Does getting old have to mean getting sick? Are there examples of healthy elders here in the US and in other countries that challenge a belief held by many, getting old means getting sick and disabled?
Consider how you would approach a 17 yr old female patient with a diagnosis of Bipolar disorder who admits to not being on birth control, who is not fully compliant with her medications and who tells you” I don’t smoke marijuana now, I use K2 instead because it’s not illegal”
Consider how you would approach a 15 year old male who admits to using marijuana ” only about 3-4 times a week, mostly on weekends, with my friends”. Use your Motivational Interviewing skills to respond to this scenario. How do you advise and educate him?
1) 47 year-old female, in the Emergency Department for severe pain in back of neck, radiating down L arm and making fingers numb. RR 40, deep breaths, diaphoretic, and very anxious. HR 140, complaining to nurse of feeling faint, never had this pain before, s/p weight lifting and sit-ups, usual exercise routine. After speaking with patient, suddenly patient passes out. What do you initially do?? List the assessments: 2) 55 year-old male, 30 pack year smoking history, COPD/Emphysema patient. •RR 28 labored, HR 150, B/P 156/95, Temp 99 F • B/S bilateral slight wheezing and very diminished at both bases. […]
1) 30 year-old male, construction accident fell 20 feet to the ground. R/O Head injury, internal bleeding, possible fractures. HR 120, RR 36, B/P 90/60, T 98.6 Chest assessment: Paradoxical breathing, R/O flail chest, B/S diminished R side, normal L. Tachypnea, dyspnea noted, O2 Sat 88% on 21% What 02 device? Diagnostic tests? 2) 20 year-old female s/p MVA possible chest trauma •RR 44, HR 124, B/P 160/100, T 98.6 •O2 Sat on 21% 85% •3 hours later RR 24, HR 80, B/P 123/82, chest x-ray normal, Doctor wants you to titrate 02 until 02 Sat = 95-100% What 02 […]