Good Example Of Decision-Making: Intuitive /Pattern Recognition And Analytical Reasoning Case Study

Type of paper: Case Study

Topic: Medicine, Nursing, Hospital, History, Medical History, Condition, Patient, Decision

Pages: 3

Words: 825

Published: 2020/12/15

Decision making: intuitive/pattern recognition and analytical reasoning

The lady’s condition cannot be maintained using regular pain relievers. From her medical history, it is true that her underlying condition is beyond the experienced abdominal pain. Her medical history of feeling nausea, bloating and feeling unwell points to a much serious condition. Analyzing the situation thoroughly, it is prudent that the lady visits a hospital for further medical checks and ultimately specialized care. The lady may have called the ambulance to take her to a hospital because she was in immediate medical need owing to the fact that her medical history point to an existence of a disease. An ambulance would have been the fastest means for her to reach a hospital, where she would receive immediate medical care to relieve her of this medical condition. It is sensible that she stays close to a medical facility where she would have a chance to receive emergency care in case her condition further deteriorated (Rajkomar and Dhaliwal, 2011).
Upon meeting this lady and getting her medical history, my first impressions are that lady’s abdominal pains are a result of a deep-seated disease in her body. The multiple conditions are a reflection of a person who is sickly and in need for immediate and comprehensive medical care. Immediately, I will propose that she sees a doctor at a hospital, and it will be appropriate that an ambulance is called in to transport her.
Her medical history is crucial in making a decision on the medical path she should take. The history will provide evidence of the severity of her condition. To gather her medical history, I will ask her when the abdominal pains started, the intensity of the pain, how long she has been nauseating, and if she has been diagnosed with any terminal disease (Pelaccia et al., 2011). This extensive inquiry into patient’s medical history will help very much in deciphering what she might be suffering from or be used to gauge the severity and extent of her condition.
The medical history of my patient will mostly guide me in advising her to leave the comfort of her home and seek medical care in a hospital environment. I will also ensure that I make a call to her medical doctor. This decision is important because it will enable the patient to visit the hospital where there are more facilities to be used in unraveling what she is suffering from and noting procedures she should be placed under (Mason and Nixon, 2015). Informing her local doctor is also prudent so that he or she can do a follow up on the patient using the medical records of the patient that have been kept. This decision is also fraught with some risks which include subjecting the patient to a possible long wait at the emergency department of the hospital, the likelihood of conflicting diagnoses between that of her local doctor and that which will be done at the hospital. The conflicting diagnoses may result in different approaches to management of her condition. The person who will be responsible for this decision is me who formulated it.
Ultimately the lady succumbs to aortic aneurysm. The potential of an aortic aneurysm could have been identified by examining the abdominal pains that lady complained of. It is the characteristic of an expanding abdominal aortic aneurysm to cause constant abdominal or low back pain. The implications of CPR include low success rates, and it has side effects of rupturing ribs. Survival of a cardiac arrest is only enhanced by implementing high-quality CPR rapidly.
My priorities in Ricky’s situation are to ensure that his breathing is sustained, and an ambulance is called in to rush him to the hospital. To sustain his breathing, I will conduct a cardio-pulmonary resuscitation. A CPR is important life-saving technique when a person stops breathing. It ensures that oxygenated blood continues to circulate in the body, therefore preventing any possible organ or brain damage. As I pursue to sustain his breathing, an ambulance should be on the way coming to pick him for eventual hospital admission. Failing to carry out CPR will result in Ricky degenerating into unconsciousness and dying in less than ten minutes due to heart failure (Jensen et al., 2009).
As the process of resuscitating Ricky continues, I will also be making some observations. This will include body temperature, the heartbeat, the size of swelling on his head, any traces of blood on his body or clothes, and his hearing capability (Anazodo et al 2014). In these observations, I will be focused on noting any abnormal changes in his body and if showing any response to the cardio-pulmonary resuscitation. Moreover, the changes I will be focused on deciphering are temperature increases, the number of heartbeats recorded per minute, and any loss of coordination of bodily functions. These changes will guide me in establishing the extent of Ricky’s injury and possible medication to give him before the ambulance arrives.
Finally to the parents, I will implore them not to panic but to support me in restoring Ricky’s life. Having the medical expertise should be enough reason for them to trust me as I look for options to ensure that Ricky gets back on his feet (Mason and Nixon., 2015). With their support and containment of their panic, we will work in overdrive to restore Ricky’s life.

References

Anazodo, A., Murthi, S., Frank, K., Hua, P., Hartsky, L., Imle, C., Stephens, C., Menaker, J., Miller, C., Dinardo, T., Pasley, J., &Mackensie, C 2014. Assessing trauma care provider judgement in the prediction of need for life-saving interventions. Injury http://dx.doi.org/10.1016/j.injury.2014.10.063
Jensen, J. L., Croskerry, P., & Travers, A. H 2009. Consensus on Paramedic clinical decision making during high-acuity emergency calls: results of a Canadian Delphi study, BMC emergency medicine, vol. 9, no. 1, 17. http://search.proquest.com/docview/920099138/fulltextPDF?accountid=10910
Mason, J., & Nixon, V 2013. Clinical Decision Making. In V. Nixon (Eds.), Professional Practice in Paramedic, Emergency and Urgent Care, Wiley-Blackwell, pp. 50-76.
Pelaccia, T., Tardif, J., Triby, E., & Charlin, B 2011. An analysis of clinical reasoning through a recent and comprehensive approach: the dual-process theory, Medical education online, vol. 16. http://med-ed-online.net/index.php/meo/article/view/5890
Rajkomar A and Dhaliwal G 2011. Improving diagnostic reasoning to improve patient safety, Perm J, vo. 15, no.3, pp. 68-73. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200103/

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