Nasogastric Case

Introduction to patient case
The following is a case study of a 77-year-old male patient, Mr. X, possibly suffering from small bowel obstruction (SBO). He went to emergency department at midnight due to severe pain in abdomen. Nasogastric (NG) tube was inserted which was used to help decompress the stomach by removing excess gas and prevent aspiration (Holzheimer, 2001). Chest radiograph was taken to check the position of the NG tube. The radiograph was taken in erect posteroanterior view with him suspended on inspiration (Bontrager, 2005). The NG tube should be straight, pass down the midline past the diaphragm and deviate to the left (Oxford Medical Education, n.d.). On the other day, small bowel series (SBS) was examined. Gastrografin was
X fully understood the purpose and the information of the examination and so as to receive his consent to perform the procedure. It was extremely important because “seeking patients consent before undertaking radiographs is a fundamental legal and ethical requirement of medical staffs” (Freeman, 2007). After we explained the purposes of taking the examination which were checking NG tube and looking for the transit of the contrast in this case, he had his right to accept or refuse the examination referred by doctor or other health professionals. Also, “it is a common courtesy and establishes a trust relationship between radiographer and patient” (Freeman, 2007). Not only the purpose of the examination, the flow and instructions would be explained to him in order to give him a clearer picture and a preparation before taking the examination and he could follow the instructions and had a good cooperation with us. For checking NG tube position, chest radiograph was done. Since he was able to stand up, he was told to perform erect PA view which was standing and facing the erect bucky with suspended on inspiration (Bontrager, 2005). For performing SBS, he needed to lie on the table with suspended on expiration (Bontrager, 2005). Therefore, he was fully aware of what would be done and what he needed to do when taking the x-ray. For this area, there was a barrier since his daughter was not a health professional and was lack of medical knowledge,
In general, the first thing is that I could consolidate the knowledge of communication from last year and how to adjust the way of communication to patients with courtesy, dignity and respect. I was taught the strategies when communicating with patients who have difficulty in speaking English. We should treat them with the same manner as other patients and notice what their concerns are. They may feel frustrated when all people keep speaking English that they cannot understand. Therefore, one of the effective methods is trying to get the patients engaged in the conversation. We should try our best to make the patients know what we are saying. We did well in this aspect because we kept having eye contact with Mr. X and his daughter and noticed their facial expressions recognizing if they understood or not. If they seemed not understanding, we altered our wordings and added some body