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Case Study – Mr. Evans

At 45, Mr. Evans was injured in an accident with a farm tractor. Following the tragic incident, he hastened to the emergency room of the closest hospital. When farm machinery wasn’t serviced regularly, an accident happened. Faulty farm equipment undoubtedly led to the tree’s sad demise. Because of the acute dehydration that Mr. Evans brought on himself by ignoring his health, his condition quickly deteriorated. The man was seriously hurt when a tractor ran him over. Neither the intravenous fluids nor the bandages alleviated his excruciating pain. Cleansing, bandaging, and intravenous fluids were administered to the incision, but never healed. To add insult to injury, he complained about how heavy his head felt. It occurred while he was in the hospital, that much he knows for sure. But the main point is that it wasn’t a huge problem. After dressing the wound, the patient was given intravenous fluids to replace those he had lost due to the treatment. The patient was given 5 mg of intravenous metoclopramide for the vomiting and 1 g of oral paracetamol for the discomfort before being released from the hospital (Kocatürk, n.d). Before providing these meds, we ensured all necessary prescriptions had been filled. The wandering physician treated patients whenever they came across him. These medications have been prescribed to you by your primary care physician, who has stressed the significance of taking them exactly as prescribed and at the appropriate times. Before being released from the hospital, a patient must complete all their treatments. Our wait was caused by Lorna’s extended shift in the emergency room. She has been of great help for the past four decades. The charity’s finances are quite unstable now, and they are only likely to worsen. On his way back to his house, Mr. Evans encountered her and politely inquired if she knew where he could find a pharmacy. Mr. Evans might try to touch her at any moment. She decided to resign from her work at the company after arguing with Mr. Evans.

An accident involving a farm tractor has put Mr. Evans’ life in danger. He got it taken out, but he never noticed it was gone. Given the current situation, I consider his death a near certainty. This is a very precarious time for Mr. Evans due to recent developments. Mr. Evans’s current struggles may have their origins in the injuries he’s endured. The mishap affirmed that we had made adequate preparations for the trip. Without any form of hydration, he certainly would have perished beneath the sun’s scorching heat. Without all of these, your chances of success will be much lower. All three of these causes worked together to hasten the victim’s dehydration. The medical staff in the emergency room at the local hospital did everything they could to get the man well enough to return to work (Dawson et al., 2019). The intravenous fluids helped reestablish the body’s hydrostatic balance (Malbrain et al., 2020). Get nothing else done till he is healthy again. With the diagnosis in hand, 5 mg of metoclopramide was injected intravenously. It was decided to give the patient a single dose of paracetamol, a strong pain reliever. It was entirely their responsibility to make sure the pills were swallowed. Lorna’s role as a chief nurse has given her a wealth of medical knowledge. She’s been working in her sector for almost 40 years, and only now is she getting the respect due an industry leader.

NMBA’s RN rules were broken when Mr. Evans’ condition wasn’t properly diagnosed, and treatment wasn’t started in a timely fashion. (NMBA) (Anthony Hernandez & Street, n.d). The patient refused any fluids despite the intensified medical care. We were met with apathy when we refused aid out of pride, and now we must bear the full weight of that indifference. Concern should be raised if the nurse’s focus wavers from the patient. The attending physician or nurse committed an obvious error. The shift work pattern made Mr. Evans’ already unpleasant symptoms, such as nausea, considerably worse. Doing so can rule out numerous possible explanations for sentinel events (Madariaga et al., 2020). According to Mr. Evans, the sentinel event nurse has taken far too long to catch up to the NMBA RN standards. This may have had a role in Mr. Evans’ untimely passing. The patient’s condition could have worsened if the necessary conditions weren’t satisfied. The agreement may have been broken, allowing a new pandemic to spread.

