By Lydia Burke
Perform nurses and nurse practitioners operating along basic practitioners are required to determine and deal with sufferers with numerous minor and intricate stipulations. They for that reason desire talents in history-taking, actual evaluate, diagnosing, prescribing and handling long term stipulations. it really is assumed that nurses who learn this ebook can have adventure in coping with the care of infants, young ones, good teenagers, humans for whom English isn't really their first language, individuals with psychological illnesses and older individuals with a number of illnesses. those case experiences are loosely in accordance with interactions that the writer has had with sufferers in fundamental Care.
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Sample text
Social history Jon works as a freelance plasterer. He lives in a rented flat with his girlfriend. After you call Jon’s name, he walks slowly to your consulting room leaning on a stick. He sits down carefully and starts speaking immediately. He says ‘I’ve done my back in. It’s really bad and I can’t do my job, and can hardly get about. I’ve borrowed this stick to get here. ’ This will be written up as the ‘subjective’ element of record keeping. You need to gain more objective factual information.
54 PCC chapters 4/9/08 2:09 pm Page 55 Assessing for serious or potentially life-threatening conditions Case Study F Helena Helena comes to see you having requested an urgent appointment. The history of the presenting complaint is that she has woken up this morning with a high temperature and pain on urinating. She also has abdominal pain and backache. She has suffered from uncomplicated lower urinary tract infections on numerous occasions for the past two years. She often does not come to the surgery for antibiotics but takes over the counter remedies which help.
25 PCC chapters 4/9/08 2:09 pm Page 26 Primary Care Case Studies for Nurse Practitioners D1. Write down ten questions you would ask that incorporate the ‘PQRST’ structure. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 26 PCC chapters 4/9/08 2:09 pm Page 27 Managing common problems Jon tells you that his back pain flared up three days ago and is persisting. He has been working very hard on a job, lifting heavy bags of plaster and reaching over his head to plaster ceilings. He does not remember any sudden onset of pain.