discussions

Amira is a 27-year-old Syrian refugee who has
been residing in a local homeless shelter since her arrival here in
the United States 4 weeks ago. She was brought into the emergency room
this morning via squad after being found by a shelter employee
sitting in a pool of blood on the bathroom floor crying and holding
her abdomen. Due to her limited English speaking abilities, she is
unable to provide specific details as to her complaints but the
shelter employee states that she has recently stopped eating and has
not looked well for the past couple of days.
Based on the limited information provided, please answer the following questions.
How will you prioritize your care of Amira, what assessments
will you complete, and in what order? Please provide rationale for
choosing this order.Are there any cultural beliefs/practices that must be taken into consideration when planning her care?Considering her symptoms of abdominal pain and bleeding, is it
possible that her status as a homeless refugee is a causative or
contributing factor to her illness? Please provide rationale for your
response.Week 7
Fred is an 83-year-old male who is being admitted
to the medical-surgical unit status post fall. He is alert and
oriented and reports that while visiting a local casino with his wife
Margaret earlier this evening, he tripped over a curb and fell landing
on his right side. After receiving morphine in the emergency room
prior to transfer to your unit, Fred is rating his pain at 6/10. He
has multiple bruises from his jawbone to his knee as well as a slight
rotation of his right leg.
Past medical history includes: myocardial infarction (MI) x 2,
peripheral vascular disease (PVD) with bilateral iliac stents,
non-insulin-dependent diabetes mellitus (NIDDM), sleep apnea, and
degenerative joint disease.
Medications include: aspirin, Plavix, Lopressor, Lisinopril, and Metformin.
After reviewing the above scenario please answer the following questions.
Based on the information provided, how will you prioritize
your care, what assessments will you include and in what order? Please
provide rationale for your response.Considering this patient’s age, injury, past medical history,
and list of current medications, what, if any, concerns do you have
related to his potential need for surgery?Should surgery to repair his right femur be required; what
type of clearance and pre-op orders would you anticipate receiving
related to his diet, meds, lab work, and so on?Week 8
Please choose one of the patient scenarios below.
Next, complete a rapid assessment, and provide a SBAR report to a
classmate. Remember to include all concepts of patient safety,
standard precautions, and professional standards.
You are covering for a coworker who is off the floor for
lunch, when you suddenly hear a loud crash coming from a nearby
patient room. You quickly run in and discover Mr. Johnson who was
admitted yesterday with a diagnosis of cerebral vascular accident
(CVA) unconscious on the floor between the bed and the bathroom.You are called to the room of 2-year-old Jonah by his mother
who states the child has suddenly started breathing very loudly and
does not look right. Upon entering the room you quickly recognize that
the child is in respiratory distress as his lips are cyanotic and the
use of accessory muscles is evident.You are in the process of admitting Ashley, a 27 year old who
is 28 weeks pregnant with her first child, to the obstetric unit for
complaints of headache, dizziness, and swelling of her lower
extremities when she suddenly begins seizing.