If the accountable healthcare organization had paid more attention to two NSHQHS Standards, Mr. Evans wouldn’t be in this pickle right now (Taylor et al., 2020). The consequence of the survey contributed to expanding this knowledge. The data support this conclusion. The hospital failed the first Clinical Governance Standard evaluation because staff members took too long to respond to the patient’s cries for help (Darnton et al., 2022). Because of this, the patient’s risk of becoming dehydrated increased dramatically. In the early stages of this procedure, a major deviation from the regular procedure was implemented. The application process is rather easy up until the final stages. The fact that Mr. Evans complained that his therapy was making him feel nauseous meant that he did not receive care that met the criteria of the Comprehensive Care Standard. Standard 5 of the Comprehensive Care Standard was completely disregarded. There was an issue, and several other untried therapies were being examined as potential fixes. The new Comprehensive Care Standard is drastically different from its predecessor. If the hospital had responded more quickly and efficiently to patients’ requests, mistakes like these might not have happened (Péculo‐Carrasco et al., 2020).

Together with my coworker, we discussed Mr. Evans’s issue and devised three options for fixing it. Everyone in the medical field requires rapid training in how to recognize the symptoms of dehydration in patients. Theoretical understanding of the alternatives available in this subject is helpful, but students would benefit more from hands-on experience with diagnostic and treatment procedures (Perle, 2020). Though theoretical knowledge is helpful, it is in the field that you will find the most success. People needing medical care have access to the same educational and employment possibilities as anybody else (Molloy & Bearman, 2019). Companies should provide their staff with unlimited, opt-in access to any data that may aid their professional development. The leaders of the medical industry would be remiss to ignore this possibility. Second, pay attention to your doctor’s advice. Have no fear; the proper authorities will be notified without delay. The approach revision should detail all promises made since the crisis began (Nimmo et al., 2019). Implementation deadlines are an essential part of every policy. It’s easier to work together and respond more swiftly in a crisis if everyone is familiar with the present plan. We now have more robust protections in place. In a medical emergency, the emergency room nurses should swiftly contact the doctor on call (Weigl et al., 2020). As they have complete access to patient records, you can trust their diagnoses and suggestions. The leaders of the medical industry would be remiss to ignore this possibility.

The medical center needs to discover a mechanism to monitor how each patient responds to intravenous fluids (Wicha et al., 2021). It’s likely that you’ll get wounded or sick and that your plans will fall through. When people experience headaches, they sometimes feel dizzy, nauseous, and possibly puke up. There may be no apparent evidence of an allergy being present (Machias, n.d). It is ludicrous to suppose that something like this won’t happen soon. A patient taking intravenous fluids requires constant monitoring by the attending nurse. A nurse’s first obligation is to alert the patient’s primary care physician whenever she suspects something is amiss (Chen & Lin, 2022). Nurses are more able to accomplish their tasks in a tranquil, distraction-free workplace. The medical industry leaders should pay attention to this possibility (Buntin, 2021). These concepts have a strong chance of becoming normal to practice if they are backed by training, backup protocols, and careful monitoring of the potentially fatal implications of IV fluids. The hospital needs to take all the appropriate measures to protect its patients.

References

Anthony Hernandez, D. N. P., & Street, L. A. (n.d). Multimedia Educational Module on the Best Practices of Anesthesia Patient Safety for Quantitative Neuromuscular Monitoring.Retrieved from: https://www.doctorsofnursingpractice.org/wp-content/uploads/project_form/complete_290421093441.pdf

Buntin, M. B. (2021). Confronting challenges in the US Health Care System: potential opportunity in a time of crisis. JAMA325(14), 1399-1400. Retrieved from: file:///C:/Users/zare12/Downloads/jama_buntin_2021_ed_210011_1622833271.01607.pdf

Chen, M. C., & Lin, H. R. (2022). The experiences of family caregivers in response to a dementia diagnosis disclosure. BMC psychiatry22(1), 1-9. Retrieved from: https://doi.org/10.1186/s12888-022-04126-4

Darnton, R., Lopez, T., Anil, M., Ferdinand, J., & Jenkins, M. (2021). Medical students consulting from home: a qualitative evaluation of a tool for maintaining student exposure to patients during lockdown. Medical Teacher43(2), 160-167. Retrieved from: https://sci-hub.hkvisa.net/https://doi.org/10.1080/0142159X.2020.1829576

