Order Description
UK BASED SO MUST USE UK REFERENCES, PROTOCOLS ETC…
Management of the Specialist Patient across the Lifespan in Paramedic Practice
Learning outcomes to be addressed in this assignment
2. Explore and describe the key clinical skills and knowledge required for the safe and effective management of emergency obstetric care
3. Critically analyse and apply appropriate evidence based practice in the effective management of the specialist patient with reference to the relevant legal and ethical frameworks
A 2,500 word academic assignment based on a case study on a specialist patient
Case Study
You have been responded to a 999 call to attend a woman who is 36 weeks pregnant with her second child. She appears to have lost 1litre of blood per vaginum and is in a collapsed state. You undertake a rapid assessment and note her initial observations to be:
? Pulse: 130 beats per minute and thready. The radial pulse is palpable although it is weak
? Respiration: 24 breaths per minute and shallow
? Blood pressure: 80/40 mmHg
? Temperature: 35.0oC
? Blood glucose: 5mmol/l
? The patient appears pale and only responds to voice.
Her partner tells you that her last ultra sound scan had shown that the cord was presenting below the baby’s head and consequently the plan was for an elective section in 2 days. Prior to the blood loss the waters appeared to rupture and the woman is contracting regularly. Your patient is upstairs in the bathroom. Egress is not simple as there is a 90o left hand turn after the third stair and limited room in the bathroom. The stairs lead to the hall, which is wide enough to accommodate a stretcher and allow for transfer of the patient.
If she gives birth in your care, discuss the consequences for the baby. What would you need to consider?
?
The Introduction
State the purpose of the assignment
State what you will discuss within the content of the assignment
The body of the assignment
Describe the pathophysiology involved in the manifestation of the patient’s problems. Establish why they may be occurring and ensure that you link this to your own clinical practice. For example, what is causing the alteration in blood pressure and the increase in pulse rate?
Critically analyse any interventions that you may wish to make with this patient. If you are going to administer drugs or fluids, examine the risks and benefits of your interventions. Look for the literature to provide the evidence.
Conclusion
Provide a summary of the main points of the essay.
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