Question

In: Psychology

Lucy Barnes, a 30-year-old woman who is 25 weeks pregnant, comes to the emergency department of...

Lucy Barnes, a 30-year-old woman who is 25 weeks pregnant, comes to the emergency department of Parkfield Community Hospital. She says she fell and hit her head at home and is having headaches. During the assessment, the nurse notices multiple bruises in various stages of healing over her body and asks Lucy how she got them. Lucy says that she is just clumsy and falls a lot. While the nurse is assessing Lucy, another nurse enters the room to tell Lucy that her boyfriend is there to take her back home. At that point, Lucy becomes frightened and tells the nurse that her boyfriend has hit her many times before and had knocked her down today. She says he has threatened to kill her if she tells anyone and she does not want to leave with him. Question 1 Identify questions that the nurse could use in continuing her assessment and in documenting the discussion with Lucy. Question 2 What other people should be involved in Lucy’s care in the emergency department? Question 3 Who should make the decision about where Lucy should go?

Solutions

Expert Solution

Step-1

Nurse could use following questions in continue her assessment and documenting the discussion with Lucy

1. What is the reason of tourtoured of Lucy by her boyfriend? Does his boyfriend don't want the baby???

2. What is the major physical and mental problem she faced now ??

3 .What about her family background???Does have any contact and Relationship with family member?

4. What she wants do now ???

5. How does she got multiple brusises in various stages of healing over her body ??

6. What kind steps she would like to take against her boyfriend???

step-2

Firstly nurse should identified what kind major problem she suffered now and how to protect her baby from hermfull condition.nurse can test blood or urine sample on urgent basis.They may sent her for x-ray or other imaging test before physcian see her.Nurse can also provide various kind instructions for how can she safely care of her pregnancy and prescribed medication and also recommended for follow - up medical care.

Step-3

Physician and Lucy ownself should make decisions where should she will go. If physian thinks that there is no proper availability of resourses and Required things then he can recommend to move other emergency care institution.Lucy also take her own decisions , no need to depend on cruel boyfriend.


Related Solutions

Background Ami is a 34 year old woman who is 30 weeks pregnant. Laura has had...
Background Ami is a 34 year old woman who is 30 weeks pregnant. Laura has had one previous pregnancy that resulted in the birth of a 4200 g healthy baby who is now 16 months old. Her partner has accompanied her to the visit. Both parents work full time. Both pregnancies were planned. They both made a point of making healthy food choices and avoiding alcohol when they were trying to conceive. There first born has been a "fussy" baby...
Talia is a 35 year old prenatal woman who is 30 weeks pregnant. She has recently...
Talia is a 35 year old prenatal woman who is 30 weeks pregnant. She has recently been put on hospital bed rest due to vaginal bleeding. Talia follows Kosher dietary restrictions and she will be receiving Kosher meals while she is at the hospital. However, she was admitted 30 min ago, right after lunch was served and she is starving. All she had eaten today was 1 piece of whole wheat toast with jelly, at 7am. Her husband runs to...
A 25-year-old woman with type 1 diabetes comes to the emergency department complaining of thirst, frequent...
A 25-year-old woman with type 1 diabetes comes to the emergency department complaining of thirst, frequent urination, and weakness. She feels “lightheaded” when she stands. Because of nausea and vomiting after a meal in a restaurant the previous day, she stopped eating and taking her insulin. On examination, she is dehydrated and hypotensive. Her breathing is rapid and deep. 1. Which of the following is likely to be lower than normal? a. Urinary urea levels b. Plasma levels of glucagon...
Jamie is a 48-year-old black woman who comes into the emergency department complaining of painful swelling,...
Jamie is a 48-year-old black woman who comes into the emergency department complaining of painful swelling, drainage, and redness over the past 5 days in the left hand. She spends a lot of time outdoors working in her garden and said she had a “pretty nasty” mosquito bite on the top of that hand before the swelling started. After 3 days of increased swelling and redness she went to her doctor and received an oral antibiotic and was told it...
S.H. is a 25-year-old man who comes to the emergency department with chest pain radiating to...
S.H. is a 25-year-old man who comes to the emergency department with chest pain radiating to the arm, behind sternum. Subjective Data Character. Substernal chest pain, pressure, heaviness, or discomfort. Other sensations include a squeezing, aching, burning, choking, strangling, or cramping pain. Severity. Pain score of 10 Location. Behind middle or upper third of sternum radiating to the arm. Objective Data Physical Examination Blood pressure 189/92, pulse 120, temperature 97.7° F, respirations 22 Labs 1.The health care provider diagnoses S.H....
A 26-year-old unmarried woman who comes to the emergency department (ED) complaining of severe left lower...
A 26-year-old unmarried woman who comes to the emergency department (ED) complaining of severe left lower quadrant (LLQ) pain and watery bowel movements (BMs) containing bright red blood every 2-3 hours for the past 30 hours. She has a four-year history of inflammatory bowel disease (IBD). She was hospitalized once at the time of diagnosis of the IBD, but has been stable since then and currently doesn’t take any medication. She lives alone and has a significant other, according to...
S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of...
S.R. is a 65- year-old woman who presents to the emergency department complaining of shortness of breath, productive cough, and swelling in both legs. The patient has a past medical history of congestive heart failure (CHF), hypertension, and diabetes. Vital signs are T 97.5, P 85, R 16, and BP 160/90. Physical exam reveals +2 edema bilateral lower extremities, heart rate and rhythm regular, and lungs with rhonchi in the bases. The patient is started on a nebulizer treatment, and...
A 25-year-old young woman is brought to the emergency department by the police after being found...
A 25-year-old young woman is brought to the emergency department by the police after being found walking in traffic at a busy city intersection. The police place her on an involuntary commitment after she states that she was instructed to kill herself by accusatory, commanding voices. On examination the patient appears disheveled, with an indifferent and flat affect, and disorganized thought processes. She answers most questions monosyllabically. When questioned about experiencing auditory hallucinations she answers in the affirmative, but she...
JC is a 41-year-old man who comes to the emergency department with complaints of acute low...
JC is a 41-year-old man who comes to the emergency department with complaints of acute low back pain he states that he did some heavy lifting yesterday went to bed with a mile back ache and awoke this morning with terrible back pain which he States as a 10 on a 1 to 10 scale. he admits to having had a similar episode of back pain years ago after I lifted something heavy at work. JC has a past medical...
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early...
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest. Subjective Data Describes recurring chest pain for the past 6 months that...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT