Assessment Of Abdomen And Genitourinary System

Running Head: ASSESSMENT OF ABDOMEN AND GENITOURINARY SYSTEM 1

Assessment of Abdomen and Genitourinary System

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ASSESSMENT OF ABDOMEN AND GENITOURINARY SYSTEM 2

Assessment of Abdomen and Genitourinary System

Amira is a 27-year old female Syrian refugee who is presented in the ER with bleeding.

Based on the scenario given, my first instinct was to think a miscarriage, but of course, no

conclusion can be made without making further evaluations. In order to gather verbal

information and assess the patient, there are many factors to be considered so that a proper

assessment can be carried out. According to Brickner (1999), a language barrier is a threat to the

quality of hospital care. As such, I would get someone to interpret the language so that any

chance of mis-communication can be eliminated.

As part of assessing and caring for Amira, my priority is to locate the source of bleeding

and look for ways of stopping it if she is still bleeding. I would mainly focus on her

genitourinary and abdominal areas in determining the origin of pain and bleeding. After

obtaining the set of essential signs, I would order STAT labs, including a BMP, CBC, PTT/PT,

toxicology screening, a pregnancy test, and check for the type and screen to determine if she

needs a transfusion of blood. I would administer 1-2L of oxygen via nasal cannula depending on

the oxygen saturation level of Amira. Besides, I would obtain an IV access, if she may require

fluids in her body. Furthermore, I would order a STAT abdominal ultrasound. I guess that she

was bleeding from either her vagina or rectum since she is experiencing abdominal pain and

being that she was found sitting in a pool of blood on the bathroom floor. On the other hand, I

would carry out an abdominal exam if she would allow me to do so and depending on the

severity of her level of pain. Jarvis (2016), gave the order and technique of performing an

abdominal exam to be inspection, auscultation, palpation, and percussion. In order to

communicate with Amira, I would also have to call my interpreting resource. If Amira does not

know the origin of bleeding, the examination of the abdomen will allow me to explain the need

ASSESSMENT OF ABDOMEN AND GENITOURINARY SYSTEM 3

for a pelvic evaluation. Based on the scenario evaluation and analysis, I would as well carry out a

test for STD (Sexually, Transmitted Disease) since there is a suspicion of STD present.

When planning care for Amira, various cultural practices and beliefs should be taken into

consideration. Her culture includes that of Syrian Muslims who view their sickness and health as

a religious experience. There is a likelihood that Amira knew she was sick and started a prayer so

that she can heal. Wehbe-Alamah (2011) maintains that, “traditional Syrian Muslims depend on

Islamic spiritual care to prevent illness and promote health.” Besides, the conventional Syrian

Muslims perceive caring for oneself, members of the family, breathing creatures, and friends as

embedded in religious conviction.

In my point of view, Amira’s symptoms of bleeding and abdominal pain could be related

to her status as a homeless refugee. This is because she lacks access to care and she is ignorant of

public health resources due to her language barrier. That said, it may have led her to stop from

seeking medical assistance before the symptoms became severe. Brickner (1999) suggested that

people who are homeless do not have adequate access to health care. Insurmountable obstacles to

the said populace include hospital bureaucracy, mental illness, substance abuse, the attitude of

providers, lack of medical insurance covers, and public clinics that are recently becoming

overcrowded.

ASSESSMENT OF ABDOMEN AND GENITOURINARY SYSTEM 4

References

Brickner, P. W. (1999). Under the safety net: The health and social welfare of the homeless in

the United States. New York: Norton.

Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Philadelphia, PA:

Saunders.

Wehbe-Alamah, H. (2011). The Use of Culture Care Theory with Syrian Muslims in the Mid-

Western United States. Online Journal of Cultural Competence in Nursing and

Healthcare, 1(3), 1-12. doi:10.9730/ojccnh.org/v1n3a1

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