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Global Health Systems 1st Edition by Margie Lovett Scott ,Faith Prather
Edition 1ISBN: 978-1449618995Global Health Systems 1st Edition by Margie Lovett Scott ,Faith Prather
Edition 1ISBN: 978-1449618995 Exercise 15
Case Scenario
Misunderstood
Mrs. Madan, a 28-year-old East Indian came to the United States three months ago to join her husband who has been in the United States for one year. She is approximately 5 months pregnant with her first child but has not yet been examined by a doctor. She arrives in a local emergency department, accompanied by her husband with whom she has no physical contact throughout the encounter. When the couple entered the emergency department Mrs. Madan walked several feet behind her husband, her eyes were red and slightly swollen. The admitting nurse said she assumed she had been crying. When asked direct questions she repeatedly deferred to her husband who insisted on being present for the entire assessment, but otherwise sat silently across the room. Mr. Madan reports his wife was complaining of a headache, toothache, vomiting, diarrhea, and very little sleep for three days. They are concerned about the effect of Mrs. Madan?s condition on the baby.
Throughout the emergency department stay, Mrs. Madan spoke very little, allowing her husband to be her spokesperson. During her exam the women?s health nurse practitioner closely examined her for bruises, but found none. After the exam, the nurse practitioner told Mr. Madan his wife was dehydrated, and the plan was to draw blood to send to the lab, hydrate her intravenously, watch her overnight, and reevaluate her the next morning. He agreed, told his wife he would see her in the morning and left the hospital. The nurse practitioner questioned Mrs. Madan about her husband?s seeming lack of concern, and asked about her red eyes and the possibility of spousal abuse? She was offended, and insisted her husband was a good man, supportive and affectionate when in private. Mr. Madan returned early the next morning to find his wife and unborn baby were both fine and that his wife could go home. She was encouraged to rest and drink plenty of fluids, and was given multivitamin samples and a referral to be seen the next day by an obstetrician. He thanked the staff and took his wife home.
What do you believe accounted for Mrs. Madan's dehydration?
Misunderstood
Mrs. Madan, a 28-year-old East Indian came to the United States three months ago to join her husband who has been in the United States for one year. She is approximately 5 months pregnant with her first child but has not yet been examined by a doctor. She arrives in a local emergency department, accompanied by her husband with whom she has no physical contact throughout the encounter. When the couple entered the emergency department Mrs. Madan walked several feet behind her husband, her eyes were red and slightly swollen. The admitting nurse said she assumed she had been crying. When asked direct questions she repeatedly deferred to her husband who insisted on being present for the entire assessment, but otherwise sat silently across the room. Mr. Madan reports his wife was complaining of a headache, toothache, vomiting, diarrhea, and very little sleep for three days. They are concerned about the effect of Mrs. Madan?s condition on the baby.
Throughout the emergency department stay, Mrs. Madan spoke very little, allowing her husband to be her spokesperson. During her exam the women?s health nurse practitioner closely examined her for bruises, but found none. After the exam, the nurse practitioner told Mr. Madan his wife was dehydrated, and the plan was to draw blood to send to the lab, hydrate her intravenously, watch her overnight, and reevaluate her the next morning. He agreed, told his wife he would see her in the morning and left the hospital. The nurse practitioner questioned Mrs. Madan about her husband?s seeming lack of concern, and asked about her red eyes and the possibility of spousal abuse? She was offended, and insisted her husband was a good man, supportive and affectionate when in private. Mr. Madan returned early the next morning to find his wife and unborn baby were both fine and that his wife could go home. She was encouraged to rest and drink plenty of fluids, and was given multivitamin samples and a referral to be seen the next day by an obstetrician. He thanked the staff and took his wife home.
What do you believe accounted for Mrs. Madan's dehydration?
Explanation
Verified
Verified
Mrs. M was probably dehydrated because o...
Global Health Systems 1st Edition by Margie Lovett Scott ,Faith Prather
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