Case Study 1c NURN 453 Fall 2013 Mr Walters presents at the triage desk of a community hospital. He is diaphoretic, nauseated, and states the reason he came today is that he has discomfort in his chest that extends down his left arm. 1. What information does the nurse need to gather and what interventions should be started within the first 10 minutes of care? (10 points) The nurse should: Assess Mr. Walter's pain and obtain a brief history Obtain a 12 lead ECG, Cardiac monitor, IV access Assess vital signs and apply oxygen as needed.
A famous wheelchair-using trumpet player named John Henry Giles loses his breath and collapses from a lack of oxygen while playing. At the hospital, House is intrigued that John Henry has been paralyzed for two years without sufficient explanation. Cuddy tells House that they are only treating John Henry for pneumonia, since his paralysis is treated by his doctor in California, Marty Hamilton. Foreman, who did a residency with Hamilton, is requested to lead the case. Hamilton had already diagnosed the paralysis as an effect of ALS, which would explain the pneumonia.
More amazingly he opened his eyes, was able to speak and walk after his accident to a nearby cart taking him to see a doctor about 45 min. away. The doctor that seen Phineas Gage on that day was Dr. John Martyn Harlow, on his assessment Phineas was still conscious he had a regular heartbeat with both of his pupils reacting normally to the light but what was crazy about it that when he got up he vomited about 1/2 of teacup of brain which fell to the floor. Phineas was free of pain; at the boarding house where Gage was being cared for Harlow cleaned Gages wounds by the removal of the small fragments of bone and replaced some of the larger then closed it up it just a wet compress, Gage head wound was not surgically treated but it was left open to drain into the dressing. At one point of time the doctor drained 8 fluid ounce of pus from an abscess under Gages scalp which would otherwise leaked into his brain.
The reasoning for the infection to spread prior to his emergency room visit will be pointed out in the following narrative along with the answers to the remaining questions. That day of fishing Richard’s son caught a large northern pike. As the fish was brought in, it had came off the hook and landed on the bottom of the canoe. Richard managed to subdue the fish and put it on the stringer, but in the process, the fish bit his finger. This caused a puncture and some bleeding at the base of the finger on the right ring finger.
A day later, Connelly was informed that she would not be prosecuted. The next day, an ambulance was called and Peter was found in his cot, blue and clad only in a nappy. After attempts at resuscitation, he was taken to North Middlesex hospital with his mother but was pronounced dead at 12:20 pm. A post-mortem revealed he had swallowed a tooth after being punched. Other injuries included a broken back, broken ribs, mutilated fingertips and fingernails missing.
However, he was developing his own psychoanalysis system and coupled with the difficulty he experienced hypnotising some patients, he abandoned hypnosis and concentrated on free association. Milton Erickson (5 December 1901 – 25 March 1980) was an American psychiatrist. He had colour blindness and could only see the colour purple. Erickson also suffered polio in his teens and nearly died. While confined to bed, he began observing the various people around him and discovered that “what people said and what they did were often very different” (BSAP notes Module 1 2014).
When he realized what was going on, it was too late. The perpetrator shot him in the head and in the chest. Henry was in a coma and eventually he woke up. His wife would come to the hospital and talk to him and was very distressed. Due to the trauma of the bullets in his brain and chest, Henry experienced extreme cognitive and behavioral problems upon waking up.
He had surgery on his spine, and then again when he was a couple of pounds heavier, he had surgery on his brain to prevent hydrocephalus. But that surgery did not help at all. As he grew older, we found out that fluid was building up in his skull. He immediately went to emergency surgery, and he now carries a tube in his brain and goes down to the bladder area. Some symptoms of spinal bifida affects quality life include Weakness or pain in the lower half of the body, and paralysis of legs.
According to Emergencycareforyou.org, “Shock results when the body is not getting enough blood flow and may lead to hypoxia (a lack of oxygen in the body tissues) or cardiac arrest, in which the heart stops.” Shock can be caused by poisoning, allergic reaction, trauma, and injury. Shock is well known to occur after car and plane crashes and should be treated right away. Although the man went into shock in the episode, he fell back asleep, and was put into a two day
Exercise, exercise, exercise! No person knows that fact better than Kevin Petterson. Petterson like many Americans was too caught up in living life to exercise, or so he thought. One faithful October day, Petterson was rushed to the hospital with chest pains where it was determined that he was having a massive heart attack, brought on by his poor diet and complete lack