Focussed Assessment For Katie Mcconnell

Focussed Assessment For Katie Mcconnell

Free Samples

Focussed Assessment For Katie Mcconnell

.cms-body-content table{width:100%!important;} #subhidecontent{ position: relative;
overflow-x: auto;
width: 100%;}

Focussed Assessment For Katie Mcconnell

0 Download8 Pages / 1,916 Words

Question:
Discuss about the Focussed Assessment For Katie Mcconnell.
 
Answer:

The patient Katie McConnell is 23-year-old woman who was admitted to the neurosurgical trauma unit after a road traffic accident that involved a slow-moving car. She sustained a subdural haematoma due to the accident which occurred 18 hours ago. During the change of shift, the patient was received with the following vital signs: Blood Pressure of 142/78, a heart rate of 89 beats per minute, and respiration rate of 13 breaths per minute. She also had a 96% oxygen saturation and a Glasgow Coma scale of 14.  Moreover, she had some problems in remembering recent information. However, she could recall some when prompted.
 
On verbal assessment, she reports having had a painful ankle which had lasted for a long time and was sustained when she was playing basketball. She also does not like to use painkillers due to an unexplained reason. At the time of handing over, she was with her partner. She has been diagnosed with a mild traumatic injury. This condition has a characteristic effect on memory especially if it affects any part of the brain. Therefore, the symptoms that Katie McConnell is experiencing are typical of the condition. However, the ankle pain has lasted for long, and in most cases, these conditions heal after a short while (Parry, 2015). It indicates that the problem could be more intense.
Additionally, her inability to recall recent information has not been established whether it is related to the accident or another cause that she has not explained. Therefore, I will have to enquire more about the historical perspective of her mental state through a mental status examination. 
Furthermore, any mild joint injury such as a contusion heals within a week or two (Fischbach, 2012). However, Katie’s ankle pain has lasted for so long (Parry, 2015). This phenomenon indicates that it could be a sprain that was never corrected due to overstretching or tension on either the deltoid ligament, the anterior talofibular ligament, the posterior talofibular ligament or the calcaneofibular ligament when she was playing basketball. Additionally, it could be a strain on the peroneus longus or Brevis muscles, the posterior and anterior tibialis muscles, the lower portion of the gastrocnemius or the soleus muscles. Either one or more of the ligaments could be damaged or one or more muscles.
 
Katie’s systolic blood pressure is very high at 142 mmHg indicating that she is in stage 1 hypertensive state. Because some blood has been lost due to the subdural haematoma, the body’s compensatory mechanism has been initiated to pump enough blood to reach the vital body organs such as the brain and the liver. Moreover, the blood pressure is also increased due to the fright, fight and flight mechanism of the sympathetic nervous system due to the patient’s panic and anxiety caused by the reality and shock of getting involved in an accident. The blood pressure is elevated to supply more nutrients to the vital organs which are necessary to create more energy and activity for escape. When involved in an accident, the blood pressure is expected to be elevated but not exceeding the pre-hypertensive state where the systole is supposed to range between 120-139mmHg and diastole between 80-89mmHg (“I.1. Workshop: Health Technology Assessment and Health Impact Assessment – Two key examples of health assessment”, 2014).
As such, Katie’s systolic pressure has exceeded the expected, and this has to be handled with immense care and administration of the necessary medications because a hypertensive crisis is dangerous for the blood capillaries and the major organs such as the kidneys, lungs and the liver.
Katie’s heart rate is within the normal range of between 60-100 beats per minute. This indicates that her myocytes contractility and their rhythm is normal. I am not too worried about her pulse, but the blood pressure draws my optimal concern. Therefore, it’s imperative to check her urinary output and also perform the Liver Function Tests (LFTs) to ascertain the effects of the increased systolic pressure on the two organs, the liver, and the kidneys.
The respiration rate of Katie is within the normal ranges of 12-20 breaths per minute. It, therefore, indicates that the lungs are yet to be affected by the elevated systolic pressure. It is expected that in the long run, she could develop pulmonary oedema and subsequent tachypnoea, dyspnoea, lethargy and other respiratory symptoms if the blood pressure is not corrected (Ducker, & Simmons, 2015). Therefore, one organ is safe but only for a while.
Katie’s oxygen saturation is at 96% within the expected ranges of between 95%-100%. This means that the organs are receiving the required amounts of oxygen for normal metabolic activities. The brain is also part of the vital organs that is receiving enough oxygen despite the subdural haematoma. As such, prompt measures to remove the haematoma will maintain the functioning of her nervous system and restoration of normal health. Moreover, the level of injury to Katie’s brain is not severe because her Glasgow Coma Score was 14 out of the highest possible 15. 
The loss of short-term memory could be due to the pressure on the limbic system caused by the haematoma and the rise in blood pressure (Payne, 2015). Additionally, it could be pressure to any of the constituent organs of the limbic system that control memory; they include the hippocampus, the amygdala, hypothalamus, thalamus, epithalamiums, cingulate gyrus among others (Payne, 2015). Therefore, I will have to ascertain her Intracranial Pressure (ICP) and maintain it at the normal levels using hypertonic saline or mannitol (“Cerebral Perfusion Pressure or Intracranial Pressure?”, 2013). However, I will have to perform a brain imaging to ascertain the extent of the haematoma to determine the management mode. If it is mild, I will just monitor and maintain bed rest so that the macrophages clear it. However, if it is severe, I will prepare her for Burr hole trephination, a craniotomy or a craniectomy depending on the surgeon’s recommendations (Emich, Dollenz, & Winkler, 2015). When the haematoma clears, the increased ICP will normalise and most likely resolve her problems with recent memory loss.
 
