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Abdominal Assessment
Thirty-four-year-old Brenda Herring is at the hospital for an abdominal assessment. She is overweight and has recently been diagnosed with type II diabetes.
Learners will be using the techniques of inspecting, auscultating, percussing and palpating to perform a thorough assessment.
Verbal De-escalation (Calm to Angry)
When the nurse approaches to change Mrs Jane Davis’ bandage, she accidently brushed against the incision site. Though usually calm, Mrs. Davis is infuriated by the pain it caused, gets abusive with the nurse and refuses to have her dressing changed. Apply verbal de-escalation to control the situation.
Implanted Port Access
An implanted port access is a procedure in which the healthcare provider accesses an implanted port to administer IV fluids or medication, in this case chemotherapy. The patient here is 60-year-old Karen Thompson who is on a chemo cycle.
Verbal De-escalation
Robert Johnson is on oxygen therapy as he was experiencing increased shortness of breath. When the nurse approaches him, he is agitated and starts shouting, making it difficult to check his vitals or administer medication.
Tired and Fatigued
Megan O’Sullivan has been feeling tired and fatigued lately. She finds it difficult to go to sleep and has tried over the counter medication for her insomnia. She has lost her appetite and has lost 10lbs in the last three months. She has never been diagnosed for any mental illness.
EMS Cardiac Arrest
A 24-year-old female on a bike has been hit by a car at 40 miles per hour. As the paramedic at the scene, you need to offer essential medical interventions like controlling bleeding, immobilizing fractures and restoring responsiveness.
Thoracentesis
Thoracentesis refers to the procedure performed to aspirate fluid from the pleural space. This could be done for diagnostic or therapeutic purposes. In this given case, the patient has pneumothorax, calling for a thoracentesis procedure.
Supraorbital Nerve Block
A supraorbital nerve block is done to provide immediate localized anesthesia. This could be done for a number of reasons from laceration to removal of foreign object. In this case, it is a laceration on the forehead.
Knee Arthrocentesis
A 53-year-old male patient has suffering right-sided knee pain and swelling. This could be a case of gout or septic arthritis. Knee arthrocentesis is advised, a minor surgical procedure done to aspirate synovial fluid from the knee joint.