Thursday, May 16, 2019
Penetrating and Blunt Abdominal Trauma Essay Example | Topics and Well Written Essays - 1000 words
sharp-worded and Blunt Abdominal Trauma - Essay ExampleThe author discussed, in detail, the various medical interventions done on the uncomplainings and their possible complications that arose during the duration of their hospitalization. As for the health assessment affair rationales mentioned in this ledger, Eckert discussed a flow of the procedures. Observation as to the patients appearance upon encounter is to be done first. straw man and location of wounds as well as the depth and entrance and exits sites for penetrating wounds should be celebrated. Next, the author noted that auscultation is to be done prior to palpation as to prevent alteration of bowel sounds due to purpose (p.53). Presence or absence of bowel sounds should be done comprehensively, covering all 4 quadrants. Nurses should retrovert the quality, frequency and any abnormality in the bowel sounds. Auscultation over major blood vessels not entirely in the abdominal argona but also in near regions that ma y be affected such as the femoral vessels should be checked. Palpation will elicit the presence of abdominal tenderness, confine tenderness, guarding, texture of abdomen and any irregularities. Several organ injury scales were discussed by Eckert. Among the scales mentioned that were being procedured in the nursing practice were the 6-level Liver Injury Scale, the 5-level Splenic Injury Scale, 5-level Kidney Injury Scale, and 5-level Pancreatic Injury Scale. The Penetrating and Blunt 3population discussed in this journal is the patients with abdominal trauma. Most, if not all of the cases in this journal were emergency or acute cases. I think that among the strengths of this journal is the comprehensiveness and practicality of this journal to nursing practice. Its use of case studies gives the reader a picture of what is to be encountered in the emergency rooms or intensive care units in the hospital setting. It was very thorough in explaining the different procedures done on the patient and individually of its rationale. The journal introduces to the reader around information on the anatomy and physiology of some of the vital abdominal organs which are commonly affected in abdominal trauma. This is most helpful to nursing students who are still beginners in the field for them to have an idea of the interplay between these organs. This journal also gives information on the ancillary procedures usually done on the patients, highlighting the most pertinent or practical for each case or organ. For example, the author stated that the CT survey is the most sensitive diagnostic tool for most abdominal trauma injuries and between the FAST scan and the diagnostic peritoneal lavage (DPL), the FAST scan is more utilized in most emergency cases because it is non-invasive and inexpensive compared to DPL. Also to be commended is the use of some visuals such as pictures of the different interventions. It also made use of some flow charts or concepts maps in nursing a ssessment in specific situations and included the indications for surgery and admittance to the ICU. This article was able to contract my interest because it is easy to understand and very thorough in explaining the various assessments, procedures and treatments involved in patients with
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