NUR4636 – Community Health Nursing Case Study Chapter 29 ✓ Solved

NUR4636 – Community Health Nursing Case Study Chapter 29 Issu

Marty, a 75-year-old male with a history of myocardial infarction, called home complaining of heartburn and running out of antacids. When his daughter-in-law reminded him to maintain his rest and diet times, Marty grew angry. He insists he will care for his diabetes after the harvest. While driving his combine formation with other workers for a night harvest, Marty paused for a break. Eventually, he was found unconscious after his combine overturned, with concerns for both his and his grandson's health. This case study requires an exploration of various issues related to this scenario.

Gathering Necessary Information for Rescue

In any emergency situation, particularly in rural settings, effective communication and prompt information gathering are paramount. The nurse must actively seek detailed information about the circumstances surrounding the incident. This can be achieved by interviewing the grandson, the witnesses who witnessed the accident, and any family members present. The nurse should also collect Marty’s medical history, current medications, and any previous conditions that may impact his treatment.

Utilizing assessment tools to check vital signs, consciousness level, and any visible injuries is critical. Additionally, it would be beneficial to assess the environmental conditions and confirm the time of the accident. Obtaining clear information about the harvest practices and any possible environmental hazards can provide insight into potential causes of the accident and subsequent health risks.

Travel and Emergency Transport Resources

Given Marty's situation, the availability of travel and emergency transport resources is significant. Emergency services in rural areas may be limited, but several resources are typically available. Local volunteer fire departments and emergency medical services can be quickly mobilized to the scene. In this case, a helicopter ambulance was dispatched for urgent transport to a medical facility, demonstrating the importance of aviation support in rural health care emergencies.

It's also crucial to explore ground transport options, such as ambulances equipped for critical care. In addition to local services, regional hospitals may have dedicated transfer protocols for patients needing specialized treatment. Coordination with the appropriate aeromedical services is vital in ensuring that patients are transported efficiently, especially in emergencies like Marty’s situation.

Rural Barriers to Diagnosis, Treatment, and Follow-Up Resources

Rural areas often face unique barriers to healthcare delivery. Some challenges include geographic isolation, limited access to specialized care, and insufficient healthcare workforce. In the case of Marty, the nearest critical access hospital lacks 24-hour trauma care capabilities, which could hinder timely intervention. Additionally, the lack of follow-up services may result in fragmented care, making it challenging for patients to receive appropriate treatment and management for chronic conditions such as diabetes and cardiovascular diseases.

Transport challenges can exacerbate these issues, as the distance to hospitals means delays in diagnosis and treatment, which can result in exacerbation of conditions. Furthermore, cultural beliefs about health and perceived stigma in seeking medical attention can affect health behavior and lead to avoidance of necessary medical care.

Roles of Rural Nursing Theory Principles in Health Behaviors

Rural nursing theory emphasizes the importance of community, relationships, and understanding the social determinants of health. In Marty’s situation, the principles of rural nursing play a critical role in shaping his health behaviors. His belief that he can defer diabetes management because of agricultural obligations highlights a need to integrate health education into community events.

The community-oriented approach could aid in bringing awareness about the implications of ignoring chronic conditions. Developing trust with community members and fostering relationships with local healthcare providers may encourage healthier behaviors among individuals such as Marty. Hence, incorporating rural nursing principles can be a vital instrument in changing health-related behaviors through education, outreach, and support systems.

Trauma Support Needs Indicated by Patient Conditions

Marty’s critical condition, characterized by low blood pressure, an irregular pulse, and potential head trauma, indicates the need for immediate and comprehensive trauma support. A robust trauma support system encompasses not only acute interventions but also organized plans for ongoing care, including neurotrauma, cardiovascular care, and rehabilitation needs post-incident.

Trauma support may require multidisciplinary teams that include trauma surgeons, neurologists, and physiotherapists, collaborating to ensure a comprehensive treatment plan. Supporting resources such as mental health professionals may also be needed for survivors of traumatic incidents, addressing the psychological aspects of trauma alongside physical care. Establishing protocols and partnerships with larger trauma centers for transfer and ongoing care will be crucial in managing such incidents effectively.

Conclusion

The case of Marty highlights significant challenges in rural health care, particularly regarding emergency situations. Efficient communication, adequate transport resources, addressing rural barriers, and the application of rural nursing theory are vital to improving health outcomes. In addition, a coordinated approach to trauma care is essential to meet the complex needs of patients in critical conditions. These themes underscore the importance of a comprehensive understanding of rural health complexities and the urgent need for innovative solutions to improve care delivery in these communities.

References

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• Woods, K. (2018). Challenges of Rural Trauma Care. Journal of Trauma Nursing, 25(5), 297-304.