Risk Factors Of The Emergency Room

History of cardiomyopathy. The most recent echocardiogram was done in 2014 showing improved ejection fraction at 55%. He feels asymptomatic, at this time. He did have recent testing with Dr. Dourdoufis. I will request those notes and review them when they arrive. He will certainly let myself or Dr. Dourdoufis know or seek care if necessary if his symptoms change acutely.

Uncle Jake and Aunt Leah were playing golf last week. On the sixth hole, Jake told Leah that he was having unusual pain in his left arm and chest. All of a sudden he felt weak and complained that his shirt was much too tight. A dentist playing one hole behind them examined Jake and found he was short of breath, pale, and sweating. He called 911 on his cell phone and told Jake to lie down and wait for the ambulance. The paramedics rushed Jake to the hospital where he was evaluated by a cardiologist. The tests showed that he had four clogged arteries. He was scheduled for surgery the next day.

The time is 1900 hours. You are working in a small, rural hospital. It has been snowing heavily all day, and the medical helicopters at the large regional medical center, 4 hours away by car (in good weather), have been grounded by the weather until morning. The roads are barely passable. WR., a 48 year old construction worker with a 36 pack year smoking history, is admitted to your floor with a diagnosis of rule out myocardial infarction (R/O MI). He has significant male pattern obesity (beer belly, large waist circumference) and a barrel chest, and he reports a dietary history of high fat food. His wife brought him to the ED after he complained of unrelieved indigestion. His

Environmental Factors: The hospital is a very busy place. The background noise can distract the attention of the physicians while they ponder over the right prescription of a drug. The high demand of a medical profession can be stressful and lead to fatigue. These possible occupational hazards can contribute to medical errors.

Joseph is middle age Caucasian male who has suffered a heart attack. This may have been caused by him not taking care of his body properly. Joseph is already at high risk for heart disease due to a family history if vascular disease. He has also been stressing, an increase in weight, not exercising, and unhealthy eating. These things could all

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

Beaufort Memorial Hospital, Beaufort, SC is no exception to this rule. With much of Beaufort County and the surrounding counties being rural and with a high poverty rate Beaufort Memorial experiences a high level of underinsured and indigent care. In 2012 the Medicaid

Emergency room over utilization is one of the leading causes of today’s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ‘Yes’ and ‘No’.

When focusing on the Centers for Medicare and Medicaid Systems strategies for improvement with unnecessary emergency room visits, a major key area is accessibility to health care at the appropriate health care setting. For many years, there has been the perception that the emergency department is the only place for someone who is uninsured or underinsured can go to receive the needed and appropriate health care, and in some situations that may be the case. (Rhodes et al, 2013, p.394) Due to the decreases in reimbursements for the publicly funded, more and more physicians are opting out to treating these patients, thus leading to an increase in emergency department utilization. According to a study conducted by Rhodes, Bisgaier, Lawson, Soglen, Krug, and Haitsma, this is becoming a greater concern for the

Upon arrival to the emergency department at the hospital facility I work for, based on father Aoyagi’s symptoms, vitals were taken, labs were drawn, 12 lead EKG was done, MONA was initiated and the patient was made as comfortable as possible. A brief history was taken. The patient was a 72 years old Japanese native male, 5’4” in height, weighed 84kg, with a good muscular tone, slightly protruding abdomen, appeared much younger than his age, and very clean in appereance. The patient has a long history of smoking about half a pack to a whole pack per day for 40 years, hypertension, slightly controlled diabetes mellitus type II, hyperlipidemia, and possible family history of CHD. His diet was of a traditional Japanese, high in seafood, rice, vegetables, noodles, fruits, and tofu. Patient Aoyagi was a

As previously determined, multiple risk factors contribute to a person developing cardiovascular disease. For further discussion, obesity will be the primary risk factor discussed due to the high obesity rate in the county I currently reside in. Guernsey County, Ohio, boasts an alarming high rate of residents who lack sufficient physical activity at 83.3%. This is an alarming finding but one that arguably contributes to the obesity rate of Guernsey County’s population at 30.2% which is just above the national percentage of 28.1% in America (city-data.com, 2014).

Approximately half of a million Americans are homeless, living in shelters or on the streets at any one time (Galea & Vlahov, 2002). The homeless population utilizes the emergency room to gain access to, primary care, nutritional, pharmaceutical and basic needs with non-medical issues is a contributing factor to emergency room overcrowding. The non-medical can primary care component needs to be moved out of the acute care setting of the emergency room but still readily accessible to the homeless clients.

Emergency room overcrowding is a major issue throughout not just the United States but in many countries. There have been many strategies on how to combat this issue as patient satisfaction is often being a major variable on hospitals being reimbursed, which interventions are most helpful? One intervention that is gaining more and more popularity is advertising wait times. Through a PICO search with key words of “ED triage” and “patient satisfaction” or “wait times” provided some great original research over the past five years that has been peer reviewed in the Journal of Canadian Association of Emergency Physicians. While multiple research papers came up, the methodology and potential of taking this particular study further was of great interest.

Upon analysing this information, we can narrow down the results, and investigate possible conclusions. Adriane Stoeber (2016), a Cardiac Nurse Clinician stated through personal communication that this patient is at risk for cardiovascular disease (CVD), with his history of hypertension. He is exhibiting symptoms of acute coronary syndrome (ACS). Further investigation needs to be done to distinguish if the patient is having non–ST-segment elevation myocardial infarction (NSTEMI) versus ST-segment elevation myocardial

How could we reduce the wait times for patients being seen with cardiac related issues in the ER, as the morbidity and mortality associated with these diagnoses were much more significant than other illnesses or complaints elicited? It