Posted at 01.02.2019
This investigation will consider the needs of your 24-year-old feminine patient who may have been referred for an abdominal X-ray. The individual showed up from the emergency department on a trolley with suspected perforation. She appears to be in a great deal of pain, is on air and has been throwing up. She talks Bengali with little British. She is along with a nurse and her more mature brother who speaks English. This statement aims to recognize needs and requirements to form the most suitable plan of look after the patient, whilst in the radiography division. The following aims will be taken into consideration; the needs of the individual, legal requirements and the role as a doctor. Areas that will be considered in this research are communication, consent, patient dignity, health and safety, patient management and inter-professional collaboration. Patients beliefs, honest issues and confidentiality have to be considered when planning patient care and attention, as care must be tailored for every individual one who uses hospital services. In such a investigation all the issues described will be addressed and a health care plan will be produced for this patient.
Communication is essential with patients as the task needs to be explained and understood before the patient gives consent. The 3-point-check, verifying the patients name, day of labor and birth and address could help show how much British the individual understands as well as identifying the patient. Previous menstrual period must also be examined before an x-ray as it might damage the progress of a foetus. The nurse may have already performed a pregnancy test or made arrangements for communication as the patient speaks little British. Communication with the patient's sibling may be beneficial as he talks English and could be utilized as an interpreter if no professional interpreter can be found. Interpreters may also be used to mention non-verbal communication such as body motions and gestures. It is normally preferred that relatives are not used as interpreters anticipated the unknown trustworthiness of translation (Fraser and Cooper, 2009). Consent from the individual is required for anybody to be present in the area. In 2004 the English Red Mix and Team of Health released multilingual phrasebooks to every UK hospital, which includes 36 dialects, including Bengali. The intent was to provide translations of common medical terms and questions you can use for basic communication with patients. Another issue, which could result communication, is that the individual is nervous, in pain, on oxygen and is throwing up. This may make it difficult for the patient to discuss and cause misunderstanding about what has been said. To help ease this the individual should be kept calm and comfortable by using simple terminology to explain the procedure and respecting the patient's specific beliefs and needs (Section of Health, 2003).
Patient dignity can be an important part of health care. This consists of patient privacy and patients religious, social and ethical beliefs. Personal privacy can be taken care of by giving private areas the individual to undress and discuss treatment. This may not be essential for this patient as she may already be in a gown or could struggle to undress herself. Once communication with the individual has been organised, her values have to be made clear as it may make a difference to the way that good care is provided. The primary religious beliefs that could have an impact in a radiography office are a necessity to be cured by way of a radiographer of the same sex and prohibition to undress in company of others (Team of Health, 2009). For an stomach X-ray, any materials, like metal, which might have an effect on the image, will need to be removed from the region. This may not be appropriate for the patient. Problems with the making love of radiographers can be defeat if other staffs are available. In circumstances where an image cannot be considered scheduled to patients' needs and requirements, the individual must be informed of the potential risks involved and be offered other kinds of treatment. As investigated by Field and Smith (2008) it may not be appropriate for the sibling to be with the patient. The patient's dignity may be lost if information about fragile issues, such as previous menstrual period (LMP), is well known by family.
Before the abdominal x-ray can be studied the patients consent is necessary. Consent is also necessary for the patient's brother or an interpreter to maintain the room and then for the radiographer to touch the individual for positioning. For consent to be valid the individual needs to be correctly enlightened and must have the capacity to provide consent for the procedure involved (Office of Health, 2009). The patient should not be inspired or pressured into either giving consent or not providing consent. Being pressured or affected can come from healthcare pros, family or friends. This is why the patient's sibling is an unreliable source for translation as he could give wrong translations if he doesn't agree with the feminine patient's decision. In this case it will be vitally important that good communication is made, as the individual may not understand what is said because she talks little English. The level of understanding may be impaired because of the patient being stressed, throwing up and on air. Due to this it may not be possible to gain written consent so other varieties of consent can be used. Consent can be written or verbal. Written consent is generally preferred as possible used as data if necessary. Up to date consent is signalled by the actions and behaviour of the best patient (Department of Health, 2009). For example if the individual favorably responds to requests then it can count number as consent. The nurse that has accompanied the individual to the radiography department could be a see to verbal or knowledgeable consent.
