This website uses cookies to ensure you have the best experience. Learn more

Primary Care Setting: Analyzing Palpitations Essay

1104 words - 4 pages

Primary Care Setting: Analyzing Palpitations
In the primary care setting, palpitations are a frequent presenting symptom. Palpitations can be alarming to individuals and is often described as an uncomfortable awareness or an unusual feeling of one’s heart beating. Other common descriptive terms for palpitations include: feeling the heart beating faster, working harder, fluttering, skipping a beat, or the heart rate being abnormal. A practitioner working in the Primary Care Setting must be cognizant of causes of this symptom, pertinent questions to ask the patient in order to narrow down possible causes, current treatment methodology, all while being able to articulate and provide comfort and guidance to the patient throughout the continuum.
Definition and Prevalence
Palpitations are a sensation caused from the heart either beating irregularly, forcefully or rapidly. Although these sensations are caused by the heart, most are harmless and resolve without intervention, however, it can signify an underlying condition, or an arrhythmia. Palpitations do not necessarily signify an abnormal heart rhythm. Arrhythmias are caused by conduction/electrical abnormalities within the heart and can be benign or life threatening. Palpitations can be a result of a mild to life threatening condition, determining the root cause is vital.
Less than half of people who have arrhythmias experience palpitations. A general practitioner, with an average patient size of 2,000 clients, will average six patients or more per year with new-onset palpitation; 16 % of patients will present with this chief complaint. Patients experiencing new onset of palpitations or have a history of but symptoms are more frequent, bothersome or are accompanied by other symptoms, should obtain an evaluation from a practitioner.

It is paramount that the practitioner utilizes a systematic approach during the subjective portion of the health history interview. Obtaining the chief complaint, history of present illness, past medical history, social history, family health history, and a through review of systems is the fundamental methodology that all practitioners must employ. Utilizing this style will ensure a meticulous exploration the symptom, and will give key elements that will assist the practitioner in developing differential diagnoses. Employing the OLDCART acronym (onset, location, duration, characteristics, aggravating factors, relieving factors and treatment) will be the beginning of exploration of potential causes. The following set of questions should also be explored:
• When did the palpitations begin?
• How long do they last?
• How often do they occur?
• Do they start and stop suddenly?
• Does the heartbeat feel steady (regular) or irregular?
• Are there any other symptoms that accompany them?
• Is there a pattern?
• Is there an established history of palpitations?
• Have you ever been evaluated for palpitations by a specialist?
• Has any doctor or practitioner...

Find Another Essay On Primary Care Setting: Analyzing Palpitations

Nutrition Essay

651 words - 3 pages agreement to offer health care services to members. Once a member signs up, all their heath care needs are covered by the managed care organizations. Access to care outside the organization is restricted. Members under managed care organizations are usually assigned a primary care physician (PCP) who is the primary care giver for the member. The PCP is tasked with analyzing a member’s health problem before referring them to other sections of the managed

Nursing Burnout Essay

2236 words - 9 pages Imagine a hospital setting, the Pediatric Intensive Care Unit (PICU). Here children with severe health problems live for days, weeks, even years. One infant came in with chronic respiratory failure. His improvement was slow, and he was susceptible to various infections. His mother, a single, minority parent with four other children under 5 years of age, quickly withdrew from the infant, eventually relinquishing custody to the court system

Acute Rheumatic Fever (ARF) and Rheumatic Heart Disease (RHD)

2013 words - 8 pages of ARF include symptoms and a history of a sore throat in the previous 2-6weeks, fever, pharyngeal inflammation, tonsillar swelling either with or without exudate, malaise, migrating asymmetrical arthralgia in the larger joints, indigenous Maori or Pacific Islander descent and living in crowded housing conditions (Smith et al., 2012). RHD can be more difficult to detect in the primary care setting. Suggestive diagnoses may be made with

Contribution of primary care to health systems and health: Is it essential?

