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Friday, June 14, 2019

A significant patient care event within a multidisciplinary care Essay

A significant longanimous motorcare event within a multidisciplinary care setting - Essay ExampleThe paper will reduce on the events that led to her injury and the steps taken by the emergency department staff to stabilize her. After stabilization, the steps taken to manage the persevering are discussed. I was on duty when Elizabeth reported to the emergency. She had an attendant, James, with her. Elizabeth was conscious but she had bear on severe injury and so was not in a designer to tell the details of what had happened to her. James was bruised but and had a bleeding tooth but had not sustained any serious injury as Elizabeth. James gave the history. He said that Elizabeth was driving while he was in the back seat when a deer came on the road. They were on a relatively silent farming road on their way to the city. On seeing the deer, only a few meters from them, Elizabeth immediately reacted by steering the car towards the side of the road. In doing so, the car hit the sid e pavement. Since the car was being driven at 80km/h, the collision threw them forward in their seats. James was not badly hurt but Elizabeth sustained serious head injuries. James said that Elizabeth had seizures before she lost consciousness. Panicking, he called for help. When the paramedics arrived, they immediately lay her on a stretcher, and transported Elizabeth and James both to the hospital. They gave James just ab emerge shot that lessened the pain that he was experiencing. On reaching the hospital, John was examined and found not to have any serious injury. His bruises and bleeding from the teeth were intercommunicate and managed. I was assigned as the critical care nurse for Elizabeth. The paramedics mentioned that Elizabeth had gained consciousness while on the way back however she was not oriented in time and space. She had mobility of all her limbs but her speech was not clear and coherent. She was speaking broken words that made no sense. On measurement of her pupi ls, they were of 3mm in size, with inviolate papillary reflexes. On assessing her consciousness level, she was rated as 9 on the Glasgow Coma Scale. According to Brooker and Nicol (2003), measurement of the GCS is the one of the most significant procedure the nurse carries out when a patient who is not well oriented in time and space comes. It is also the duty of the nurse to properly and accurately write push down the results. Moreover, the nurse must be alert and continually observe the neurological condition of the patient. If there is any change, the nurse must report them immediately since speedily interventions are required. Clinical decisions are dependent on the credibility and strength of these nursing interventions (Brooker & Nicol 2003). When assessing the consciousness, if the patient has a GCS rating of less than 7, the patient is said to be in a comatose state. Elizabeth, with a GCS rating of 9, was not labeled comatose. On carrying out the assessment and the standa rd protocol of ABC and stabilization of her vitals, it was seen that she was experiencing a quick decline of her neurological functioning. It is necessary to keep a track on the neurological condition of the patient. As mentioned above, such deterioration in the patients neurology is a matter of concern and should be duly addressed. Within a matter of a few seconds, Elizabeths speech started to shake off and she only made incomprehensible sounds now. Her eye

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