DB3.5 Ch29 Issues With Rural, Migrant, And Urban Health Care

NUR4636 – Neighborhood Well being Nursing
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Case Research
Chapter 29
Points with Rural, Migrant, and City Well being Care
Marty, a 75-year-old male, with a historical past of myocardial infarction known as residence
complaining of heartburn and operating out of antacids. When his daughter-in-law
reminded him to keep up his relaxation and weight-reduction plan occasions, Marty grew offended. “Knock it off. I
am doing tremendous regardless of what the physician mentioned. I’ll take care of the diabetes after the
harvest and I’ll come residence as quickly as I can.”
Driving his mix formation with different employees for an evening harvest, Marty
paused at 9:45 PM for a break whereas the remainder of the mix formation continued
shifting ahead. Marty’s 6-year-old grandson rode within the mix with him to
expertise his first evening harvest. No additional communication was acquired from
Marty’s mix.
The boy’s mom known as once more at 10:00 PM with no reply. Used to “farm
time” and useless area for the cell telephones, she was not overly apprehensive however was
involved about her son being out so late at evening. The mom known as her partner
who drove one other mix in a special subject to seek out out why the boy was not but
residence. The daddy dispatched a truck to seek out Marty whereas the combines continued
harvesting and gleaning.
The truck driver discovered the lacking mix on its facet in a gully with the
lights shining upward. A satellite tv for pc cellphone was used to inform the Northern Air
Ambulance and the native 911 of GPS coordinates. The volunteer flight and
paramedic groups have been dispatched. The Italian-made Agusta Energy-109 helicopter
used devices to fly over two counties of hilly terrain. The one pilot employed
evening imaginative and prescient goggles to review the instrument panel and the radio to maintain the pilot
knowledgeable of floor rescue operations and hospital preparations. The flight nurses
double checked the laryngoscopes, blood provides, and bounce kits whereas sustaining
contact with the primary scene arrivals.
NUR4636 – Neighborhood Well being Nursing
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When the paramedic automobile arrived, an worker truck was seen driving
away from the mix. Marty was unconscious with a weak, irregular pulse of 100,
BP of 65/48, and respirations of 26. A bruise over the correct mastoid is observed. The
grandson is acutely aware and crying, splinted for a damaged leg. His pulse is 120, BP
138/118, and respirations of 24. Purple circles are seen round his eyes. The 6-
year-old complains of a headache and requires his mom.
1. How will the nurse collect wanted info to impact a profitable rescue?
2. What journey and emergency transport assets can be found?
three. What rural obstacles to analysis, therapy, and follow-up assets exist?
four. What roles do rural nursing principle rules play in Marty’s well being
behaviors?
5. The closest important entry hospital doesn’t have a trauma stage as a result of
lack of a 24-hour workers with trauma coaching. What forms of trauma assist
do affected person wants point out?

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