous day should be reviewed which may contain the history given by the patient. Obtaining the history is important to arrive at the etiology. So far as physical examination is concerned, patient’s vital parameters are recorded and continuously monitored. As patient is hyperpyrexic, hourly temperature recording should be done. Signs of respiratory distress namely tachypnea, use of accessory muscles of respiration, wheezing and findings on chest auscultation are documented (Prigmore 50). General physical examination includes examination for skin rash and color, needle marks, lymphadenopathy, icterus and diaphoresis. ...
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