Clinical Assessment Discussion Paper

 The following are the steps I would take in conducting a proper assessment:

  1. Assess and record vital signs and use the ‘PQRST’ pain assessment. PQRST includes; P-position/provocative variables- this involves inquiring from the patient the location of the pain, what renders the pain to be worse or better. Q-Quality- involves asking the patient to provide a description of the discomfort or pain. R-radiation- involves asking the patient if the discomfort to radiate to some other parts. S-severity / symptoms- involve asking the patient to rank the discomfort out of 10 and whether they have any symptoms. T-time- involves asking the patient about the duration of the pain, whether the onset was gradual or abrupt, whether the pain is sporadic or constant, or whether the patient hey had experienced the pain before, and whether it was different or similar to the last time (Ayerbe et al., 2016) Clinical Assessment Discussion Paper.

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  2. Notify senior personnel promptly.
  3. Carry out a 12-lead ECG and get it reviewed by a medical officer. The ECG lets the clinical staff decide whether and when a patient needs reperfusion therapy to manage the origin of chest pain (Ayerbe et al., 2016). It should be checked by an experienced practitioner to detect ECG variations that suggest that a patient has an ischemic case.
  4. . Guarantee convenient access to the defibrillator to prevent sudden cardiac death due to recurrent arrhythmias.
  5. Senior healthcare personnel can then recommend diagnostic blood tests like full blood examination (FBE) Clinical Assessment Discussion Paper.

References

Ayerbe, L., González, E., Gallo, V., Coleman, C. L., Wragg, A., & Robson, J. (2016). Clinical assessment of patients with chest pain; a systematic review of predictive tools. BMC cardiovascular disorders, 16(1), 18 Clinical Assessment Discussion Paper