Patient Assessment Essay

The nurse found Mrs Smith to be tachypnoeic, her respirations were recorded as 24 breaths per minute it was observed as being fast and it appeared that her accessory muscles were being used. Mrs Smith’s pallor also appeared flushed and her saturations were documented as 93%. The nurse used the stethoscope to check for wheeze the patient’s lungs were clear and chest rise was symmetrical. Mrs Smith was commenced on 100% oxygen through a non-rebreathe mask, oxygen as an intervention is necessary as Creed & Spiers (2010) highlight ‘metabolic demand for oxygen throughout the body is hugely increased by sepsis and is essential to ensure the supply of oxygen is maximized’ .The nurse monitored the patient closely because in her confused state the patient may try to remove the oxygen mask.

This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has

Jane’s asthma was acute severe. Initially to alleviate some of Jane’s breathlessness she was sat up right in the bed and supported with pillows to improve air entry. Due to her low oxygen saturations she was placed on 40% oxygen via Hudson mask (BTS 2006), as Jane was mouth breathing the mask was the appropriate device to use to ensure adequate oxygenation (Walsh 2002). According to Inwald et al (2001) hypoxemia is frequently a primary cause in numerous asthma related deaths. By administering oxygen promptly, for acute severe asthma, serious hypoxemia

and the pulse oximeter reading is at 88% room air, so the physician ordered 2 to 4 L of

During our lives, serval blissful, traumatic, culture event that established the transformations during cognitive, social, physical, and characteristic changes in our lives from the time of birth through our death. A person’s existence is shaped and molded by the experiences that have set us physically and mentality. The interview conducted for this project for an understanding of, Mrs. Candi Jones, is a mother, daughter, and sister. She was the middle child of in a physically disable household where father and sister hearing-impaired; a mother who is deaf. They are a mixture of a sibling through birth, adoption, and foster. During the interview with Ms. Jones, she discusses experienced numerous events in her life that play a major influenced

The retrospective observational study was performed in Great Ormond Street Hospital. All admissions to the critical care services over a 9 year period (March 2003-December 2011) were included for analysis. Repeat admissions were excluded. The prevalence of 'extreme hypoxaemia' was explored. 'Extreme hypoxaemia' was defined as admission $PaO_{2}$ $< 2.67$ kPa (20 mmHg). This threshold was chosen from reported literature.\cite{Anonymous:2013vh}\cite{Grocott:2009jj}\\

After being reminded by the instructor, I was aware of my mistakes and noticed that I failed to maintain patient’s safety. An oxygen below 90% can be very dangerous for the patient, especially for a post-op day #1 patient, because prolonged hypoxemia can cause fatigue, headache, acute respiratory failure, cardiac problems (increased heart rate,

Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of

A major component of the care Paramedics provide is the assessment of a patient’s physical status, which is the ground for any further treatment. The assessment method that an Advanced Care Paramedic follows is a systematic assessment referred to as the Primary Survey. The aim of this fundamental assessment is to give an initial diagnosis of the patient as well as identifying any imminent threats to the patient. This assessment is used so that a Paramedic can decide how to treat the patient while staying within the boundaries of their scope of practice. Throughout this essay the concept of a primary survey within the scope of practice of an Advanced Care Paramedic will be understood. Additionally

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

The purpose of this paper is to provide a synopsis of the importance of assessment and diagnosis in the counseling process. In the first two sections, the roles of assessment and diagnosis as they relate to case conceptualization and treatment planning will be explored. The potential implications of misdiagnosis will be the focus of the final section.

According to Healthy People 2012 there are more then 800,000 new cases of diabetes each year, with the numbers on the rise. With this in mind, Healthy People 2012 has identified diabetes as their number five focus area. In order to reach their goal of improving the quality of life for people with diabetes they have identified diabetes teaching as their number one objective. Furthermore, in order to reduce the number of complications of diabetes, Healthy People 2012 has identified foot ulcers as their ninth objective. Through patient education Healthy People 2012 hopes to reduce the number of foot ulcers in people with diabetes, as diabetes is the number one cause of nontraumatic amputations in the United States. In order to

Assessment of hemodynamic status in a shock state remains a challenging issue in Emergency Medicine. Early recognition and appropriate treatment of shock have been shown to decrease mortality (Moore and Copel, 2011; Volpicelli, 2011). In case of medical emergencies there may not be enough time to perform detailed diagnostic procedures and eliminating any imminently life-threatening conditions from the possibilities is always challenging in a busy ED.

It is important for a nurse to also note that an unconscious patient may also show an increase in respiration rate and blood pressure when experiencing pain.

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.