Posted: September 11th, 2022

The Homeless Patient Assessment & Management Plan

The Homeless Patient Assessment & Management Plan

The nurse practitioner (NP) is working at a well being clinic in a homeless shelter throughout the early night. A 48-year-old African American man approaches the practitioner and asks to have his blood stress taken, saying that he has not had it checked “shortly”.

The man seems to be in some kind of misery and experiencing ache. The man walks slowly, utilizing a guarded method, and he seems diaphoretic. His mucous membranes additionally seem pale. The affected person’s blood stress is 210/98. The affected person stories that he has not been identified with hypertension beforehand. The affected person reveals that he has extreme belly ache that’s radiating to his again. The nurse finds a coronary heart fee of 110, respirations 30 with shallow inspirations, and temperature 102.2°F. The affected person’s pores and skin is cool and clammy.

The affected person stories a historical past of alcoholism, homelessness, and lack of entry to well being care. He says that the signs have been current and worsening over three days. The man says he thinks he might need pancreatitis once more, which he had “a few years in the past”. The NP recommends that the person ought to be seen at a hospital for his situation, however the affected person says he doesn’t have medical insurance, so he doesn’t need to go.

The NP proceeds with a bodily examination, discovering extreme belly ache within the epigastric space, yellowed sclera, no belly distention, and hypoactive bowel sounds. The clinic is provided with fundamental supplies however no means to conduct lab or radiologic testing. Focus on the next:

Contemplating the affected person’s homelessness and lack of insurance coverage, what motion ought to the practitioner take?
When the affected person asks why his situation can’t be managed exterior of the hospital, how ought to the practitioner reply?
When the affected person arrives on the hospital for additional diagnostic work-up, what checks will doubtless be carried out to judge the affected person’s situation? What ought to the practitioner do concerning the affected person being homeless and never having insurance coverage?
How ought to the physician reply the affected person’s Question Assignment about why his situation cannot be handled exterior of the hospital?
When the affected person goes to the hospital for extra testing, what sorts of checks are almost definitely to be carried out to determine what’s fallacious?
How will the severity of the pancreatitis be assessed when the affected person is hospitalized?
How ought to the affected person’s situation be managed when hospitalized?
6.What affected person schooling ought to be included after the pancreatitis is resolved?

Submission Directions:

Your preliminary put up ought to be no less than 550 phrases, formatted and cited in present APA model with help from no less than three tutorial sources.

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