Week 1 DQ#1 due day 3

Week 1 DQ#1 due day 3

Be sure you use APA 6thedition formatting for all your work!

Using a minimum of 250 words and a maximum of 350 words [word count does not include citations and references] (5 points):

J. L. presents herself to the emergency room with lower right abdominal pain.

J. L. is a 17-year-old white female and is accompanied by her mother. J. L.’s mother is a nurse and works in another department of the hospital. The mother signed all of J. L.’s admission paperwork and received the Patient Bill of Rights. Although J. L.’s pain does not seem severe enough for appendicitis, she does have a history of fever for 24 hours and her temperature in the hospital is 100.8°F (38°C). An ultrasound that did not show appendicitis had been done earlier in the day. She was told to report to the emergency room if the fever rose.

After J. L. reports her symptoms to both a nurse and a physician assistant and then an emergency department physician examines her briefly. The staff assumes that J. L.’s mother wants to stay in the room and does not seek the patient’s permission. As a part of her history, J.L. informs them she is not sexually active and is on the second day of her menstrual cycle. The mother can tell by the tone of questioning that the staff does not believe J.L. is still a virgin.

After a two-hour delay, including having to repeat the urinalysis because of a lost specimen, the emergency physician decides a pelvic exam needs to be done. The pelvic exam is traumatic for the patient, despite her mother’s best efforts to calm her. J. L. is told in a condescending tone that the exam hurts because of her failure to relax. Following the exam, the physician tells J. L. and mother that her blood count is normal, the urinalysis was inconclusive because of menstrual blood, and the patient was uncooperative in giving a catheterized specimen.

J. L. and her mother were informed a pregnancy test was done because the staff has experienced “immaculate conceptions” in their department. The only time that J. L. and her mother had contact with an RN during this time was when she was initially triaged and when the discharge instructions were handed to her mother. J. L. and her mother were sent home with instructions. Her pain subsided without treatment.

Describe all the problems you can find in the above story (Hint: There are five problems to find).

Grading Rubric (points out of 100)

Minimum word count met = 5 points

5 problems expected = 19 points each

5 + 95 = 100 points total

Any errors = 0.5 point per error (i.e., grammar, punctuation, spelling, formatting, etc.)

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