Healthcare Case Management: Primary and Secondary Surveys

This document presents a solution to a healthcare assignment focusing on the management of two distinct cases using the principles of primary and secondary surveys. The first case involves a 5-year-old child brought to the clinic after a fall, exhibiting drowsiness. The primary survey emphasizes the need for diagnostic imaging, initial pain management, and addressing the child's mental state. The secondary survey highlights the importance of empathetic communication and providing a supportive environment for the child. The second case involves a 65-year-old male patient with diabetes and hypertension, presenting with limb weakness and slurred speech. The primary survey stresses the importance of a thorough medical history, differential diagnosis, and medication review. The secondary survey focuses on providing emotional support, quality care, and home care facilities for the aging patient. Both cases underscore the importance of a holistic approach to patient care, considering both physical and psychological aspects, and the crucial role of healthcare staff in providing effective and compassionate treatment.

Outline your MANAGEMENT for the following cases using the principles of the
primary and secondary survey.
QUESTION 1
1. A 5-year-old child is brought to your clinic, after an alleged fall down the
stairs. You note that the child is breathing but is drowsy. (10 marks) -400
WORDS
Primary survey: In this case, it is well analyses that the children is fallen down from
the stairs. As per this, the primary analysis stated that the children are must diagnose
by using X Ray and CT scan. The factors about the fracture and others things which is
observed by using the diagnosis (Li and et. al., 2017). Moreover, the children are
breathing but the drowsy is examine this is well state that the children are facing some
issues regarding with the health and this is analyzed by using the diagnose before this
the initial treatment are started such as the paracetamol and Ibuprofen is given to the
children to reduce the pain and some of pain killers are administered through the
intravenous route. Drowsiness created in the child because of the mental state and the
psychological state. However, free state and anxiety so it is necessary to confirm this
and motivate the child for the treatment. In order to this, there are various medication
which helps to control the drowsiness. In this case, the tranquilizers, antihistamines
and the sleeping pills are used to provide to children in order to control the drowsy.
This medication is are used against in various ways but as per this condition the child
experience drowsiness so to control this it is necessary to provide him some of the
medications in lower dose (Doudou and et. al., 2019).
Secondary survey: Secondary approach which is essential for the child is that they
need a quality of care and quality of health. As per the nursing staff of the healthcare
sectors must communicate and interact with the children in order to know the other
complications (Hahm and et. al., 2019). Because, this is re assume that the children
are falling from a height and maybe the children face various pain and health issues.
In this, the age of the children is 5 years old and he is not able to share all the
complications. So, as per this, the nursing staff is playing a vital role in this to know
the other complications by communicating and interacting with the children with their
polite nature. This is a useful approach from the healthcare sector in order to know the
situation of that particular child. The child needs first line of care to reduce the pain
and the nursing care staff used to provide some of the interaction which is try to forget
the pain and create the joy in the face of the children. Moreover, it is difficult task for
the nursing staff but it is essential to maintain the resilience by taking the prospect of
children (Suraev and et. al., 2020).
QUESTION 2
2. A 65-year-old male patient, with underlying Type 2 diabetes mellitus and
hypertension, is brought to your clinic complaining of left upper and lower limb
weakness. The patient is able to talk but his speech is slurred. (10 marks) - 400
WORDS

Primary survey: In this case, it is analyzed that the patient face issues regarding with
the pain which is originated in the left upper and lower limb which falsely create the
symptom of weakness before providing the drug the medication history is also need to
know because the patient is previously face the type 2 diabetes mellitus and
hypertension (Foster and et. al., 2019). In order to start the treatment, it is necessary
approach in the healthcare sector is to analyses and diagnose the upper and lower limb
by some of the ways and make a proper interaction with the patient regarding their
weakness. As per this, it is evaluated that by interacting with the patient such as from
how many days or month that he was facing this weakness and as according to this
and by taking the prior of other medication. Such as, the medication of diabetes
mellitus and hypertension the medicines are prescribed because sometime due to the
combination of drug the side effect are usually generated and the patient have low
metabolism due to their age which is 65 year and also so she is facing the issues of
hypertension in which the blood pressure become high overall a proper evaluation
with the diagnosis are held before prescribing of drug (Honig and et. al., 2017).
Secondary survey: The secondary approach a survey regarding with the case study is
well identified that the patient needs some care and emotional support. Because, he
was 65-year-old and due to all this factor, she become stressful with their health
concern (Williams and et. al., 2017). In order to this, it is very necessary to taking
care of this kind of aging patient to remove or retaliate the issues with their health. In
this, nursing staff play a vital role by providing the quality of care with appropriate
manner. In this, they need motivation and home care facility is because the patient
faces number of disease and usually taken several medicines. So, it is important to
take care of the patient for their better treatment (Spina and et. al., 2017).

REFERENCES
Books and Journals
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research, market solutions, and challenges. International Journal of
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Hahm and et. al., 2019. Drowsiness Driving Prevention System using Bone
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Foster and et. al., 2019. Motor neuron disease: pathophysiology, diagnosis, and
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Honig and et. al., 2017. Confined anterior cerebral artery infarction manifesting as
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Williams and et. al., 2017. Surgical Management of Thoracolumbar Kyphosis in
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