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.
How will you prioritize your care of Amira,
what assessments will you complete, and in what order? Please
provide rationale for choosing this order.
Are there any cultural beliefs/practices that
must be taken into consideration when planning her care?
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