¶ … sound rationale(s) for each component of the primary survey that the Registered Nurse will undertake.
The geriatric male patient was admitted to the Emergency Department under triage supervision. Primary survey assessment (Considine, 2011) determines the patient's immediate physical condition pertinent to life or death. These include the patient's Airway, Breathing, Circulation, Disability, Discomfort. The patient scores a 14/15, which indicates his eyes are open, appears oriented with succinct and clear verbal responses, and displays exacting and swift motor response and coordination.
Patient respiration is accelerated with shallow yet painful breathes. Lung capacity appears to be compromised, unsure of whether the left or the right is specifically effected but perhaps the onset of pneumonia is the thought. Blood pressure is low, rapid and painful breathing coupled with low blood pressure are symptomatic and are important to monitor for further changes.
Pulse of 90 bpm is somewhat rapid and irregular with 90% oxygen received from room air, temperature of 99.68 F. Pale skin is consistent with low blood presume, perhaps soft pitted skin and noticeable bruises to the limb area and low blood circulation evidenced by cool peripheries such as the phalanges and tarsal/metatarsal. Patient experiences nausea.
Question 2
Identify the components of secondary survey that are required to be undertaken by the Registered Nurse for Mr. Thomas and provide the rationale(s) for each component.
The secondary survey seeks to ascertain vital problems that primary survey tactics did not assess. The patient is assessed for exposure, freezing, the vital signs, a full head to toe assessment, a patient history, and back inspection (Considine, 2011). The patient does appear to have been suffering from exposure due to the cold extremities, the rapid and painful heartbeat. The exposure does not appear to be for a long duration as the blood pressure is not accelerated and consistent with the respiratory rate. The patient is on pain and heart medication and is reported to be potentially suffering from a cold.
The head to toe assessment reveals head trauma via a large laceration that releases blood loss from the left side. Patient also has a large gash on the tongue and is bleeding from this injury. Oral discomfort and general physical discomfort is anticipated due to the...
Career Assessment Plan for Jeremy Career planning and development is an important process in personal and professional development that requires comprehensive self-assessment. The need to conduct a self-assessment is attributed to the fact that career planning and development begins at school and determines the transition from a learning institution into adult life. This implies that career planning and development requires making the best choices and decisions based on sound information. The
Bibliography Anderson, Joseph Slate, Nathan K. "The Case for a Joint Military Decision making Process." Military Review 83, no. 5 (September 2003): 11. Master FILE Premier, EBSCO host (accessed August 15, 2012). Clark, Thomas G. "ARMY PLANNING DOCTRINE: Identifying the Problem is the Heart of the Problem." Military Review 87, no. 6 (November 2007): 70. Master FILE Premier, EBSCO host (accessed August 15, 2012). Vego, Milan. "Operational Commander's Intent." JFQ: Joint Force Quarterly no. 57 (2010
Leadership [Institution's State] Blog 1: Theories and Models of Leadership and Management An organization is a collection of multidimensional components and there are complex equations between all of these components. It encompasses various individuals, business practices, visions, missions, goals, performance standards, an organizational culture, ethical frameworks, hierarchies based on command and control, working methods, management styles along with relevant theories and models and a considerable number of other factors. Different organizations perform their
Imogene King's Attainment Theory King's Attainment Theory The thrust of Imogene King's theory of goal attainment is a loosely-coupled partnership between the nurse and the patient that enables communication about the patient's condition, their health goals, and a plan of action to achieve the patient's goals. The conceptual framework is based on systems theory -- and King employs the three classic systems in her representation of her theory: (1) the personal system,
I hypothesizes that children at what Piaget would call a preoperational stage do in fact perform complex analysis of numbers and situations, but that they approach this analysis is a tentative and relative way which is open to influence and negation from outside sources. More succinctly: children at early stages do perform conservation but consider it relative to mitigating factors and prone to correction. The following few pages will follow an
A biopsy of the bone marrow is the only way to be sure that it is leukemia. TREATMENT Treatments for leukemia can vary depending on the stage, the age of the patient, the type of leukemia, and the advanced or infant stages that it is in, but most leukemia patients do go through a host of treatments that include chemotherapy. Treatment also depends on the stage that the disease is placed in.
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now