Question

Your patient is an 85-year-old woman. As the team begins to move her to the operating table, she cries out and begins cry ing. What do you think could be the possible causes of her extreme distress? CASE 2 You are preparing equipment for a cardiac procedure. The patient has been brought into surgery and is lying on the op- erating table. He says to you, "How long do you think this will take?" How will you respond? What possible concerns does this patient have? Is he expressing these concerns to you through his question? CASE 3 You are assisting the circulator with a 3-year-old patient about to have a tonsillectomy. The patient is screaming and kicking. He is crying and saying he wants his mommy. The circulator calls for more help to restrain the child. When you attempt to soothe him, he kicks you. What will you do? What is this pa- tient experiencing? What can you provide for this patient? CASE 4 The patient is a 20-year-old brought to the operating room for an emergency cesarean section. She is crying. She says to you, "I hope I don't lose the baby. When will my doctor be here?" What is your response? CASE 5 The patient is a 40-year-old woman from Southeast Asia. She does not speak English. You overhear a coworker mimicking her attempts to speak to staff members. The patient overhears this, too, and begins to cry silently. How will you respond to her? Will you respond to your coworker?

Answer 1

Case 1 - The possible cause of her extreme distress is anxiety about the operation .

Case 2 - I will explain the patient about the procedure and the time it would take to finish . He is anxious about the procedure that will the procedure will be successful or not . Yes ,he is expressing his concerns through his question.

Case 3 - The patient is a child , ofcourse he will scream out when he sees that no one known to him is there with him . It a normal child's reaction out of fear . When he kicks I won't do anything ,I wi try my best to make him calm and relax .The child is experiencing fear . If he doesn't gets calm then either will use anestheic drugs or restraints according to physician order .

Case -4 Response - The doctor will be here in few seconds . Everything will be fine . Don't be anxious and be relaxed . We will do our best to have you both safe .