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Applying Standardized Terminologies in Practice

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The patient came to the hospital with his wife, who was very cooperative with the hospital staff and stayed until she had to leave for work. The wife and the patient do not smoke or consume alcohol. In terms of health promotion, the patient is fully ready for treatment and his environment is supportive of any approach.The patient states that he has a stable office job, and has been working as a software engineer for almost ten years. The patient states his wife works as an auditor and is the head of her auditing department. The patient has a son who is thirteen years old and his parents are business owners so they are not under his care. The patient lives in a good middle class community. The wife of the patient states that she is capable of monitoring her husband during the treatment, however, the patient states that he is fully capable of following any treatment plan. The patient also states that he has the discipline to follow specific diet regimes. However, one of the problems is that the patient is reluctant to stay in the hospital and stated that he would prefer to undergo treatment at home.The general inspection was normal and the patient was fully conscious and alert. The patient had a decrease in his blood pressure to 103/62; however, it was within the normal range. Previously the patient had a blood pressure of 118/70. Other vital signs were within normal range with respiration of 12 breaths per minute. The patient had a heart rate of 72 beats per minute, which was slightly increased from 68 beats per minute. The oxygen saturation was within normal range at 97 on room temperature. The patient reported that he had two bright red stools. The patient also has a history of diverticulosis and GERD.The color of the patient’s stool shows that there is bleeding in GI tract. The GI bleeding has resulted in a slight reduction in the level of blood and this is shown by an elevation in the heart rate of the patient as well as the reduction in the blood pressure. However, since the blood pressure and the vital signs are within normal range and the patient has no clear signs of pallor or bleeding upon referral, the main information indicating the presence of internal bleeding are the 2 bright red stools which were stated by the patient. Furthermore, the patient has a history of GERD and diverticulosis which places him at risk of GI bleeding (Miller et al.The first approach would be to ensure
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preview essay on Applying Standardized Terminologies in Practice
  • Pages: 4 (1000 words)
  • Document Type: Essay
  • Subject: Nursing
  • Level: Masters
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