An Emergency Room Visit For Pain - 969 Words

CC Mrs. Csernelabics 72-year-old female here today for followup from an emergency room visit for pain in her arms and legs. HPI The patient tells me that she felt as though she could feel my heart beat, for the last couple of weeks and she started checking her blood pressures more frequently. She has a blood pressure cuff at home and she says her blood pressures are running high. In addition, her pulse was up as well. Around the same time, she stated that her arms and legs were feeling weak, but on further questioning, said it was not weakness, it was a pain. She says when she is seated, it typically is not an issue, but as soon as she starts to walk, or use her arms, she develops some pain, which causes her to stop. Once she stops, it goes away. She has not fallen. There has been there has been no specific injury or trauma. There has been no vision or hearing changes from her baseline. She has had no pain in the chest. She has had no increased shortness of breath from her baseline. No wheezing. No coughing or cold symptoms. There have been no fevers, chills, or body aches. No nausea, vomiting, or diarrhea, currently. She did stop Victoza about four to six weeks ago because of some diarrhea and she said that went away when she stopped the Victoza. She has been monitoring her blood pressures. They are ranging from the 132 to 178 systolic over 60s to 90s diastolic. One outlier with a low at 84/70. She is not having any facial flushing. She is notShow MoreRelatedPain And Emergency Room Visit811 Words   |  4 PagesCC Betsy is a 31-year-old female here today to discuss hand pain and an emergency room visit. HPI The patient tells me she was cutting an avocado on September 17th. She said she was using a knife to remove the pit of the avocado and was holding the avocado in her left hand, the knife in her right hand, and was trying to stab at the pit. Unfortunately, she missed the pit and cut her hand. She said the wound was to the area above her fifth metatarsal, more on the palm side, than on the fingerRead MoreAn Emergency Room Visit For Back Pain846 Words   |  4 Pagesup from an emergency room visit for back pain. He arrived 15 minutes late for this appointment after having not shown up for his appointment in September. He presents today with his wife. HPI The patient tells me he has had chronic back pain pretty much since he was a teenager. Initially the pain would come and go when he was younger, but in recent years, his pain has been significantly increased. He has been to see multiple doctors in the past for his back pain. With prior visits, he was referredRead MorePain Management935 Words   |  4 Pagesproblem of management of acute and chronic pain. The purpose of this paper is to explore the effects proper pain management on nursing practice, population most effected by chronic and acute pain, ways to improve pain management from a nursing perspective. 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The patient is requesting refills on medications.Read MoreEconomics of an Urgent Care Center in a Market of Emergency Departments1664 Words   |  7 PagesEconomics of an Urgent Care Center in a Market of Emergency Departments One of the contributors to the rising cost of Healthcare can be attributed to the over use of emergency departments (EDs) for non-emergency needs. In the greater Capitol/First/Beacon Hill area there are three major hospitals (Virginia Mason, Harborview, and Swedish) with emergency rooms and no urgent care centers with the exception of Group Health which is restricted to Group Health insurance members. The question I askedRead MoreHealthcare Case Study1150 Words   |  5 Pagesboard-certified emergency physician An orthopedic surgeon A board-certified neurosurgeon Physical therapists Licensed massage therapists Our medical professionals work together to create each of our patients a treatment program that meets his or her needs. 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To investigate this problem, they used an education program and examined the pediatric protocol in a community hospital. Children are taken to the emergency department for various reasons, but pain is one of the most common. Habich and Letizia state, â€Å"Despite the high frequency of pain, pediatric patients are often not appropriately assessed for pain.† Nurses and other medical personnel failing to properly assess the pain in the emergency department is a problemRead MoreCost Control in Health Maintenance Organizations Essay1311 Words   |  6 Pageskeeping patient cost below target levels. Physicians would achieve lowering utilization cost by: teaching patients to better manage their chronic diseases to avoid hospital visits, by not encouraging unnecessary testing or specialty referrals, and by offering extended office hours and answering services to reduce emergency room visits. HMO’s have provisions when it comes to physician incentives. They limit the effect of its cost control bonus by providing placing a â€Å"stop-loss† provision for seriouslyRead MoreEffective Commun ication Between Physicians And Patients1227 Words   |  5 Pagesdoesn’t only take place in India but also here in the United States, specifically in emergency rooms. Some emergency room physicians and nurses unfortunately let the hectic nature of their job dictate how they interact with patients. Discussed in his article â€Å"How Doctors Take Women s Pain Less Seriously† ,Joe Fassler an award winning writer, explains how he and his wife were mistreated in a hospital emergency room, as well as the lack of communication that physician’s had with him and his wife.