Health and Security:
Health and basic safety is vital in the NHS. This includes health and protection of individuals, patients, visitors and anyone who enters a healthcare facility. As the feminine patient has suspected perforation, is on oxygen and has been vomiting, it is likely that she actually is a trauma patient. Anger or hostility is a common way to react to trauma. The communication obstacles could get worse this. Anger is a a reaction to fear and uncertainty if not handled can cause hazard to personnel and carers in a healthcare facility (Easton, 2009). Control methods include speaking with the patient, making sure that she understands what is taking place and considering body language, as this could worry the patient or the patient's brother. Also as the patient is on air and has been vomiting its essential to ensure that the air tank is practical throughout the task which back-up supplies can be found if needed. The individual has been moved on a trolley so will need to be shifted to the stand for the belly x-ray. As the patient may not have the ability to move herself, a team of trained personnel will be needed for manual handling to move the patient. The movement can be done in many ways including log rolling and the utilization of a slide mat. The team should include about 6 customers of personnel to ensure that no harm is triggered to the staff; i. e. back again injury, also to ensure that the patient is backed well. Health and safety standards should be preserved at all times.
The patient will need to be monitored at all times through the x-ray process as any changes in her condition could be life intimidating. She has suspect perforation. As defined by Oxford (2010), perforation is the creation of an hole within an organ, a cells or a pipe inside your body. A disease, allowing the details of the intestine to penetrate the peritoneal cavity, can cause this. Basic observation that need to be produced while in an x-ray department are pulse, respiration and temps, as these are easy observations which may be the first indications of changing conditions. The patient is also in a great deal of pain. Pain can be evaluated by speaking with the patient and by observing the way the patient behaves. (Field and Smith, 2008). As the patient has feature a nurse from another clinic department she may have been given pain management such as morphine or paracetamol, and the radiographer should ask the nurse this when the patient first gets there. Other methods of pain management, which include no drugs and can be easily executed within an x-ray department, include keeping the patient calm, tranquil and distracting the patient from the pain. This can be done by speaking with the individual, either with or without the utilization of interpreter depending on the needs. When the patient's condition worsened when in the radiography section the scan may well not be possible and emergency action may be necessary. This might involve phoning in crisis nurses and doctors to help. The patient would have to be transferred to the relevant part of the hospital for treatment.
Inter-professional collaboration is an essential part in healthcare. THE FACULTY of Nurses of Ontario (2008) believe it means working with other users of the healthcare team who each make a person contribution to reaching a typical goal or goal. Several professions have been contained in the care of the female patient; the nurse who is accompanying her, the doctor who known her to the x-ray section, porters and possibly a lot more such as paramedics and triage nurses. The radiographer will need to use the nurse and the sibling to help the individual and perhaps with an interpreter to help with translations and interacting with the patient. The referral greeting card will have a doctor's name and personal, which must be checked before the x-ray can be studied. This requires inter-professional cooperation as only certain certified staff can send patients to the x-ray office. As the individual is on the trolley and in pain she might not exactly be able to move herself onto the x-ray stand. Extra staff will then be asked to improve manual handling when moving the patient from the trolley to the table. Porters will be had a need to transport the individual following the x-ray has been used. The x-ray image should be sent to colleagues who may then make a plan of care and attention. If surgery is needed then information should be offered to them. Inter-professional collaboration makes healthcare efficient so when radiographers work with every office in a medical center, it is vital that inter-professional cooperation is enforced.
In summary, it is not only a radiographers duty to take x-ray images of every patient who strolls into the division, but also to ensure that their experience is beneficial and satisfactory to their needs. This may take many varieties as with the feminine patient, who talks little British, her needs required special measurements for communication with possible use of any interpreter, pain control, other kinds of consent and safety measures about presenting details to the patient's brother. She also requires care as she is wearing an oxygen mask. Because of this patient, all of her needs and beliefs need to be considered, but still whilst working within the law. The radiographer is also appreciated to be sure that all patient will be receive the correct care after their visit to the radiography section. For example, information must be passed on to relevant occupations after the feminine patient's abdomen check out is taken. The patient should be able to leave the radiography section feeling that she was welcome in the office and knowing that the hospital staff all cared about her health. This type of care, which includes been tailored to match the patient's needs, is not simply for patients who cannot speak British or patients who are in pain. Each patient that will come in for a scan must be treated singularly as everyone has preferences and it is the work of the radiographer to ensure patient satisfaction on both a professional medical and communal level. The individual should be the top priority to anyone in medical care.