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IHP 420 Case study 4-3

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 IHP 420 Case study 4-3

Case Study 4-3

As a healthcare professional, it is imperative to complete a thorough assessment of each patient before implementing a plan of care.  In this case, the patient arrived at the emergency room alert and able to answer questions.  During this time, the physician should have obtained an adequate history and physical.  In doing so, the physician would have determined all health conditions that the patient could have including substance abuse.  During a head to toe assessment, the physical would have potentially smelled the alcohol on the patient’s breath or seen track marks on the patient’s body.  Also, during the history and physical, the physician must ask important questions about the use of substances and what the patient had been doing prior to the accident.  In addition, the physician should have collected blood samples from the patient for laboratory testing.  The case study presented states that the patient did not disclose any of his drug and alcohol abuse to the emergency room staff.  In this case, the patient’s blood work would have been essential in determining the use of these substances.  In the event of a motor vehicle accident, the healthcare professional must always determine if the patient was under the influence of drugs or alcohol.  This is essential in developing a plan of care. 
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