The Emergency Room With Chest Pain

The next morning, the woman’s car is found on the side of the road in a ditch by a passing driver. He pulls over to investigate, and the woman is found dead and stabbed multiple times. It was a gruesome site. The police are called in and they decide to investigate by asking the locals if they knew anything. When the gas attendant was interviewed, he claimed that he heard about an escaped serial killer on the radio and said that he saw the killer in the backseat of her car crouching down. When he told the woman to come inside he was really trying to warn her that the killer was in the backseat of the car without alerting him.

Pains hurt Jeannette Walls. It hurts her physically and mentally. Especially when those pains are caused not just by physical harassment caused or those of sexual abuses she experienced or acknowledged happening to her and her family but also the dysfunctionality of her family. The way Jeannette processed and respond to all the misfortunes and abuses of life hints us a rather insightful view of how perceptions and knowledge shape certain prejudices and judgments upon another person 's circumstance.

2. An 56-year-old established patient presents to her doctor's office with chest pain and shortness of breath. The doctor orders an ambulance to take the patient to the ED to be checked out. From the ED the patient is admitted for some

The impact of Mrs. Smith’s anxiety and panic attacks takes a heavy toll on the family. Mrs. Smith has been the family member that maintains equilibrium for the family. Without her calming influence, Mr. Smith and Junior have lost their stability. Mrs. Smith provided the steady emotional balance in the family.

First pain is an everyday experiences that is expressed through the use of language and is then legitimized (Waddie, 1996). If a patient as a history of depression or chronic pain they have pain every day and the concept is used to help explain their pain. As nurse we use the concept of pain to find a base line of the pain and to assess new pain. In surgical patients they may have multiple types of pain from the incision, emotional, and history. The concept educates the nurse of the different form that pain can present itself. Pain can also guide how we treat the patient. Emotional pain would not be treated with the “so know pain pills”, but with talking or listening to patient. Concept of pain also address the different form of patient and how the nurse and patient response to it. If a patient is having somatic pain from an incision the nurse could react by applying heat or ice. Pain is what the patient says it is.

The reporter said Susan (victim) is afraid to stay there with Charles, but he’s afraid for the Home Health people to come out to the home. 3 or 4 years ago, the victim fell out of the bed and broke her hip, and Charles was in the household with the victim at the time. The neighbors have called the police out to the home, and the police have been out to the home several times, but it is unknown why. The reporter said they came out to the home, due to abuse (unknown when). The reporter spoke to Charles about the concerns, but he acts as if he didn’t do anything wrong. Charles says that Susan has lost her mind. The reporter last saw the victim 2 ½ years ago and discussed the allegations with the alleged

REPORTER: The reporter/ Social Worker (Crystal) called with concerns for the victim, Ezekiel. Ezekiel has suffered from a stroke, encephalopathy, and his new baseline is that he’s alert but oriented to self only. The reporter said Ezekiel knows who he is, but he gets confused. Ezekiel can perform his daily ADL’s. Mr. Tuders came into the hospital for alter mental status, and he was found to have encephalopathy as well as having a stroke. The victim has a history of alcohol abuse. On 02/03/2016, the reporter had a meeting with the family (Shane and Ali), and they said that it wouldn’t be safe for the victim to come back to the home. The reporter said Shane (victim’s son) and Ali (victim’s daughter in-law) were afraid that they wouldn’t be able

The paramedics rushed over to Angelica, checked her pulse, the paramedic said, “She has no pulse, we have to get her to the nearest hospital quick.” Marie started crying and screaming, “Oh my God, Oh my God, Please, help my baby.” Aunt Lori held Marie. As they were working with Angelica, Aunt Lori rushed to the phone and called David and Simone to tell them to meet them at the hospital. After hanging up, the paramedics rushed Angelica out the door, Marie rode in the ambulance with them. Aunt Lori rushed out behind them following the ambulance. When they made it to the hospital, they rushed Angelica inside, were there was Doctors waiting. As they rushed Angelica to the back, Marie tried to follow them, but one of the paramedics stopped her and said, “Maam, she’s in good hands, I’m sorry, but you can’t go back there.” “That’s my daughter.” said Marie. “Maam, I’m sorry, but you can’t.” said the paramedic. Marie walked off, headed to the waiting area, she was still crying. When she got to the waiting area, Aunt Lori rushed to her side. “What did they say?” ask Aunt Lori. “They told me that I can’t go back there.” said Marie. As they were talking, Simone and David rushed in. “Mom, What happened?” ask Simone. “I don’t know.” cried Marie. “Mom, come sit down.” said David. Marie kept crying. “It’s going to be alright, Angelica will be just fine.” said David. “Aunt Lori what happened?” ask Simone. “We were all asleep, then Angelica started screaming, she was crying and complaining about her head, she said that her head was hurting real bad, so Marie went and got a warm towel and placed it on her forehead, but she was still in pain, so I called the ambulance, when they arrived Marie and I rushed to the door to let them in and when they rushed to the back, they said Angelica had no pulse.” “Oh my God.” said Simone. “Have the Doctor or anyone spoken to you?” ask David. “No, just before you both arrived, they rushed her in the back.” said Marie. They all sat and

