Friday, December 27, 2019

A Study Of A Patient Who Experienced Chest Pain Essay

Introduction A systematized and precise assessment is a vital tool for a clinician to identify not only patients who are in unpredictable life threatening situations but also to recognize the initial signs of patient’s deterioration. (Tough, 2004) In order to accomplish a systematic and detailed assessment, a sound clinical judgment and strong clinical decision should be made (Croskerry, 2009) This will aid in formulating a pertinent diagnosis, which is the key in devising a safe and effective treatment plan for the patient. (Croskerry, 2009) This essay is a case study of a patient who experienced chest pain. The goal of this paper is to draw up a clinical diagnosis that would be based on a complete medical history, a systematic physical assessment, and the utilization of three significant diagnostic tests to rule out other diagnoses. Presenting Complaint / General Appearance Mr. Z is a 64-year-old Pacific islander male. Mr. Z was brought to the emergency department via ambulance due to chest pain. The initial treatment that was given was Aspirin 300mg P.O., two puffs of GTN (Glyceryl Trinatrate) and four mg of IV morphine. Mr. Z called the ambulance because of sudden onset of pain when he was walking up the stairs after 4 to 5 steps. The location of the pain was at the central area of the chest, with pain radiating to the neck, jaw, arms, back and abdomen (epigastric area) that lasted about 15 to 20min. He described the pain as burning and heavy, with a pain scoreShow MoreRelatedA Study Of A Patient Who Experienced Chest Pain Essay2296 Words   |  10 Pagesto identify not only patients who are in unpredictable life threatening situations but also to recognize the initial signs of patient’s deterioration. (Tough, 2004) In order to accomplish a systematic and detailed assessment, a sound clinical judgment and a strong, clinical based decision maki ng by the clinician should be done. (Croskerry, 2009) This will aid in formulating a pertinent diagnosis, which is the key in devising a safe and effective treatment plan for the patient. (Croskerry, 2009) ThisRead MoreNursing Research Essay1370 Words   |  6 PagesThree and Four. One article is a qualitative research study, and the other is a quantitative research study. Identify which article is which, and then complete the table where applicable. Write no more than three sentences in each cell of the table. * * | * Qualitative | * Quantitative | * Article Name Listed in APA Format | Jerlock, M., Gaston-Johansson, F., amp; Danielson, E. (2005). Living with unexplained chest pain. Journal of Clinical Nursing, 14, 956-964. Retrieved fromRead MorePain And Treatment Of Chest Pain1227 Words   |  5 PagesPatients experiencing chest pain require immediate assessment, including a twelve lead ECG within the time frame of ten minutes, will provide vital evidence of a cardiac, plueretic or musculoskeletal event (Acute Coronary Care Clinical care standards 2014). Chest pain is posed as life threatening-has many definitions ranging from either stabbing, dull, crushing or burning. In certain cases, pain travels up the neck, the jaw, can radiate to the back or down one or both arms. Many different problemsRead MoreAnalysis : Quantitative Meta Analysis889 Words   |  4 PagesMeta-Analysis Articles The quantitative meta-analysis demonstrated careful attention to many aspects of study validity. Their systematic review methods followed the frameworks of the Centre for Reviews and Dissemination guidance for undertaking review in health care (Westwood et al., 2015). Two reviewers independently screened all of the abstracts identified by searches. These strategies reduce the threats to validity. The reliability was achieved through rigorous investigation of possible sourceRead MorePredictors Of Cardiac Symptoms Attribution Among Ami Patients1512 Words   |  7 PagesThe article entitled ‘Predictors of Cardiac Symptoms Attribution Among AMI Patients’ was chosen as an introduction to the core measures for acute myocardial infarction (AMI). The title of the article succinctly shows the relationship between the key variables of the dependent variables of predictors of correct symptom attribution(CSA) to the independent variable of the study population of 135 patients fr om four North American hospitals. The abstract also clearly and concisely summarizes the mainRead MoreEffectiveness Of The Treatment Intervention1497 Words   |  6 Pagesveterans, at worst leading to death. Several studies have been performed to examine predictors of PTSD as well as factors that may protect veterans against the disorder. Not surprisingly, combat exposure has been identified as a robust predictor of PTSD among veterans, even after controlling for baseline symptoms. On the other hand, postdeployment social support has been shown to act as a buffer against the development of PTSD symptoms even for veterans who engaged in combat. Whereas research on veterans’Read MoreRotator Cuff Surgery: Case Study Questions1706 Words   |  7 PagesRotator Cuff Surgery Case Study Questions Q1. Identify the psychosocial impact of surgical intervention including the psychosocial impact of elective and emergency admissions, separation, and loss of income and/or loss of control as related to the case study The patient at the center of the present case study is an excellent demonstration of the way that psychological and sociological needs impact the experience of receiving medical treatment. In this case, the subjects emotional well-being isRead MoreHistory Of Present Illness : Dr. Xxxx1606 Words   |  7 PagesChief Complains: â€Å"My chest hurts, and I am hard to breathe† History of Present Illness: Mr. XXXX is a 44 years old Caucasian male, a general construction worker who works on a nearby highway for the bridge project, and checked in this urgent care center for complaining of chest pain and shortness of breath (SOB). The chest pain is constant dull and pressure like pain, and started 3 hours ago. The pain is located on the center of chest. He rates the pain 4 out of 10 on a pain scale 0 to 10 whileRead More5 Types of Physical Therapy911 Words   |  4 Pages but the 5 types of therapies that I have chosen are as follows: Sport therapy Impotency: New Therapy Chest physical therapy Burner syndrome Osteoarthritis of the Knee Sport therapy: Today in sports athletes bear many mental and physical obstructions from there competitive environment. Negative belief and psychological pressure from spirited moments; create many interruptions for athletes who do not focus mental pictures in their minds. A bright picture is one that allows individuals to see stressRead MoreBiopsych osocial Model Essay1531 Words   |  7 PagesThis essay will focus on a patient diagnosed with Deliruim.it will adopt the biopsychosocial model to explore how the diagnosis affects the patient’s quality of life. Confidentiality will be maintained throughout this essay to adhere to the Nursing and midwifery council (NMC,2015) code of conduct, which states in section 5 that nurses or midwives owe a duty of confidentiality for all those receiving care. Therefore, patient chosen will not be known by real name but will be given a pseudonym throughout

No comments:

Post a Comment

Note: Only a member of this blog may post a comment.