Scenario Based Assignment Nursing
In this scenario-based assignment I am going to write about a patient, for whom I have cared for whilst I was in placement. I am going to refer to the patient as Mrs. X due to confidentiality as the Nursing and Midwifery Council, 2008 states, that you must respect people right to confidentiality.
Mrs X was a 74-year-old lady, who was very weak and could hardly mobilise. She had a history with falls and chest pain and she came into the hospital because of severe chest pain and high pulse rate. She was moved to our ward from Accidents and Emergencies, as her chest pains were not stable and as she could not mobilise by herself, which meant she needed to stay in hospital further and be closely observed.
My mentor gave me the task to admit Mrs X and during the admission, I learned more about Mrs X and was able to find out that she was having Heart Palpitations along with the chest pains. Palpitations are heartbeat sensations that feel like your heart is pounding or racing. It is like an unpleasant awareness of your heart beat, Medline Plus, 2010.
After completing her admission, I reported my findings to the nurse in charge, from which the nurse in charge decided to investigate further and went on to talk with the patient to gain further information on what was happening to Mrs X. After that, the Charge Nurse decided to put Mrs X on a Cardiac monitor to observe her.
I was also given the task to do her observations and due to her fragile and serious condition, the Nurse in charge told me to do record the observations hourly, so she gets top care and so that we get precautions if something was to wrong with her. As I did my Observations, I found that her heart rate was quite high along with the respirations.
When I asked Mrs. X what sorts of other symptoms she got while having fast heart rate, she said she had shortness of breath, dizziness along with chest pain. The other symptoms patients with tachycardia finds are light headedness, fainting (syncope)
Mrs X was a 74-year-old lady, who was very weak and could hardly mobilise. She had a history with falls and chest pain and she came into the hospital because of severe chest pain and high pulse rate. She was moved to our ward from Accidents and Emergencies, as her chest pains were not stable and as she could not mobilise by herself, which meant she needed to stay in hospital further and be closely observed.
My mentor gave me the task to admit Mrs X and during the admission, I learned more about Mrs X and was able to find out that she was having Heart Palpitations along with the chest pains. Palpitations are heartbeat sensations that feel like your heart is pounding or racing. It is like an unpleasant awareness of your heart beat, Medline Plus, 2010.
After completing her admission, I reported my findings to the nurse in charge, from which the nurse in charge decided to investigate further and went on to talk with the patient to gain further information on what was happening to Mrs X. After that, the Charge Nurse decided to put Mrs X on a Cardiac monitor to observe her.
I was also given the task to do her observations and due to her fragile and serious condition, the Nurse in charge told me to do record the observations hourly, so she gets top care and so that we get precautions if something was to wrong with her. As I did my Observations, I found that her heart rate was quite high along with the respirations.
When I asked Mrs. X what sorts of other symptoms she got while having fast heart rate, she said she had shortness of breath, dizziness along with chest pain. The other symptoms patients with tachycardia finds are light headedness, fainting (syncope)
References: BUPA (2011) Beta-Blockers[online], available from: http://www.bupa.co.uk/individuals/health-information/directory/b/beta-blockers [Accessed on 1st November 2011] Mayo Clinic (2011) Tachycardia Treatment and drugs[online] Mayo Clinic Mayo Clinic (2011) Tachycardia Symptoms [online] Mayo Clinic. Available from:http://www.mayoclinic.com/health/tachycardia/DS00929/DSECTION=symptoms [Accessed on 3rd November 2011] Mayo Clinic (2011) Treatment and drugs [online] Mayo Clinic http://www.mayoclinic.com/health/tachycardia/DS00929/DSECTION=treatments-and-drugs [Accessed on 3rd November 2011] MedicineNet.com (2011) Definition of Heart rate [online] MedicineNet.com MedlinePlus (2010) Heart Paalpitation [online] MedlinePlus. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/003081.htm [Accessed on 3rd November 2011] Medtronic (2010) About Tachycardia (fast Hearbeat) [online] Medtronic. Available from: http://www.medtronic.com/health-consumers/tachycardia/index.htm [Accessed on 29th October 2011]