The Initial History Taking and Assessment of Mr. Markantonakis - Essay Example

? Decision making Lecturer: . Critically discuss the initial history taking and assessment of Mr. Markantonakis. Consider the types of questions asked and the actions taken. Support your discussion with evidence from literature regarding professional behavior, history taking and assessment. Mr. Stefano Markantonikas was reported to have succumbed to death on 6th March 2004 because of uncontrollable hemorrhage (Coroners Act, 2003). According to the Coroner’s court inquiries, Mr. Stefano Markantonikas was initially diagnosed with a rapture of aortic aneurysm at Flinders Medical Centre. Through a cross examination of her daughter Chrisoula, she was asked whether she was aware that her father had an accident on 7th July 2002,Chrisoula suggested that she was not aware of such a situation (Coroners Act, 2003). Additionally, after an ambulance had arrived at Mr.Markantonikas home, the ambulance officers suggested that they should take Chrisoula father to Adelaide Hospital. This is because there was a big queue at Flinders Medical Centre (Coroners Act, 2003). In above connection, Mrs, Eleni (Mr. Masrkantonakis wife) put forth the condition of her husband after she came from the chemist to buy him some pain killers. She realized that hers husband condition was getting worse and this forced her to call doctor Switajewski whom she was could to reach (Coroners Act, 2003). She further tried to call the ambulance which arrived some times later. The two ambulance officers who arrived were Jennifer Bell and Sarah Moore (Coroners Act, 2003). Mrs. Elenis accused the ambulance officers for not doing anything to her husband even after arriving in house. Additionally, when they arrived at the hospital, the doctor examined Mr.Markantonikas and asked his wife if she could remember shoulder and neck injuries that her husband had succumbed during an accident in 2002 (Coroners Act, 2003).Mrs. Markantonikas suggested that those injuries were not serious though her husband was attending Physiotherapy for some times but he later stopped attending (Coroners Act, 2003). Therefore based on the above case, it can be scrutinized that there were some levels of professional negligence represented by the ambulance officers and the doctors (Eburn ,2012).For instance after the ambulance officers arrived they could have done something to Mr. Markantonikas but instead they ignored his pain. Additionally, health practitioners at Flinders Medical Centre contributed significantly to Mr. Markantonikas death because they failed failure to attend immediately (Coroners Act, 2003). From the information provided in the coroner’s case outline what your potential diagnoses and clinical decisions would be if you were attending Mr. Markantonakis and provide your rationale. The potential diagnosis for Mr. Markantonikas case, who was suffering from uncontrolled hemorrhage from ruptured aortic aneurysm, could be as follows: The possible treatment for these diseases could be based on the general body health of a patient and the symptoms of the disease (Taylor, 2005). The diseases may be attributed to family history, lifestyle such as smoking to mention just but a few (Taylor, 2005). Therefore, through proper understanding of the possible causes of this disease, it could have been possible to monitor the health progress of Mr.Markantonikas. The health progress of Mr. Markasntonikas could have been monitor through regular Hypertension test (Dolmatch, 2000). In above connection, I could recommended him to change his lifestyle by adopting a healthy diet that contain less fats in order to reduce hypertension (Hart, Loeffler and Kent, 2012).In above connection, could be advised to practice regular body exercise at the initial stage of diagnosis in order to reduce his body weight. Ultrasound could have been performed during the critical stage especially, when heart damage was suspected to have occurred (Geroulakos and Sumpio, 2011). Whereby, a patient may be given anesthesia and allowed to swallow a pipe with a probe at the end. This probe may help to detect and recognize aortic problems more easily and quickly (Dolmatch, 2000). Autography could have been performed by inserting a catheter into the aorta. This may could have helped to show Mr. Markantonakis blood flow as well as help to ascertain the necessary diagnosis for his condition (Taylor, 2005). Additionally, surgery could have been performed as the last option, whereby, the damaged section of the Aorta could be removed and being replaced with a special vessel made up of special fabric cloth. However, special attention should be taken because this surgery may significant effects on the brains kidneys and other body organs (Dolmatch, 2000). Discuss the style of communication used by Ms Bell when interacting with Mr Markantonakis and his family. Outline strategies and communication methods that would have been more appropriate in this