1985 words - 8 pages primary care professionals willing to work in disadvantage setting. The present system for training physicians’ offers little to no incentive for students to pursue primary care as a professional focus when compared to becoming a specialist. There is a poor number of primary care physicians throughout the United States. As a result, the United States is expected to have a shortage of doctors by 2020, according to a 2006 report by the Department of

Nurse´s Patient Evaluation

665 words - 3 pages nurse to record such observations accurately will determine the priority of the patient care. Assessment based on priority setting is one of the major skills that nurses that are newly fit may lack. There are elementary evaluation that can be executed on any patient while there are some that are specific to particular cases, for instance diseases that are chronic, trauma and other emergencies (Jacques, 1988). Unfortunately, the essential

Primary Care Nurse Practitioner

1011 words - 4 pages As a future nurse practitioner, I have given immense thought in the selection of a clinical practice based on the primary care setting that utilizes the collaboration model. I have selected this type of clinical practice because it best suits my professional and personal goals. I value autonomy while having the ability to work within a healthcare team and enjoying teach my patients. Nurse practitioners (NP) are a valuable part of the

Compassion fatigue

1219 words - 5 pages dread about going to work or a decrease in desire to care for patients is an indication that compassion fatigue may be developing. The physical symptoms of compassion fatigue may seem initially like a reaction to stress. The development of symptoms such as headaches, GI upset, muscle tension, insomnia, fatigue, or cardiac changes, such as chest pain or palpitations, can be a physical response to compassion fatigue (Lombardo, 2011). The emotional

mental health

2444 words - 10 pages symptoms; encourage fluids, check liver and renal function testsCelecoxibNSAID COX-2 inhibitorIndicationsrelief of osteoarthritis, management of acute pain, primary dysmennorhea, reduce intestinal polypsContraindicationshypersens, perioperative pain in setting of CABG. BBW 1Side EffectsHTN, arthritis, diarrhea, nausea, headache, MI, GI disorders, liver failure, anaphylactic rxn, acute renal failurePrecautionsasthma, bleeding, ulcers, recurring heartburn

Congestive Heart Failure in the Elderly - A Nursing Approach

2567 words - 10 pages majority of elderly patients, with proper lifestyle measures and medical treatments, can maintain active and fulfilling lifestyles. As a nurse care provider I have been taking care of CHF patients who are mostly 65 years and above old age groups. My primary concern about this group is, most of the elderly sick patients are living alone and have suffered with other illnesses. These patients are usually severely depressed and wanted to stay at

Policy Issues

617 words - 3 pages In the current settings that this writer work as a hospice Register Nurse and Long-term care facility nurse, this writer personally have not directly contributed to any policy development but have encounter policy issues in the long-term care setting that needs changing in order to promote better health. One of the issue is in the long-term care setting that this writer encounter when working on the weekends. Most of the patients are follow by

Principles and Components of Primary Health Care

2242 words - 9 pages is done to the appropriate health setting. The nurse carries out awareness programs on mental health in the community. The community psychiatric nurse does outreach programs and also replenish medications to clients who are being discharged from the hospital and are staying in the community. Moving on, another component of primary health care is provision of dental health services. The nurse in collaboration with the dentist goes to the school

Similar Essays

Nrsrn 2001: "In Order To Improve Health In The Primary Care Setting You Need To Work Collaboratively With Others"

2366 words - 9 pages Baileff (2000 p41) who define integrated nursing as 'a team of community based nurses from different disciplines, working together within a primary care setting pooling their skills, knowledge and ability to provide the most effective care within a practice and the community it covers.' This is recognised by the Royal College of Nursing (RCN) and is often cited in the literature concerning collaboration (Baileff 2000.)However I have discovered

Nursing Metaparadigm And Nursing Theory Essay

1245 words - 5 pages may lead to stressors that can have a negative affect on health if not addressed. Environment refers to all the outside conditions that affect the patient within the setting where health care needs occur. These may include health care needs that are being influenced by factors at home, in school or at the workplace. Finally nursing is the diagnosis and treatment of the current or potential health problems. By developing nursing diagnosis

Stress In Nursing Essay

844 words - 3 pages Analyzing The Article " The Effect of Stress on Health and its Implications for Nursing"October 8, 2014 By: Becky VelezOne of the definitions of stress offered in literature is: "Stress is the psychological and physical state that results when perceived demands exceed an individual's ability to cope with them." The profession of nursing has thrived over the past century into a respected and necessary member of the health care arena. However, the

Myocarditis Assignment

1038 words - 5 pages What questions would you ask to gather important diagnostic information? The responses to the questions will determine the path the questions take. This is a focused exam on a typically healthy male, 17 years old. He is obviously in pain, short of breath at rest and having difficulty talking. The primary focus will be to get his diagnostics and emergent care underway quickly. Prior to entering the exam room, the vitals alert the provider with