Personal Experience: Epigastric Pain And Indigestion

Is this clearly a case when the call should be passed on to one of the registered nurses or the medical social worker?

The most common type of heart disease is called coronary artery disease. Coronary artery disease develops when the arteries narrow and become hard. The heart cannot receive all the blood it needs through the stiff narrow arteries. Symptoms include pressure and chest pain or squeezing in the chest which is also known as angina. Angina should be understood as a warning sign and that the sufferer is at an increased risk of a heart attack. When blood is blocked from getting to the heart for more than twenty minutes the result is a heart attack. The symptoms of a heart attack can be less dramatic than what television portrays. The Clutching of the chest and falling to the floor is not what women should expect. The common signs for women to look for are heartburn, loss of appetite, feeling tired or weak, shortness of breath, nausea, and pain in the back, neck or jaw. Women should not hesitate to call for help should they experience these symptoms. It is important that women do not let shame or embarrassment keep them from taking action to insure their safety.

Nearing the end of my shift in the Emergency Department, I was requested to accompany a patient while the nurse readied the discharge papers. Upon entering the bay, I met a very small and fragile patient who was anxious to go home. Conflicted between my primary duties and responsibilities to complete training for two inexperienced volunteers, I decided to put forth my interests in teaching by demonstrating compassionate care to my trainees. Although the patient repeatedly refused my assistance, I gave my best effort to calm her as I cloaked a warm blanket around her. As I listened to her confide in me of all of her hospital anxieties, I was shocked from the lack of quality care she had received which made her feel more sick after the first

During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and

In the hospital environment there are several resources for the nurse to partner with to address nursing sensitive indicators and ethical issues that may arise. In this scenario, to help resolve the issue with meal trays a partnership with dietary could be made to come with an appropriate solution for the correct delivery at meal time. The nurse could have brought this information forward and apologized to the patient and his daughter rather than trying to keep it quiet. The nursing supervisor

The situation happened during the author’s last day of orientation as a new medical-surgical nurse. The author was passing medications and administered aspirin to a patient as ordered. As the author approached the nurses’ station, she stopped in disbelief as the charge nurse started yelling at her, saying, “Why are you not checking your orders? Why did you give aspirin when there was an order for no anticoagulants? Do you know the patient is having a procedure tomorrow? New grads.” Several physicians and nurse practitioners, along with the author’s coworkers, witnessed

Whilst on duty on a general ward I was asked by my senior nurse, if I could go down to the pharmacy to pick up some new medication for a new client, who would be needing them at lunch time. On my way to get them, I was approached by another health care assistant who requested my help with a client, who was lying in their own faeces. I therefore felt that the medication could wait, and that my main

I had my first two night shift this week on Sunday 9/13 and Wednesday 9/16. I am on 7 West at Sharp Memorial Hospital and the unit is PCU unit with tele monitoring. The unit had a high census this week, but proper staffing and no codes lead to the nights being relatively calm. I was working with Laura who is not my regular preceptor. She stepped in to work with me for this week while Elle, my regular preceptor, was on vacation. I had a wide variety of patients on my two shifts. The first shift I had a patient that was suffering from an exacerbation of COPD with a history of CHF and a patient that had polycystic kidney disease, which had progressed to end stage renal failure. The second shift I had four patients; one patient had been admitted to the hospital multiple times in the past month for GI bleeds, another patient with a history of diabetes and hypertension was admitted for fever and chills and was later diagnosed with sepsis, the next patient had a history of schizophrenia and was found on the ground in her home and was expected to have been there for over 24 hours resulting in deep tissue injury, and my final patient was suspected to have a history of alcoholism and presented to the hospital with shortness of breath and an oxygen saturation of 89%. The first clinical shift I was shadowing my nurse for a majority of the shift. I was being orientated to the unit and learning where to find supplies on the unit. The second shift I took a

It was a very busy night on M10, call bells ringing non-stop for pain medication, or toileting needs, IV pumps alarming, concerned family members coming to the nursing station, numerous patient admissions from urgent care and PACU. I received nursing handoff on all my patients from the day shift, gave handoff to my patient care technicians, and we had our nightly nursing huddle in the station. After hearing everyones concerns about their high risk patients, I wanted to get out on the floor as early as possible to complete my assessments, and administer my medications to leave time for the many uncertainties that my gut instinct warned me would occur. I was able to finish all my patient assessments, and pass my medications earlier than usual, and when this occurs, I always do my best to help my co-workers if they have fallen behind. I went around asking everyone if they needed assistance, and indeed one of my fellow RN’s needed help moving one of my former patients closer to the station, because she had been hypotensive. I greeted Ms. T and her face lit up like a Christmas tree, I asked her how she was feeling and the smile she had on her face immediately turned into a grimace. I assured her, that we would do our best to make her more comfortable once we settled into the new room.

Upon arriving at Hays Medical Center, my classmates and I met on the third floor for preconference. I grabbed a computer and logged into my client’s chart to see if there were any new orders. I had no new orders. In conference, we were to give report on our patient. My client was a young male in for a bowel resection due to an obstruction. After giving report, I met up with my senior two, Brendell. We proceeded down to the acute floor. I found my client’s room and waited for report from my nurse. I went ahead and introduced myself to my patient and explained to him that I would be helping today, that if he needed anything he should hesitate to ask. I went forward with my bedside assessment, making sure to do everything

Duty owed patient – As a nurse we have a duty to provide the best possible care to all of our patients within our scope of practice. Providing best care requires assessing our patients and reporting any abnormalities to the health care team so further action can be taken. It is not within the nurses scope of practice to make medical diagnosis or to initiate interventions in which they do not have physician orders for. For this reason it is essential for the nurses to communicate to the doctor when further evaluation and interventions are needed for the patient. The two nurses failed to do so.

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

As there is evidence of occult blood in stool, there is potential that the patient has become anemic due to a slow but consistent blood loss from in the GI tract. States that PUD symptoms are consistent with anemia, and that fatigue and dyspnea may be present He states he does not have shortness of breath with exercise but if he is anemic, it is not yet affecting his oxygen saturation. However, his fatigue could indicate anemia from slow, chronic blood loss and indicated by the fecal blood test.

According to Thygerson, Mr. Jennings is showing the cardinal signs of a heart attack, these include; “chest, jaw, shoulder, arm, or back pain that lasts for more than five minutes (this is due to the referred pain of the spinal nerves), sweating or cold sweats, light-headedness or dizziness, nausea or vomiting, numbness, aching, or tingling in the arm, shortness of breath, and lastly weakness or fatigue.” Furthermore the correct course of action after observing these signs is to immediately call 911, have person sit

There are many different symptoms that can occur when you are either having a heart attack or about to have a heart attack. You should always know the signs just in case you or someone you know is having a heart attack. One of the most common symptom is you will begin to feel chest pain and discomfort. Unfortunately this discomfort usually last for a few minutes and can come back a few minutes later. The different kinds of discomfort that you will feel in your chest can range from pressure, fullness, or even squeezing. Another likely symptom is loss or shortness of breath. It may become hard to breathe, this is always a good sign that something is wrong and you need to call 911 or someone for help. If you also feel discomfort in the arms and legs that may also be a sign that you are having a heart attack. Other places that may become a bit discomfortable may be the back, shoulders, neck, back, and even the upper stomach. Remember to call 911 if you feel any of the symptoms listed above because you can save your life and also stop the damage to your heart muscle. That is why you and people you know should always know the different symptoms of a heart attack to stay alert and also to stay alive. Other factors that you can 't do anything about is your age. Age is a big