Exercise 5a:
1-On admission, the patient was:
a.unconscious.
b.conscious and alert.
c.awake but drowsy.
2- On admission, the patient:
a. had been sick.
b. had not been
c. was sick.
3- The patient:
a.came alone.
b.came with her baby,
c.came with a relative.
4- Her base-line functions show that the patient:
a.is not coughing.
b.cannot cough.
c.has no cough.
5- The patient is:
a. worried about the SociaLServices.
b. anxious to see someone from Social Services.
c. worried for Social Services.
6- The patient s father is:
a.sympathetic.
b.indifferent.
c.antagonistic.
7- The patient says:
a. she has too much
b. there s too much for her.
c. things are too much for her.
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MEDICAL
INFORMATION
Relevant medical history
Feeling depressed/weepy over
period, has baby 3 months - c/o aunt consulted GP- no medication
prescribed.
Medical diagnosis:
risk of hepatic failure due to ingestion of
12.5 g paracetamol/risk of respiratory
depression due to drinking unknown amount alcohol.
Allergies:
penicillin
Patient s feelings and expectations related
to present illness:
Patient is aware of dangers &. poss.
risks 8, will co-operate with stomach wash-out.
Nurse s initial impression (physical and
social):
Patient is conscious but drowsy,
uncommunicative & avoids eye contact, poss. poor relationship with husband
(reported by aunt) - says, unable to cope
with new baby .
Attractive, slim young woman - not dirty or
untidy.
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PATIENT
ASSESSMENT RECORD
Name:
Prefers to be addressed
Roberta Blackwood
as: Robbie
Address:
14 Hardcastle Terrace, Chesterton
Other persons important to patient:
husband: James
Whom to contact in emergency:
as above
DOB: 20.7.80 Tel: 0112 765432
Doctor: Primary nurse:
Dr Sullivan RSN Jane Smallweed
Reason for admission:
overdose - 25 paracetamol tabs (approx.) + gin.
Patient s understanding of
admission
patient embarrassed by admission - unresponsive but not
unco-operative.
Source of assessment:
patient/aunt (Judith Smart)
accompanying.
Family s understanding of
admission:
husband & parents
informed.
Drugs
taken at home:
Admits to use
cannabis (to help sleep) |
Exercise 5b:
Which of the
following statements are definitely true at the time this Patient
Assessment Record is completed? (Some statements may be true but you don t know
for sure.)
a. Robbie
is the patient s husband.
b.
The patient was given too many paracetamol.
c.
The patient is out cold.
d. The patient is violent.
e. Information comes from the patient s .aunt.
f. The patient is unhappily married.
g. The husband knows about his wife s admission.
h. Robbie uses unprescribed drugs.
i.
The patient has been to see her family doctor.
j.
No one is available to take care of the baby.
k.
The overdose will cause respiratory depression.
Exercise 5c
The following is part of Roberta
Blackwood s Patient Assessment Record written out in full sentences. Put these
words into the gaps in the text (some of them can be used more than once): at, to,
in, on, of, ago, any, some, about, since, with, though.
Roberta
Blackwood took an overdose ..... 25 paracetamol and drank ….. gin. She did not
respond ..... staff ..... first but later spoke ….. her problems ….. home. She
had a baby three months ….. and has been feeling depressed ….. then. She is not
getting ….. with her husband and she says she is unable to cope ….. the new
baby.
She
uses cannabis ….. help her sleep and ….. she has been in touch with her GP he
did not prescribe ….. medication. Roberta has agreed ….. co-operate with staff
over a stomach wash-out because she understands the danger she is ……
Exercise 5d
The following sentences are taken from
Roberta Blackwood s Patient Assessment Record. Choose, from a, b and c, which
is the nearest in meaning to the underlined phrase:
1- Reason for admission
The
patient has overdosed on 25 paracetamol tablets and an unknown
quantity of alcohol.
a.
The patient didn t know she was drinking alcohol.
b. Hospital staff don t know how much she has drunk.
c. The patient has mixed her drinks and so staff don t know exactly what she has been drinking.
2- Patient s understanding of
admission
The patient is embrrassed by her admission.
a.
The patient is embarrassing.
b.
The patient is shy.
c. The patient is ashamed of herself.
3- Medical diagnosis
There is a risk of hepatic
failure due to the ingestion of 12.5 g of
paracetamol.
a. There is a danger that the
liver will malfunction.
b. Liver failure creates risks.
c. A failed liver is dangerous.
4- Relevant medical history
The patient has been feeling
depressed and weepy over a period of
time.
a. The patient occasionally feels
depressed.
b. She has always been depressed.
c. The patient has been feeling
depressed for a while.
5- Nurse s initial impression
The patient is conscious but
drowsy.
a. The patient is sleepy.
b.The patient is asleep.
c.The patient is unaware of
anything.
Exercise 5e
Read the following article which reports on
research filming an increase in attempted suicides with the accident which
killed Princess Diana. Fill in the spaces with the correct word from each of
the brackets.
The death of Princess Diana and a rise in
the suicide rate in the suicide rate
Recent research by Professor Keith Hawton
of Oxford University shows that the amount of suicide ……… (attempting, attempted, attempts) by women in the UK
increased dramatically ………. (immediate,
immediately) after the death of Princess Diana on 31st August 1997.
There
was a 33.7% rise ……(at, on, in) suicides during the week following the accident, and a 65.1% rise ……….
(at, on, in) deliberate self-harm and ………. (attempted, attempts, attempting)
suicide.
There
is a theory that an event like Diana s ………. (die, died, death) brings people
closer together with a shared sense of .......... (sorry, sorrow) and that this
social cohesion prevents any sudden .......... (increased;, increasing, increase)
in suicide attempts. But not so in this case. Diana s death seemed to serve as a ……….
(go, switch, trigger) for those who wanted ………. (to
take, taking, took) their own lives.
According
to Professor Hawton, Women related to Diana through the ………. (stressful, stressed out,
stresses) and strains they saw in herlife and some thought "Here was a young
woman who had everything going ………. (for, by, with) her and so
what s the point in me ………. (life, living, alive) when you could go just like
that at ………. (some, all, any) time?
Another
cause of the ………. (raise, risen, rise) in suicides according to the research, is the ………. (guilt/guilty)
which people felt when Diana ………. (died, death, dying). People felt responsible
because they were part of the society which wanted to know about her and bought
the newspapers and magazines which chased her. If it hadn t been for us, people thought, she would not ………. (be
speeding, speeded, have been speeding) away in that car from press
and cameramen.
A
spokeswoman for the Samaritans agreed with Professor Hawton but added, we wouldn t say her death (causing, cause, caused) anyone to kill
themselves - it is never anyone ………. (else s, else, else is) fault when someone
takes ………. (a, my, their) own life.