Dawson, A. J., Rossiter, C., Doab, A., Romero, B., Fitzpatrick, L., & Fry, M. (2019). The emergency department response to women experiencing intimate partner violence: insights from interviews with clinicians in Australia. Academic emergency medicine26(9), 1052-1062. Retrieved from: https://sci-hub.hkvisa.net/10.1111/acem.13721

Kocatürk, Ö. (n.d).The Effect of Paracetamol on Postoperative Nausea and Vomiting in Patients Undergoing Maxillofacial Surgery Under General Anesthesia. Retrieved from: https://cms.meandrosmedicaljournal.org/Uploads/Article_57813/MMDJ-23-462-En.pdf

Machias, N. Y. (n.d). BUFFALO MEDICAL JOURNAL. Retrieved from: https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8735697&blobtype=pdf

Madariaga, A., Bowering, V., Ahrari, S., Oza, A. M., & Lheureux, S. (2020). Manage wisely: poly (ADP-ribose) polymerase inhibitor (PARPi) treatment and adverse events. International Journal of Gynecologic Cancer30(7). Retrieved from: https://ijgc.bmj.com/content/ijgc/30/7/903.full.pdf

Malbrain, M. L., Langer, T., Annane, D., Gattinoni, L., Elbers, P., Hahn, R. G., … & Van Regenmortel, N. (2020). Intravenous fluid therapy in the perioperative and critical care setting: executive summary of the International Fluid Academy (IFA). Annals of intensive care10, 1-19. Retrieved from: https://doi.org/10.1186/s13613-020-00679-3

Molloy, E., & Bearman, M. (2019). Embracing the tension between vulnerability and credibility:‘intellectual candour’in health professions education. Medical Education53(1), 32-41. Retrieved from: https://sci-hub.hkvisa.net/10.1111/medu.13649

Nimmo, A. F., Absalom, A. R., Bagshaw, O., Biswas, A., Cook, T. M., Costello, A., … & Wiles, M. D. (2019). Guidelines for the safe practice of total intravenous anaesthesia (TIVA) joint guidelines from the association of anaesthetists and the society for intravenous anaesthesia. Anaesthesia74(2), 211-224. Retrieved from: https://sci-hub.hkvisa.net/https://doi.org/10.1111/anae.14428

Péculo‐Carrasco, J. A., De Sola, H., Casal‐Sánchez, M. D. M., Rodríguez‐Bouza, M., Sánchez‐Almagro, C. P., & Failde, I. (2020). Feeling safe or unsafe in prehospital emergency care: A qualitative study of the experiences of patients, carers and healthcare professionals. Journal of clinical nursing29(23-24), 4720-4732. Retrieved from: https://sci-hub.hkvisa.net/https://doi.org/10.1111/jocn.15513

Perle, J. G. (2020). Introduction to telehealth for clinical psychologists: a novel course designed to improve general knowledge and hands-on expertise with technology-based modalities. Journal of Technology in Behavioral Science5(4), 383-394. Retrieved from: https://sci-hub.hkvisa.net/https://doi.org/10.1007/s41347-020-00147-6

Taylor, E. V., Lyford, M., Parsons, L., Mason, T., Sabesan, S., & Thompson, S. C. (2020). “We’re very much part of the team here”: A culture of respect for Indigenous health workforce transforms Indigenous health care. PloS one15(9), e0239207. Retrieved from: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0239207&type=printable

Weigl, M., Catchpole, K., Wehler, M., & Schneider, A. (2020). Workflow disruptions and provider situation awareness in acute care: An observational study with emergency department physicians and nurses. Applied Ergonomics88, 103155. Retrieved from: https://sci-hub.hkvisa.net/10.1016/j.apergo.2020.103155

Wicha, S. G., Märtson, A. G., Nielsen, E. I., Koch, B. C., Friberg, L. E., Alffenaar, J. W., … & International Society of Anti‐Infective Pharmacology (ISAP), the PK/PD study group of the European Society of Clinical Microbiology, Infectious Diseases (EPASG). (2021). From therapeutic drug monitoring to model‐informed precision dosing for antibiotics. Clinical Pharmacology & Therapeutics109(4), 928-941. Retrieved from: https://sci-hub.hkvisa.net/10.1002/cpt.2202

 

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