A Final Case Study PASSED Essay

Submitted By yogahum
Words: 2215
Pages: 9
Open Document
The Nursing and Midwifery Council (NMC 2006) inform us of standards of proficiency for nurse and midwife prescribers and includes undertaking an approved educational programme. A case study has been used to demonstrate learning outcomes of the educational programme. It is important to note that accountability and responsibility within the authors NMC (2008) code of conduct meant that prescribing was to be carried out by the decision maker. On completion of the educational programme the author intends to prescribe as an Independent Nurse prescriber.
This case study will maintain patient confidentiality and for the purpose of academic writing will be named Robert as guided by the Data Protection Act (1998) Robert is a 71 year old single, divorced male and lives in a block of flats surrounded by, what he describes as "other drinking friends". He has two adult sons that he gets to see occasionally. He states he feels isolated; he has little money as he is on benefits, does not receive any help with his housework and is struggling to cope. He smokes 40 rolled cigarettes and a 70cl bottle of vodka daily.
Has suddenly stopped his alcohol and is experiencing chest pain. Clinical information was obtained from Roberts’s medical notes, as recommended by Young, Duggan and Franklin (2009) and NMC (2006) to be able to complete an effective consultation for prescribing. These notes also highlighted that Robert had presented to Emergency Department (ED) twelve times in the past year with similar symptoms as on this occasion. A study by Baker, Stallard and Gibson (2013) found that many people frequently attended ED, did so with medically unexplained symptoms. However, conditions were found in studies conducted by Baston (2005), Skinner, Carter and Haxton (2009) found that the top three reasons for frequent presentations to ED were for alcohol, mental health and chest pain. Additionally, Kirby and Dennis (2011) concluded that chronic conditions will present frequently. Ultimately, this may point to Robert becoming a frequent attender with a comparable history of anxiety, COPD, alcoholism, chest pain and being an older adult.
Roberts chest pain was assessed using the mnemonic (SOCRATES) as a tool suggested by Young et al (2009). The pain was to the left side of his chest (Site) which came on this morning (onset). Described as a sharp stabbing pain (character) that radiated to all over his body (radiation). No associated vomiting of fever (association). The pain was there constantly and nothing would relieve it (timing) and using a pain scale, Robert scored the pain as an eight (severity)
‘Red flags’ are described by Young et al (2009) and Merck Manual (2014) as warning signs of a more acute emergency condition. Roberts’s red flags were ‘shortness of breath’ and ‘chest pain’ with a differential diagnosis of acute coronary syndrome (ACS) / Pulmonary embolism. These potential diagnoses were ruled out in the ED using the investigations according to the clinical trust guidelines. Blood tests, investigations and vital signs were recorded as within acceptable limits, with the exception of a heart rate of 110bpm.
Robert is currently taking prescription medications which include Vitamin B Compound Strong Two tablets twice daily, Thiamine 100mg three times daily as directed by the NICE (2010) guidance to prevent the onset of Wernicke’s-Korsakoffs syndrome in patients that are at risk of malnutrition and have alcoholic liver disease. Diazepam 5-10mg as required for generalised anxiety and Warfarin dependent on his INR blood results, anticoagulation for the prevention of blood clots. He does not take any other medications such as herbal, over the counter or borrowed.
The patient consultation and history taking was assessed in parallel with consultation by a doctor. Young, Duggan and Franklin (2009) and Kurtz, Silverman, Benson and Draper (2003) suggest for effective consultations and history taking, a structured approach should be taken and this will
Show More

Related Documents: A Final Case Study PASSED Essay

Unit 2 Project Ps300 Essay

reading through the different case studies I find this one to be more like Single-case design because “Researchers describe, predict, and control variables in order to understand and treat the behavior of one individual.” (Zechmeister, 2001) This uses the Scientific Method by observing all aspects of her behavior, manipulating the variable, and testing it to see if it helped. I don’t see any ethical issues wrong with this method. 2. A team of researchers studies gender differences in need for…

