Question

Amira is a 27-year-old Syrian refugee who has been residing in a local homeless shelter since her arrival here in the United States 4 weeks ago. She was brought into the emergency room this morning via squad after being found by a shelter employee sitting in a pool of blood on the bathroom floor crying and holding her abdomen. Due to her limited English speaking abilities, she is unable to provide specific details as to her complaints but the shelter employee states that she has recently stopped eating and has not looked well for the past couple of days.

Based on the limited information provided, please answer the following questions.

1. How will you prioritize your care of Amira, what assessments will you complete, and in what order? Please provide rationale for choosing this order.

2. Are there any cultural beliefs/practices that must be taken into consideration when planning her care?

3. Considering her symptoms of abdominal pain and bleeding, is it possible that her status as a homeless refugee is a causative or contributing factor to her illness? Please provide rationale for your response.

thank you in advance

Answer 1

As a nurse of Amira, I will start my care with providing safety to Amira and will try to give her psychological thought that she is safe first.

Then I will work on to sort out the problem of language to communicate her. For this I will take the support of technology or take help of an interpreter so that we can eliminate the chance of any miscommunication due to language barrier.

From there, I will start pain management, then entire body assessment with respect to abdomen and genitourinary system. Then I will assure that whether it is the case of   miscarriage or any other problem.

Then I will find the cause of the bleeding and then control the bleeding.

And at the same time I will study on her cultural beliefs if any, otherwise will simultaneously follow human dignity.

Hence by using the above mentioned care techniques as per the individualization of the better patient care I am sure I will handle such case in a very nice way.