Health Case Study

-For each of the listed patient scenarios below, answer all four (4) questions. Provide support for your statements and decisions from the class lectures, discussions, assignments, and readings. Please answer the questions individually for each scenario.

-There is no required length; however your responses need to fully answer the question. Use complete sentences and watch your spelling and grammar. You may use a question and answer format.

-Each patient scenario is individual. They are not connected to the other scenarios listed. Do not add information to the patient scenarios. Everything you need to answer the questions has been provided.

Questions

1- Identify the diverse group from class that each patient belongs to. Be as specific as possible. If there is a sub-group, identify the sub-group, i.e. name the specific religion or special need.

2-Identify from each scenarios, what lead you to put that patient into that specific group or sub-group.

3-If there is an alternative or complimentary medicine being used in the scenario, identify it and explain how it would impact your patient interactions and care.

4-Explain how you would adjust or change your patient care for this individual and/or situation; include why you would need to make the adjustment or change.

Patient Scenario #1

You are dispatched to the comic book store for a seizure. You find a male in his early 30’s that is postictal. He is sitting up and rocking slightly with his eyes covered. The owner of the comic book store tells you that the patient is a regular and spends a few hours a day in the shop. He lives near by and walks over. He also tells you that the man’s bother is on his way over. When you reach out to make contact and introduce yourself, the patient pulls away and does not uncover his eyes. You tell him your name and he repeats it over and over. You ask why he has his eyes covered and he points toward the front window where the Fire truck and Ambulance are parked with the lights flashing. You start asking him questions and he does not respond. He just continues rocking and saying your name. When you go to place the blood pressure cuff on his arm he rips it off and yells no. The brother arrives and tells you that the patient takes Ritalin and uses lavender and chamomile to help him relax. In talking to the brother you decide the patient needs to be transported.

Patient Scenario #2

You are dispatched to the local bar for an assault. You find a male in his early twenties sitting up against a wall outside the bar. He has multiple abrasions and simple lacerations on his face and his complaining of abdominal pain. A witness states that the patient was kicked in the abdomen. The patient seems reluctant to answer your questions. You ask them their name and they mumble Alexia. You notice witnesses calling him Alex. The patient states that they are taking testosterone and uses Butterbur and feverfew herbs for migraines. You ask for permission to do an exam of his abdomen and trunk. The patient becomes hesitant and nervous but allows you to perform the exam. You find that he is wearing a sports bra. He states that his hips and pelvis are fine and refuses to allow you to check them. You begin discussing transport options with him and he becomes agitated and will not consent to transport. From your exam you are concerned about internal injuries and explain this to them. He reluctantly consents to be transported.

Patient Scenario #3

You are dispatched to a home for a woman having a seizure. You arrive to find a 16-year old female lying next to a wheel chair. You notice that her limbs are all flexed and her mouth is open. The patient is trying to turn her head to look at you but is struggling to support it and coordinate the movement. The patient’s mother states that the patient was in her wheel chair when the seizure began. The patient then fell out of the chair. They called because the family was nervous about a head injury from the fall. You begin assessing and notice little marks on the patient’s shoulders and back that look like injection sites. The mother says that they are from aligning the patient’s energy to help her maintain her strengthen better. You determine that she needs to be transported.

Patient Scenario #4

You are dispatched to a motor vehicle collision. You find only one patient, a 60 year-old male complaining of chest pain. He struck his chest against the steering wheel. The patient very politely requests that a male EMT assess and treat him. As you are asking him history questions you find out that he is a vegetarian and currently participating in Ramadan. The patient keeps trying to look at their phone and watch. He is becoming anxious and requests to pray. As you are doing a physical exam you notice several perfectly round, slightly raised bruises on his back. They seem to be in a purposeful pattern. You ask the patient about them and he explains that he had recently cleansed his blood. You determine that he needs to be transported.

Patient Scenario #5

You are dispatched to a residence for a fall. When you arrive a mid 70 year-old female meets you on the front porch. She tells you that her 77 year-old husband has fallen and she cannot lift him to get him up off the floor. You enter the home and find a clean, well taken care of room with older obviously loved furniture. You also see baskets of magazines and newspapers. Every surface seems to have a figurine or plant. The floors are hardwood with area rugs everywhere. You find the patient lying on their side in the hallway. You introduce yourself and the patient asks you who the older woman with you is. You explain that it is his wife. He then asks what happened. After explaining that he fell the patient becomes emotional. You calm them down and begin a physical exam. The patient continues to ask what happened every few minutes. They also keep reaching for your stethoscope and rubbing your EMS patch. Suddenly, in a panicked voice they ask for their wife. You get her and it calms the patient down. You ask about medications and the wife begins to list prescriptions. She seems nervous and keeps looking around. She asks if the police are there. You respond that they are not present. She then whispers that they smoke some stuff that their grandson gets for them several times a day. It helps them relax and helps the patient be more present. You determine that the patient’s injuries are significant enough to transport them.

Diversity Case Study

Diversity Case Study

This criterion is linked to a Learning OutcomeFormat

view longer description

10.0 pts

This criterion is linked to a Learning OutcomePatient Scenario 1

view longer description

18.0 pts

This criterion is linked to a Learning OutcomePatient Scenario 2

view longer description

18.0 pts

This criterion is linked to a Learning OutcomePatient Scenario 3

view longer description

18.0 pts

This criterion is linked to a Learning OutcomePatient Scenario 4

view longer description

18.0 pts

This criterion is linked to a Learning OutcomePatient Scenario 5

view longer description

18.0 pts

Total Points: 100.0