case. Ms Bella used verbal and non-verbal communicate as well as face to face communication (Marquis and Huston, 2009). Verbal communication was utilized when she received a call from Ms Bella to come to her house to examine her husband. Connectively, verbal communication was used when Ms.Bella arrived at Mr. Markantonakis house. On the other hand, she used non verbal communication such as signs and gestures and body language to communicate to Mr.Markantonakis. For instance, upon the arrival to Mr. Markantonakis family, she was carrying a red bag which represented acted as a sign of professional emergency duty (Marquis and Huston, 2009). Additionally, upon arrival at the hospital Ms. Bella used non verbal style (body language) by shocking her head towards the receptionist as an indication that Mr. Markantonakis condition was not serious. Therefore, Ms Bella could have used formal language of communication as professional. Additionally, she could have tried to use the language and signs that could have show concern to Mr.Markantonakis and the family. Discuss how the handover to the triage staff at the hospital could have been improved. Provide rationales for your answers. Consider not only the structure of the handover but personal judgment and professionalism. The handing over of patients to the hospital staff could have improved by observing the three basic principles of a triage. The first principle may involve having a special group of those patients who will die whether they are attended or not (Grossman, 2003).Secondly, having another separate group of patients who will not die even if they don’t receive doctor’s attention .Thirdly, having a group of patient who will survive if they are given medical attention and die if they are not given the attention (Grossman, 2003). This could have helped to reduce the number of deaths as well as help to reduce the amount of time that was spent by the patients at queue (Grossman, 2003). For instance, Mr.Markantonakis could have not died so soon if proper immediate attention was granted to him without delays. Discuss the assessment and decisions that were made regarding Mr. Markantonakis’s pain. Develop a pain management treatment plan / approach that you would take in this case Mr.Markantonakis back pain becomes so server on 6th March 2004, whereby, his wife decided to call the ambulance. During the time Mr. Markantonakis was rolling on the bed due to back pain (Coroners Act, 2003). The ambulance officers arrived some time later and after across assessment of Mr.Markantonakis, the by the ambulance officer asserted that Mr.Markantonakis condition was not critical.Mrs.Markantonakis was not satisfied by that condition asked the officers to assist her to take her husband to Flinders Medical Centre (Coroners Act, 2003). They waited for about four hours and during this time her husband wrist and abdomen started swelling. However, the doctor assessed his condition and recommended for a surgery which turned out to be unsuccessful (Coroners Act, 2003). The pain management treatment plan may involve the following: Pain screening may be carried out to identify the areas of pain this can be done using appropriate pain detection tools. In above connection, pain assessment may be carried out to determine the proximate cause of the pain. This could have been done via laboratory test and patient medical data (Joint Commission Resources, 2003). Tools for evaluating pain may be employed to identify the location and intensity of the pain. After pain has been identified, it may be classified into two major categories namely; acute or persistent pain (Joint Commission Resources, 2003). Additionally, a comprehensive pain assessment may be carried out and proper diagnosis may be administered to the patient (Joint Commission Resources, 2003). Reference list Coroners Act (2003).Finding of Inquest. Southern Australia. Eburn .M. (2012 March, 22). “Australian Emergency Law “Retrieved :< http://emergencylaw.wordpress.com/>on 23rd March 2013. Dolmatch, B. L. (2000). Stent-Grafts: current clinical practice. New York [u.a.], Thieme. Geroulakos, G., and Sumpio, B. E. (2011). Vascular surgery cases, questions and commentaries. London, Springer. http://public.eblib.com/EBLPublic/PublicView.do?ptiID=666829. Grossman, V. G. A. (2003). Quick reference to triage. Philadelphia, Lippincott Williams & Wilkins. Hart, M. N., Loeffler, A. G., and Kent, T. H. (2012). Introduction to human disease: Pathophysiology for health professionals. Sudbury, MA: Jones & Bartlett Learning. Marquis, B. L., and Huston, C. J. (2009). Leadership roles and management functions in nursing: theory and application. Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins. Taylor, G. J. (2005). Board buster clinical cases: Steps 2 and 3. Malden, Mass: Blackwell Pub. Joint Commission Resources, INC. (2003). Approaches to pain management: an essential guide for clinical leaders. Oakbrook Terrace, IL, Joint Commission Resources. Read More