Words 725 - Pages 3

Criticisms: Gospel of Mark and New Testament Essay

writings. The final type is known as lectionaries as they were the passages read aloud at church services. In Textual Criticism there are two types of evidence. External, which is all the manuscripts considered together, and internal, which are all the indications inside a document. Source Criticism Source Criticism is the study of how some documents in the New Testament draw information from other sources either inside or outside the New Testament. Most of the material in the Gospels were passed down orally…

Words 340 - Pages 2

Essay On Reverse Discrimination

Business Ethics Final Paper – Reverse Discrimination Reverse Discrimination is an issue that has come about in the work force today. “The law allows employers to discriminate among employees as long as the ground for discrimination are job-related, fair, and objective (242).” For example, “employers can promote a male employee over a female employee as long as the male is more qualified, the family has had an equal opportunity to qualify, and the standards for qualifications are fair and objective…

Words 1134 - Pages 5

case study Essay

business policy. Decision-making aids and tools are utilized in the process. A broad spectrum of problems will be presented to students for study and for solving. Prerequisites: This course if offered in a student’s final semester. Learning Outcomes/ Competencies: Students successfully completing this course will be able to: Read and analyze case studies for real organizations Provide recommendations based on information from the readings as well as previous classes taken. Understand the…

Words 1401 - Pages 6

Communication defiency Essay

receive an electronic file of the textbook. You could purchase just the software and have the ebook included which is less expensive. Website: http://pearsonmylab.com It is recommended that you sign up with MyMathLab and keep your email current there in case I need to send a message to the class. Also homework must be done on-line – provides immediate feedback & help. ************** Your course id code: lorton67099 *************** Prerequisite: Mathematics 060 or placement into Mathematics 080 on…

Words 1791 - Pages 8

Tanning Research Paper

sunscreen. “The study results demonstrate that tanning bed use, particularly among young people, is an alarmingly widespread behavior. In the US, 35% of adults and 55% of college students have tanned, and the study found there are more than 419,000 new skin cancer cases attributable to indoor tanning each year. Worldwide, there are more skin cancer cases due to indoor tanning than there are lung cancer cases due to smoking.” (JAMA Dermatology, par.…

Words 1266 - Pages 6

The ObamaCare Regulatory Rush Essay

Article Review: The ObamaCare Regulatory Rush HCS/430 Teela Carmack September 22, 2014 Article or Case Law Research What is ObamaCare? ObamaCare is another name for The Affordable Care Act (ACA); this is a federal law established in 2010 that establishes new consumer protections for individuals with their health insurance coverage, standards for care by doctors and hospitals and an expansion of health coverage. Most of the protections are in effect, care standards are…

Words 836 - Pages 4

Essay on Comprehensive Immigration Reform Act of 2007 and Dream Act

service before the enactment of the DREAM Act - people have been trying to pass the DREAM Act since 2001 - passed the full Senate in May 2006 as part of the Comprehensive Immigration Reform Act of 2006, but CIRA did not pass. - included in the 2007 Kennedy-Kyl comprehensive immigration reform bill and attached to the FY2008 Department of Defense Authorization Bill; not passed in either case. - introduced as a stand-alone bill in fall of 2007, but did not pass - supported by US Catholic Bishops…

Words 498 - Pages 2

Explain What Do Psychologists Mean By Theory Of Mind

genes and not the survival of species. It is the genes that get passed on. This focus on the gene known as the ‘Selfish Gene’ was a phrase that was suggested by Richard Dawkins. This gene is well suited for the environment and enables the individual to survive, will survive into the succeeding environment. Whereas, the genes that will be less effective for surviving and less suited for the environment, will have a less chance of being passed on to future generations. Selection is divided into two processes…

Words 1127 - Pages 5

Clostridium Difficile Case Study

evaluation. The patient will be asked of symptoms and the length of time the pain has been occurring for. Answering these things will allow for the doctor make the correct diagnosis. (http://www.webmd.com/digestive-disorders/clostridium-difficile-colitis) Case Presentation…

Words 1266 - Pages 6