The ankle pain that Katie has is due to a most probable sprain or strain on the ankle ligaments, muscles or tendons and it is not mild because it should have healed a long time ago (Jones, 2013). Therefore, I will recommend an X-ray to confirm either of the conditions above and most probably, there will be a need for a surgical intervention to correct the problem. Moreover, Katie does not like analgesics perhaps due to the side effects that they cause. Therefore, I will have to ascertain the exact drugs that she uses and the kind of effects that they cause her. This will help rule out possible adverse reactions and establish an alternative and safer drug for her.
Katie has an epidural haematoma and a mild traumatic brain injury secondary to a road traffic accident that has subsequently caused an increased intracranial pressure (“Cerebral Perfusion Pressure or Intracranial Pressure?”, 2013). The increased ICP led to pressure on the hippocampus which processes memory. The hippocampal pressure has affected her recent memory that can only be achieved after provocation. Moreover, the blood loss due to the haematoma and the activation of the sympathetic nervous system after involvement in the accident has led to elevated systolic blood pressure as a compensatory mechanism. Additionally, she has ankle pains due to a significant injury to either the muscles, the tendons or ligaments that were not managed earlier (Parry, 2015). I will focus on the above health concerns because they will lead to a major health crisis for Katie if ignored (Robinson, 2014). 
A person who is not experiencing Katie’s situation has a normal ICP with no problem remembering recent activities with or without provocation. Additionally, the blood pressure of a normal person would not be this high with disparities in the systole and diastole. Moreover, a normal ankle should not be painful during any activity as opposed to Katie’s problem (Robinson, 2014).
After administration of antihypertensive drugs such as mannitol, which is an osmotic diuretic, I will perform an hourly confirmation of blood pressure by using an adult size cuff, a stethoscope and a manual sphygmomanometer (Bilo et al., 2016). I will place the cuff on Katie’s either arm and inflate it up to 30mmmHg as I auscultate the brachial artery until the radial pulse is impalpable.
Afterward, I will slowly release the pressure until I hear the first sound, and record the pressure on the sphygmomanometer scale and at the level where the sounds disappear (Lant, 2014). The two levels indicate the systolic and diastolic pressures.
 
By using Cushing’s triad, I will assess the levels of declining diastolic and a rise in systolic pressures which are characteristic of an increased ICP after every hour. These findings shall be recorded at the same time the blood pressure is taken because the values are the same. If this method gets unreliable, I will use a strain gauge manometer at the bedside to continuously record the ICP through the ventriculostomy that shall be introduced by a neurosurgeon (“Ventriculostomy,” 2013).
I will also perform a mental status examination with specific emphasis on Katie through content, mood, touch with reality and memory. I shall do this by asking her specific questions of recent and long-term memory. For instance, if she recalls the name of her partner, the year she was born and if she was involved in an accident. I will also examine her moods by being provocative and inquisitive. These findings are vital to ascertain the extent of the injury to the brain and the implications for the involvement of a psychiatrist.
I will assess her use of analgesics for the ankle pain through a past medical history. I shall ask her partner to provide the records of the previous prescriptions of the medications, and then identify the specific reactions to each drug (Jones, 2013). Afterward, I will explain whether it is a normal side effect of the drug or it is an allergic reactions.
 
