TY  - CHAP
M1  - Book, Section
TI  - Mental Health, Drug Use, and Endocrine Assessment
A1  - Hull, Melodie
PY  - 2013
T2  - Medical Language: Terminology in Context
AB  - Patient  UpdateMrs.  Stevie-Rose  Davis  has  been  in  a  motor  vehicle  accident  today.  Although  she  had  no  apparent  injuries,  she  was  a  bit  unsteady  on  her  feet,  nervously  wringing  her  hands  and  pacing.  She  was  also  confused  and  unable  to  give  a  recount  of  the  accident  to  the  emergency  medical  technician  who  tended  to  her  at  the  scene.  Because  of  her  age,  her  confusion,  and  the  difficulty  that  EMT  Wallis  had  assessing  her,  Mrs.  Davis  was  transported  to  the  hospital  for  further  assessment.  (To  review  Mrs.  Davis's  condition  at  the  scene  of  the  accident,  you  can  listen  to  the  Chapter  2  opening  scenario  on  DavisPlus  Audio.)  Mrs.  Davis  arrived  at  Fayette  General  Hospital  2  hours  ago,  and  all  of  her  initial  assessments  have  been  performed.  A  few  diagnostic  tests  remain  to  be  completed.  She  has  a  small  bump  on  her  forehead,  high  above  her  right  eyebrow.  She  has  a  light-colored  bruise  forming  over  her  left  kneecap  that  was  not  visible  at  the  scene  of  the  accident.  At  present,  she  remains  in  the  ER,  and  she  appears  to  be  sleeping.  It's  approximately  3  pm  now,  and  the  nurses  and  care  aides  are  changing  shifts.  Listen  as  RN  Marnie  hands  over  the  care  of  Mrs.  Davis  in  her  report  to  Caroline,  the  RN  on  the  afternoon  shift."Hi,  Caroline.  Good  to  see  you,"  said  Marnie,  smiling  warmly."It  looks  busy  here  this  afternoon,"  said  Caroline."Yes,"  Marnie  replied.  "It's  busy,  but  not  really  too  hectic.  Not  like  a  Saturday  night  can  be,"  she  laughed.  The  two  nurses  take  their  seats  in  the  Report  Room  of  the  nursing  station.  "Let  me  tell  you  a  bit  about  our  new  patient,  Mrs.  Davis,  before  everyone  else  arrives  for  Report,  okay?  You'll  be  taking  over  her  care  now."  Caroline  nodded."The  patient,  72-year-old  Mrs.  Stevie-Rose  Davis,  was  brought  in  around  1330  hours  by  EMS.  She'd  been  in  an  MVA.  The  EMT  found  her  walking  around  at  the  scene,  confused.  Dr.  Jensen  attended  her  and  did  the  initial  workup.  No  major  injuries.  Her  right  knee  is  bruised,  and  she  has  a  minor  concussion  where  she  struck  her  head  on  something.  She  was  moderately  confused  on  arrival.  Admission  vitals  were  T  98°,  P  100,  R  18,  BP  130/88.  Neurologically,  she  is  alert,  she  responds  to  voice  and  pain  stimuli,  and  her  pupils  are  normal  and  reactive."Because  her  vitals  were  slightly  elevated  but  her  neurological  signs  were  stable  and  she  seemed  to  be  telling  us  she  was  a  diabetic,  the  doctor  ordered  a  glucometer  test  STAT.  Her  sugars  were  low  at  55  mg/dL.  We  immediately  gave  her  some  orange  juice.  Her  confusion  began  to  lift  within  the  half  hour,  but  it  hasn't  completely  resolved.  We  got  a  second  blood  sugar  value  on  her  and  it  was  up  to  75,  which  is  within  normal  range.  The  patient  was  able  to  tell  us  about  herself  and  was  oriented  to  place  and  person.  However,  she  is  confused  about  time  and  some  other  things.  For  example,  she  thinks  that  it's  1971  and  that  she's  28  years  old.  Like  I  said,  ...
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - fadavispt.mhmedical.com/content.aspx?aid=1154814297
ER  -