Charles Bonnet Syndrome: A Case Study

There are several ways that Jeanette 's doctor and receptionist could have helped Jeanette. The receptionist should have relayed Jeanette 's message to the doctor as soon as possible. Shortness of breath is a serious medical problem. It is one of the symptoms of Heart failure as well as Pneumonia (Mayoclinic, 2016). If the doctor had received the message right away, the doctor would perhaps advise Jeanette to come to her office or to call 911 immediately. The receptionist should have advised Jeanette to call 911 if her symptoms got serious while she waited for doctor 's callback. Jeanette endured her symptom the whole day waiting for the phone call from her doctor that never reached her in time.

Pulling off the ramp, we turned onto Church Hill Road responding on a priority one for the cardiac arrest. I tried to review my field guide en-route to the call, but all I could see were flashing lights reflecting off the guide’s pages and crowds of cars moving over for our wailing sirens. Within three minutes we had arrived on-scene and it was clear that our patient was not in cardiac arrest; however, his 12-Lead EKG and oxygen saturation were marginally reassuring and pointed to an active heart attack. At this point in my EMS training I was a BLS provider, but had adequate knowledge to assist Kathy. Instinctively, I went right to work and loved every second of it. The concept of formulating a differential diagnosis in the field and testing that theory is one of the principle factors that kept drawing my back to EMS. In addition, I developed an unparalleled appetite for knowledge, stemming from my desire to get every differential diagnoses right. Coming to this realization early in my EMS career, we [healthcare providers] frequently forget that patients often lack the medical knowledge provided to us through years of training. Behind CT Scans and MRIs are patients with questions. Having the ability to provide compassion, sympathy and reassurance to a patient is a central part to their recovery and survival; therefore, we [healthcare providers] need to be able to care for our patients on a holistic level, focusing less on the disease and more on the

Patient is a 60-year-old Latin American female, who presents with her husband for evaluation of some spells. She seems to have two different things going on. She did report intermittent episodes of feeling of weakness with blurred vision, diffuse paresthesias and a sensation she is about to pass out or the sensation of before undergoing generalized surgery, feeling like she is being sucked down. There is no loss of consciousness with this. She is unable to give any further history, except these events have been going on for about a month. They are almost daily. She does note they happen after eating, at which point, she will fall asleep easily. Otherwise, she denies any loss of consciousness,

Patient A was then admitted to Hospital A, which is known to be one of the best hospitals in town. Patient A has never been hospitalized before. She is also scared and worried about her surgery. The surgical oncologist communicates effectively about the procedures. Before the surgery, the surgical oncologist held Patient A’s hand and comforted Patient A not to worry too much because she is in good hand. After the surgery, Patient A woke up in the PACU (recovery room). Patient A was then transferred to a hospital room. Patient A said, “the room is clean and have a window with a beautiful view,” (Patient A, personal communication, February 23, 2015). Even though Patient A is still in pain, the nice and beautiful hospital environment makes her feel at ease.

I felt nervous because the patient was complaining of having a difficult time breathing, so I was afraid that he would stop breathing while I was taking care of him

Her vital signs are normal. Weight is 114 pounds. The visual acuity is 20/20 both eyes. The eye exam shows that the left eye is normal including her fundus. The right eye shows that her conjunctivae

“We need to transfer her to the ICU”, said the attending while holding a nebulizer mask up to the infant’s face. It was organized chaos at its finest-- EKGs, X-rays, and labs were being drawn almost instantaneously. My 5-month-old patient 's respirations had become labored and needed care more advanced than we could perform on the inpatient cardiology unit. As the bedside nurse, I was responsible for communicating my assessment findings and concerns about the patient to the team.

The patient was sitting in the corner of the hallway, when the clinical staff got engaged with her and explained

“Good morning,” I said as I walked into room 34. I picked up the patient's chart and looked through it. “So you’ve been experiencing speech difficulties, headaches, nausea, and drowsiness?” I asked. “Yeah. I’m sure it’s nothing, though,” Mrs. Gallagher replied.

Once the patient was wheeled into the operating room he was disoriented and confused. He had recently suffered a CVA (cerebrovascular accident) and was suspected to have suffered a stroke before his admission into Deaconess. He was also Hypoxic, which means regions of his body had been deprived of oxygen. The nurses then began to restrain the patient’s legs and arms, but due to the patient’s confusion a nurse had to verbally calm the him down. Following that, the patient was given lidocaine to numb him.

It started off as a typical day in the emergency department. A code that just finished in room 1, a broken arm in room 8, abdominal pain in room 10, and it was my turn to take a new patient in room 12. She was brought back from triage with stable vital signs and the only complaint of slurred speech that happened on and off. When Mrs. S came into the room, her and her husband stated that she was acting completely normal. She stated she felt fine and was embarrassed that she came to the emergency department. She stated that she was doing chores on the farm up until around noon. She states at that time she bent over and immediately felt dizzy and sick. She told her husband that she was going to go lay down due to the sudden onset. I continued with my assessment and her

The patient’s physical examination upon admittance (11/30/14) revealed the patient awake, alert and orientated x3; she was in some apparent distress but was not found to be in any pain. Auscultation of the lungs conceded adequate air entry bilaterally with bilateral rhonchi. The lower extremities showed pedal edema but with no signs of a deep vein thrombosis in the legs. Examination of the head, eyes, ears, nose and throat (HEENT) showed pink and moist oral mucosa. The pupils were equal and reactive to light.

In order to provide this patient with the best care possible, his nurse tries to contact the physician. It is the weekend and the nurse is only able to page the on-call doctor. She anxiously awaits a return phone call, while explaining this situation to his distressed family. The pain appears to be increasing. Twenty minutes later the physician

She was told that she may also see a symptom of photophobia, which is an abnormal sensitivity to or intolerance of light and/or hepatitis or inflammation is another serious

HEAD: Headaches as described in CC and HPI. No history of head trauma. No syncope.