1. Comment on the passage on page 54 that begins "Most of the craziness in this world-violence, addictions and frenetic activity comes from running away from pain." Disguising a person 's name (if you use one) and applying the value of confidentiality, discuss some of your observations at your field placement of people (or perhaps even staff or the organization as a whole) in "pain". Using a "person in environment" perspective and a bio-psycho-social-spiritual lens, discuss your findings. (Hint: use this question to get ready to informally present a case or pertinent clinical example during small group in the next few weeks.)

“She’s going to be mad, I really hope you know what you’re doing girl.” said Lisa. “I do.” Lisa and the crew left. Angelica sat in the waiting room, praying that Nine is okay. Hours had passed, Angelica dosed off, while sleeping the Doctor and the police walked up to her and said, “Excuse me Ma'am, Are you related to the deceased?” “Deceased.” said Angelica. The police said, “Maam, Are you related to her?” “No I’m not, I’m just a friend.” “Well, Maam it was brought to our attention that the deceased was brought in by you and other females, Where are the rest of the females who brought her in?” ask the police. “They left.” answered Angelica. “Maam, Come with us, we need to ask you a couple of questions.” said the officer. “I can’t, I have to get home.” said Angelica. “Please, come with us now, if you refused to come with us and answer a couple of questions we’ll be forced to hold you for 24 hours.” Angelica got up and followed the police officer to the

The aim of this ten minute reflection is to show my experience of how my mentor and I used the ABCDE approach when dealing with a patient with chest pain. The concept of this ten minute reflection is to outline the areas that I can develop on for my future placements. This ten minute reflection will show my emotional state and my knowledge that I applied in this situation. It will outline my learning and development when in my placement area and help me to decide if a better outcome could have been achieved if I performed differently. From my learning to date, by completing this ten minute reflection it has enabled me to critically analyse my own practice and compare this to what I would of done now upon completion of this module. This reflection has highlighted how much my skills, knowledge and performance has improved from last year. In accordance of the NMC (2008) a pseudonyms will be used in order to protect the patients’ identity.

“The picture of pain that emerges is that of a complex phenomenon involving factors to do with the nerves, learning, memory and emotions. It is no wonder that treating pain is still such a big challenge..” (Carstoniu, par. 6). One of the largest debates in the medical world revolves around a single word, pain. Everything about pain seems very simple when someone thinks about it as a sensation or a feeling. However, pain has many more sides than that. Pain is a disease, a feeling, and a symptoms. Pain is real and imaginary all at once. The meaning and effects of pain change according to who is experiencing it and the emotional bonds between those involved. Pain is a symptoms to those with a spinal cord injury, a disease to those with

Chest pain is among the most every now and again assessed introducing complaints in the emergency department (ED). Diagnostic etiologies range from benign to life-debilitating. Inability to diagnose the life-debilitating chest emergencies can prompt to catastrophic medical and legal results for the patient and physician separately (Boie, 2005).

Non-injury acute and potentially ischemic chest pain is among the more common reasons that adults present to the emergency department, accounting for over 8 million visits every year in the United States (Hoffmann et al., 2012). Patients presenting with this symptom are screened with triage history, vital signs, physical exam, electrocardiogram (EKG), chest x-ray, coronary computerized tomography angiography (CTA), and

Concept analysis are particularly helpful in explaining ambiguous concepts (Rodgers & Knafl, 2000). Pain is defined in multiple ways. Also, pain has is associated with a lot of misconceptions. This concept analysis’ objective is to bring clarity and to provide a deeper understanding of pain.