References
Bilo, G., Giglio, A., Styczkiewicz, K., Caldara, G., Kawecka-Jaszcz, K., Mancia, G., & Parati, G. (2016). How to improve the assessment of 24-h blood pressure variability. Blood Pressure Monitoring, 10(6), 321-323. 
Cerebral Perfusion Pressure or Intracranial Pressure?. (2013). Journal Of Neurosurgery, 92(1). 
Ducker, T., & Simmons, R. (2015). Increased Intracranial Pressure and Pulmonary Edema. Journal Of Neurosurgery, 28(2), 118-123. 
Emich, S., Dollenz, M., & Winkler, P. (2015). Burr hole is not burr hole: technical considerations to the evacuation of chronic subdural hematomas. Acta Neurochirurgica, 157(3), 497-499. 
Fischbach, F. (2012). Brunner and suddarth’s textbook of medical-surgical nursing (1st ed.). [Place of publication not identified]: Wolters Kluwer Health. 
I.1. Workshop: Health Technology Assessment and Health Impact Assessment – Two key examples of health assessment. (2014). European Journal Of Public Health, 24(suppl_2). 
Jones, M. (2013). Clinical reasoning and pain. Manual Therapy, 1(1), 17-24.Lant, A. (2014). Diuretic Drugs. Drugs, 31(Supplement 4), 40-55. 
Parry, W. (2015). Foot and Ankle Pain. Pain, 19(1), 102-103. 
Payne, E. (2015). An atlas of the pathology of the brain (1st ed.). [Cardiff] (c/o E.E. Payne, Dept. of Pathology, Welsh National School of Medicine, Royal Infirmary, Newport Rd, Cardiff CF2 1SZ): Sandoz. 
Robinson, R. (2014). The Treatment of Subacute and Chronic Subdural Haematomas. BMJ, 1(4904), 21-22. 
Ventriculostomy. (2013). Journal Of Neurosurgery, 93(6). 

Free Membership to World’s Largest Sample Bank

To View this & another 50000+ free samples. Please put
your valid email id.

E-mail

Yes, alert me for offers and important updates

Submit 

Download Sample Now

Earn back the money you have spent on the downloaded sample by uploading a unique assignment/study material/research material you have. After we assess the authenticity of the uploaded content, you will get 100% money back in your wallet within 7 days.

UploadUnique Document

DocumentUnder Evaluation

Get Moneyinto Your Wallet

Total 8 pages

PAY 5 USD TO DOWNLOAD

*The content must not be available online or in our existing Database to qualify as
unique.

Cite This Work
To export a reference to this article please select a referencing stye below:

APA
MLA
Harvard
OSCOLA
Vancouver

My Assignment Help. (2018). Focussed Assessment For Katie Mcconnell. Retrieved from https://myassignmenthelp.com/free-samples/focussed-assessment-for-katie-mcconnell.

“Focussed Assessment For Katie Mcconnell.” My Assignment Help, 2018, https://myassignmenthelp.com/free-samples/focussed-assessment-for-katie-mcconnell.

My Assignment Help (2018) Focussed Assessment For Katie Mcconnell [Online]. Available from: https://myassignmenthelp.com/free-samples/focussed-assessment-for-katie-mcconnell[Accessed 18 December 2021].

My Assignment Help. ‘Focussed Assessment For Katie Mcconnell’ (My Assignment Help, 2018) accessed 18 December 2021.

My Assignment Help. Focussed Assessment For Katie Mcconnell [Internet]. My Assignment Help. 2018 [cited 18 December 2021]. Available from: https://myassignmenthelp.com/free-samples/focussed-assessment-for-katie-mcconnell.

×
.close{position: absolute;right: 5px;z-index: 999;opacity: 1;color: #ff8b00;}

×

Thank you for your interest
The respective sample has been mail to your register email id

×

CONGRATS!
$20 Credited
successfully in your wallet.
* $5 to be used on order value more than $50. Valid for
only 1
month.

Account created successfully!
We have sent login details on your registered email.

User:

Password:

MyAssignmenthelp.com is the perfect solution to render quality solution for all sort of academic issues. We have hired professionals from different fields of study to provide assistance with different subjects. We successfully have provided different types of assignment solutions on 100+ subjects. We have hired industry experts to deliver nursing assignment, hr assignment and finance assignment help. To offer quality content with IT assignments, we have hired IT professionals to render programming language assignment help and IT assignment help for other types of IT assignments as well.

