Patient assessment: a reflective case study

作者: Andy Hitt

DOI: 10.12968/JPAR.2009.1.15.45768

关键词: Emergency Care PractitionerPhysical examinationMajor traumaCombat Medical TechnicianStethoscopeAuscultationProductive CoughPatient assessmentMedical emergencyMedicine

摘要: The three ‘C's of physical assessment—capacity, consent and communication—could be compared to the ‘ABCs' resuscitation; without all you will make very little, if any, progress. But do we give these aspects attention they deserve, especially in time critical situations? This case study is based on a 76-year-old female who presented at Accident Emergency (A&E) with central chest pain, diarrhoea vomiting, productive cough pyrexia. aims this are discuss impact 21st century legislation patient assessment, demonstrate importance objective, structured history taken investigate subjective nature examination. In world waiting lists litigation some argue that should let technology leg work—ultrasound, x-rays, magnetic resonance imaging (MRI) computed tomography (CT)—why use stethoscope?

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