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Health Assessment Focused Health Assessment Lola Lewis-Walker University of Phoenix NUR/420: Health Assessment Gina Robinson, MSN, RN, CLNC December 18, 2006 Focused
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health departments that would effectively carry out the three core functions of public health: assessment, policy development, and quality assurance. (Sultz and Young,
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Focused Health Assessment
Lola Lewis-Walker
University of Phoenix
NUR/420: Health Assessment
Gina Robinson, MSN, RN, CLNC
December 18, 2006
Focused Health Assessment
Trauma one Pediatric Emergency Department! Trauma one Pediatric Emergency Department responding over! Rescue Unit 29 transporting a 12 year-old boy, named Mike, hit by a car while riding his bicycle. This is a hit and run accident, but other motorists called a rescue unit. The child was not wearing a helmet. Facial bleeding is under control, but he suffered facial and head trauma. There appeared to be no facture of the extremities. Presently he is awake and semi-alert. Vitals signs: BP 120/56, Pulse 120, Oxygen saturation on room air 90%, Respiratory rate, 24. He is mobilized with a cervical collar on a gurney. Rescue 29 over! Emergency department preparing for arrival over!
As a nurse working in the Pediatric Emergency Department in rural Belle Glade Florida, the writer recognized that rapid assessment and evaluation is essential for a positive outcome in head trauma victims. According to the Neurological Disabilities Center, "every 11 minutes one child in the United States has a brain injury which results in permanent disabilities (30,000 children per year)." The article goes on to say "Only one percent of the children admitted to trauma units after a bicycle injury were wearing helmets" (National Disabilities center, 2001). This writer also notes that the mortality rate of head injury is high and can lead to physiological, cognitive, and physical impairment lasting a life time. With this in mind, initial observation, assessment, diagnosis and management is crucial to the outcome in a head trauma patient.
For any patient entering the emergency department, a proper history taking is essential to their care and subsequent treatment. Observations at the scene may...
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