Patient triage
The patient is a 72-year-old Samo
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The patient is a 72-year-old Samoan female of Non-English Speaking Background (NESB) who had been discharged from another hospital (Bankstown) in the last two weeks with a similar event. She was brought to the Emergency Department from home by the Ambulance Service. The patient was triaged as Category Two as per ATS criteria. The Australasian Triage Scale (ATS) was designed for hospital-based emergency services for Australia and New Zealand, and is a scale for rating the clinical urgency of patients (Policy). The ATS directly links a triage code with a range of outcome measures (inpatient length of stay, ICU admission, mortality rate) with resource utilization (staff time, cost) and allows for the analysis of several performance parameters in the Emergency Department (casemix, operational efficiency, effectiveness, utilisation review and cost). The ATS is primarily a clinical tool and all patients presenting to an Emergency Room should be triaged on arrival by a specifically trained and experienced registered nurse, who will record the ATS code and triage assessment (Policy). The nurse should continue to monitor the patient, and if the symptoms change, then the patient should be re-triaged. The triage nurse should also initiate appropriate clinical investigations and management of the patient according to organisational guidelines. The ATS code is applied according to how long the patient should wait for medical assessment in the opinion of the triag
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by the smoker, or second-hand smoke, which interferes with ciliary function and inhibits macrophage function. Stroke, seizures, alcohol, and several drugs interfere with the function of the epiglottis, leading to a leaky seal with possible contamination of the lungs with swallowed substances and/or regurgitated stomach contents. Alcohol and drugs interfere with the normal cough reflex, further decreasing the ability to clear unwanted debris from the respiratory tract.
The elderly have a less effective mucociliary escalator and changes in their immune system which causes this age group to have a higher risk for developing pneumonia (Carson-DeWitt and Frey). This could apply to the patient here, since she is 72 years of age. Chronic asthma can also predispose to pneumonia, and this patient has asthma. Pneumonia is suspected in any patient who has a fever, cough, chest pain, shortness of breath, a productive cough and increased respiratory rate - all symptoms which this patient displays. Consistent with the patient's chest xray, patients with pneumonia often exhibit consolidation as a feature of bacterial pneumonia, which occurs when the alveoli, the functional units of the lung, become solid due to quantities of fluid an
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Some common words found in the essay are:
Emergency Department, Rosenthal Ngarmoka, Carson-DeWitt Frey, CPT Ca, Med Chart, Failure CCF, Frey Laboratory, Chronic CCF, Ngarmoka Uncommon, Living ADLs, atrial flutter, 28 october, 28 october 2004, october 2004, rosenthal ngarmoka, 2004 28, 2004 28 october, emergency department, shortness breath, moraxella catarrhalis, tricuspid valve annulus, congestive cardiac, valve annulus, congestive cardiac failure, chronic atrial flutter,
Approximate Word count = 2520
Approximate Pages = 10 (250 words per page)
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