Your care is important and communicating changes in patient condition is critical for the best outcome for the patient. When assisting a patient to the dining room you observe the following: the patient enjoys chatting with friends on the way and is pleasant and cooperative. The patient becomes flushed and appears to have increasingly difficult time breathing; he then reports pain whenever he
tries to take a deep breath and heaviness in his chest. What would you do?
What will be an ideal response?
Assist the patient to a comfortable position in a chair or wheelchair; send someone for the nurse immediately. Assure the patient remains calm. Request assistance from another nursing assistant so you may obtain a set of vital signs and have them for the nurse. Nursing assistants are often the first set of eyes observing a change in a patient and it is imperative they take the appropriate action. Situations such as this may be a flare of a chronic condition such as asthma or congestive heart failure or something more acute such as pulmonary emboli (blood clot) or even a myocardial infarction (heart attack).
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