One experience that changed the treatment a patient received in my nursing experience as a result of me applying a physical exam began with the patient complaining of vomiting and chest pain. Additionally, I was informed by the family that the patient was showing stroke…
My assessment noted significant changes such as right facial dropping, slurred speech, right upper and lower extremity weakness. Later I realized that the patient’s significant changes may have been missed due to lack of good communication between staff, multiple changes in the assignments of the responsibility staff, and a ratio of four patients per nurse, instead of the ideal 3:1. Nevertheless, Magnetic Resonance Imaging (MRI) was conducted and led to negative findings. As such, the NIH stroke assessment followed by a CT and MRI with negative findings changed the patient’s treatment. The primary nurse in this situation was not listening to the family’s subjective information that the patient was having stroke or displaying stroke symptoms. This led to a negative ...
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