NU-664B Week 3 Discussion 1: Hispanic / Nondocumented Patient with Acute Illness
NU-664B Week 3 Discussion 1: Hispanic / Nondocumented Patient with Acute Illness
HPI: A 75-year-old patient of Hispanic descent arrives in an immigrant healthcare clinic with fever, chills, a sore throat, and a nonproductive cough. She speaks some English. The patient appears very ill, with dry mucous membranes, dark circles under the eyes, and pale skin. The patient appears anxious and is reluctant to make eye contact or speak. The health history reveals that the patient lives with extended family in a home setting, including infants and elderly. All of the family members are undocumented residents of the United States.
Influenza: Based on the patient’s signs and symptoms, including fever, chills, a sore throat and nonproductive cough, the fact that the patient’s family were recently sick, and that she just got the flu shot, can support our primary diagnosis for this patient. Another factor is that older adults are at high risk of getting flu. For this patient, a rapid influenza test would be recommended (National Foundation for Infectious Diseases 2023).
Pneumonia: Signs and symptoms of pneumonia include dry cough with thick yellow, green or brown mucus, difficulty breathing, sharp or stabbing pain, fever or loss of appetite, and weight loss. Based on our patient, she doesn’t experience all the symptoms of pneumonia, but she can be potentially at-risk factor since she is an elderly woman. Proper auscultation of patients’ lung, and an x-ray, would help us to rule in or rule out this diagnosis (Case, A., 2022).
COVID: Even though our patient had covid vaccines and a booster, she would be a potential candidate for covid due to her age. However, her symptoms are slightly different than those of Covid. Signs and symptoms that would confirm diagnosis include loss of smell, fever, sore throat, malaise, headache, congestion, and runny nose. In the elderly, symptoms of Covid may be slight alterations in mental status or in blood glucose control. This patient’s Rapid PCR test would help to rule in or rule out Covid (McIntosh, K., 2022).
Upper respiratory infection: Signs and symptoms of upper respiratory infection include scratchy or sore throat, sneezing, stuffy nose, and coughing. Considering the fact that our patient is living with her daughter and granddaughter can be a potential risk factor of getting this patient any viral infection. Ruling out our previous diagnosis could help us to confirm URI. (Lieberman, D., & Lieberman, D., 2023).
Diagnosis: Influenza
Pharmacology
Ibuprofen 400 mg tablet PO every 6-8 hours as needed for pain (Dunphy et al., 2019)
Acetaminophen 325 to 650 mg PO q4h PRN for fever and pain
75 milligrams (mg) or 12.5 milliliters (mL) two times a day (one in the morning and one in the evening) for 5 days (Pelton, S., & Tähtinen., 2022).
Non-pharmacology
Take a rest
Increase fluid intake
Humidifier, cool mist (Dunphy et al., 2019)
Labs/Diagnostics
COVID PCR
Chest XRAY
Influenza PCR
Education
Hand hygiene
Avoid smoking
Take as much rest as needed
Receive annual vaccinations
Use clean humidifier
Utilize the recommended pharmacological and nonpharmacological recommendations
if you have a fever that is higher than 102° F, call your doctor right away
Health maintenance
Follow all vaccinations recommendation
Follow up
Follow-up visit or telehealth call within 48-72 hours (Dunphy et al., 2019).
The patient can face a language barrier at the appointment, which is a social factor of health. For these patients, it’s crucial to make sure they have access to a medical interpreter. There are various methods of interpretation that can be utilized, including live, telephonic, and video.
NU-664B Week 3 Discussion 1: Hispanic / Nondocumented Patient with Acute Illness References
Case, A. (2022, January 20). Why pneumonia can be deadly for the elderly: West hartford health. West Hartford Health & Rehabilitation Center. Retrieved January 18, 2023, from https://westhartfordhealth.com/news/senior-health/pneumonia-deadly-elderly/
Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2019). Primary Care (5th ed.). F. A. Davis Company.
National Foundation for Infectious Diseases. (2023). Influenza and older adults Retrieved January 18, 2023, from https://www.nfid.org/infectious-diseases/influenza-and-older-adults/#:~:text=Older%20adults%20are%20at%20higher,of%20infection%20for%20those%2065%2B.
McIntosh, K. (2022 ). COVID-19: Clinical features. UpToDate. https://www-uptodate-com.regiscollege.idm.oclc.org/contents/covid-19-clinical-features?search=covid-19&source=search_result&selectedTitle=5~150&usage_type=default&display_rank=5
Pelton, S., & Tähtinen, MD, PhD, P. (2022). UpToDate. Retrieved January 11, 2023, from https://www.uptodate.com/contents/ear-infections-otitis-media-in-children-beyond-the-basics
Lieberman, D., & Lieberman, D. (2023). Management of respiratory infections in the elderly. Expert review of anti-infective therapy, 1(3), 505–516. https://doi.org/10.1586/14787210.1.3.505.
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I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
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Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource