Patient X is a Haitian born immigrant, who has been a legal citizen of the United States for 27 years. She is the mother of four children all of whom were born in Haiti as well. Two years prior to the crash, Patient X had filed for the remaining members of her family (two children and her husband). Though they have not yet arrived, according to the information that INS had given her, their arrival was expected within the next year.

Patient X was raised Catholic and is still practicing. According to an attending RN, her family structure was based upon the her strong religious beliefs.

She had worked as a dressmaker in her homeland and continued dress making as a side job here in the US, while using childcare as her primary means of income. She had currently been living with two of her children (a son and a daughter) in Brooklyn. Since the accident, her son was killed and she can no longer take care of herself, leaving her daughter to live alone. Her highest level of education was equivalent to an American High School Diploma. Her children had similar educational backgrounds, although both had taken a few college courses as well.

Due to the impact of the car crash, she is no longer abl

Patient is also repositioned every two hours to alleviate pressure and prevent skin breakdown and maintain skin integrity. The trachea is suctioned after oxygenation on an as needed basis. Humidification is provided to help loosen and liquefy secretions. Sterile techniques during suctioning and changing of ventilation tubing are followed routinely to prevent infection. Lungs’ sounds are ausculated, and the patient is monitored closely for signs and symptoms of respiratory arrest. Patient is also closely watched for any signs or symptoms of drug interactions and complications, which can lead to O2 toxicity. Serum and electrolyte levels, as well as fluid balance are monitored closely.

Nursing care for Patient X includes nasal/tracheal suctioning, daily weights, documentation of input and out put and vital signs every four hours with additional vitals taken if needed.

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