Reflection Paper on Managing a 57-year-old Male Patient with Esophageal Ulcer, Lecture notes of Accounting

Download Reflection Paper on Managing a 57-year-old Male Patient with Esophageal Ulcer and more Lecture notes Accounting in PDF only on Docsity! 1 Reflection Paper Chamberlain University November 2, 2020 2 Reflection Paper Introduction, Background, Noticing This clinical day I encountered a 57-year-old male patient who was in the hospital due to complaints of very dark red diarrhea. The patient denied any shortness of breath, fever, nor cough associated with his condition. When I first encountered the patient, he seemed very tired and drowsy either from just waking up or it could have been from fluid deficit brought by diarrhea episodes. The patient complained of abdominal pains in the epigastric and midabdominal regions and when I conducted rapid head-to-toe assessments I ensured to be as gentle as possible. I once encountered food poisoning and experienced symptoms of diarrhea, distended abdomen, and stomach pains. I put my experiences into perspective and was considerate to not hurt the patient any further while I palpated his abdomen. I noticed the patient had trauma to both of his hands. The trauma was located on the back of both hands and it appeared to be bruised with hues of purple reddish colors. He had an IV located on both arms (one IV in each arm) towards the proximal regions and it made me think back to what the instructor had mentioned. The instructor said that IVs should be placed as distal to the arm as possible so that if the IV gets blown, another IV could be placed further up if needed. This man must have had both IVs blown and two more IVs were placed higher than the previous ones to continue the administration of fluids or medications. Interpreting I got a chance to read the patient’s lab values and noticed that he was low in hematocrit and hemoglobin levels. In which I was able to put together and realize that the patient had dark stools because of bleeding. An EGD determined the patient had an esophageal ulcer and was being given sucralfate to help line the esophagus and stomach to prevent further irritation to the