Latest Healthcare Samples

div#loaddata .card img {max-width: 100%;
}

5N1794 Safety And Health At Work
Download :
0 | Pages :
13

Course Code: 5N1794
University: University College Cork

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Ireland

Answer:
Assignment 1
Answer to question 1
I have conducted a survey at my workplace maned Lady’s Hospice and Care Services to observe the working environment. The aim of the survey is to find if it is a safe, healthy, secured and fulfilling place to work. A visual survey was conducted to locate and record the safety signs in the workplace. The objective of the survey is to observe and list different types of signs, location, their prom…
Read
More
Tags:
Australia Maple Ridge Management Introduction to film studies University of New South Wales Masters in Business Administration 

400837 Health And Socio Political Issues In Aged Care
Download :
0 | Pages :
14

Course Code: 400837
University: Western Sydney University

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Answers:
Introduction
Palliative care services are designed to improve the life of patient with progressive disease. People receiving palliative care have illness that has no prospect of cure.  As per the World Health Organisation, palliative care is a care given to patient suffering from life threatening illness to improve their quality of life by preventing and providing relief from sufferings by early recognition , assessment and trea…
Read
More
Tags:
Australia Minchinbury Management University of New South Wales 

PUBH6304 Global Health
Download :
0 | Pages :
8

Course Code: PUBH6304
University: The University Of Newcastle

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: Australia

Answers:
Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS) is the spectrum of medical conditions caused due to human immunodeficiency virus (HIV) following which the patient suffers from a series medical complications due to suppression of the immune system of the body. With the progression of the disease, the patient is likely to suffer from a wide range of infections like tuberculosis and other opportu…
Read
More
Tags:
United States Newark Management University of New York Masters in Business Administration 

CON 321 Health Related Research
Download :
0 | Pages :
3

Course Code: CON321
University: University Of Southern Maine

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United States

Answer:
Introduction
Leadership in the hospital is the ability to influence the staff toward providing quality health care. Leadership involves influencing human behavior to create a positive working environment (Langlois, 2012). Good leadership enables healthy relationships among staffs in the hospital enhancing quality delivery of health care services. Leadership is responsible to building teams that have trust, respect, support and effecti…
Read
More

BL9412 Public Health
Download :
0 | Pages :
35

Course Code: BL9412
University: University Of The West Of England

MyAssignmentHelp.com is not sponsored or endorsed by this college or university

Country: United Kingdom

Answer:
Introduction
According to the researchers, it can be said that the management of the health care organizations has become a difficult task nowadays and the reason behind this is the occurrence of various issues in this sector (Hall et al., 2014). Therefore, the administrative employees of the organization should incorporate various revolutionized strategies for enriching the worth of care provided by the hospital to its clients and re…
Read
More
Tags:
Australia Ryde Management Information system strategy University of New South Wales (UNSW) Masters in Business Administration 

Next

Our Essay Writing Service Features

Qualified Writers
Looming deadline? Get your paper done in 6 hours or less. Message via chat and we'll get onto it.
Anonymity
We care about the privacy of our clients and will never share your personal information with any third parties or persons.
Free Turnitin Report
A plagiarism report from Turnitin can be attached to your order to ensure your paper's originality.
Safe Payments
The further the deadline or the more pages you order, the lower the price! Affordability is in our DNA.
No Hidden Charges
We offer the lowest prices per page in the industry, with an average of $7 per page
24/7/365 Support
You can contact us any time of day and night with any questions; we'll always be happy to help you out.
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$15.99 Plagiarism report
$3.99 Outline
$21.99 Unlimited Revisions
Get all these features for $65.77 FREE
Do My Paper

Frequently Asked Questions About Our Essay Writing Service

Academic Paper Writing Service

Our essay writers will gladly help you with:

Essay
Business Plan
Presentation or Speech
Admission Essay
Case Study
Reflective Writing
Annotated Bibliography
Creative Writing
Report
Term Paper
Article Review
Critical Thinking / Review
Research Paper
Thesis / Dissertation
Book / Movie Review
Book Reviews
Literature Review
Research Proposal
Editing and proofreading
Other
Find Your Writer

Latest Feedback From Our Customers

Customer ID:  # 678224
Research Paper
Highly knowledgeable expert, reasonable price. Great at explaining hard concerts!
Writer: Raymond B.
08/10/2021
Customer ID: # 619634
Essay (any type)
Helped me with bear and bull markets right before my exam! Fast teacher. Would work with Grace again.
Writer: Lilian G.
08/10/2021
Customer ID: # 519731
Research Paper
If you are scanning reviews trying to find a great tutoring service, then scan no more. This service elite!
Writer: Grace P.
08/10/2021
Customer ID: #499222
Essay (any type)
This writer is great, finished very fast and the essay was perfect. Writer goes out of her way to meet your assignment needs!
Writer: Amanda B.
08/10/2021
Place an Order

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:
$0.00
×

Powered by WhatsApp Chat

× How can I help you?