Ch 46 Pts W/Special Challenges

Question 1

Discuss how social determinants of health including poverty and homelessness, adversely impact pt health & EMS system performance. (Pg 2591-2594)

Question 2

Identify ways to advocate for patients’ rights to health care services. (pp 2598-2600)

Question 3

Recognize signs and symptoms of neglect and various forms of abuse including physical abuse, including physical, sexual, & emotional abuse, as well as neglect. (Pg 2595-2596)

Question 4

Identify benign physical findings that may be confused with signs of abuse. (p 2597)

Question 5

Discuss the unique management and documentation concerns related to suspected cases of abuse or neglect. (pp 2598-2599)

Question 6

Describe mandatory reporting and how it relates to cases of suspected abuse. (pp 2599-2600)

Question 7

Describe specific concerns related to patients with a terminal illness including situations in which hospice may be involved. (pp 2600-2601)

Question 8

Discuss situations in which advance directives and do not resuscitate orders may exist and how the paramedic should proceed in situations where the validity of such a document is in question. (p 2601)

Question 9

Describe specific clinical and care concerns related to bariatric patients. (pp 2601-2603)

Question 10

Discuss operational concerns related to emergency care for bariatric patients. (p 2603)

Question 11

Describe specific concerns related to patients with a communicable disease. (pp 2603-2604)

Question 12

Discuss the purpose of tracheostomy tubes and describe how to troubleshoot problems that may occur in a patient with a tracheostomy. (pp 2604-2607)

Question 13

Discuss medical technology and adaptive devices used in the prehospital setting including long-term ventilators, ventricular assist devices, apnea monitors, long-term vascular access devices, medication infusion pumps, gastric tubes, colostomies, urinary diversion devices, dialysis shunts, surgical drains & devices, & cerebrospinal fluid shunts. (Pg 2604, 2608-2618)

Question 14

Discuss the types of medical technology that may be used during interfacility transports including hemodynamic monitoring, intra-aortic balloon pumps, & intracranial pressure monitoring. (Pg 2618-2621)

Question 15

Identify strategies for providing care to patients with cognitive impairment including patients with development delay, Down Syndrome, intellectual disability, & autism. (Pg 2622-2624)

Question 16

Identify strategies for providing care to patients with communication impairment including hearing, vision, & speech impairments. (Pg 2625-2629)

Question 17

Identify strategies for providing care to patients with sensory impairment including paralysis (pp 2629-2630)

Question 18

Discuss concerns related to managing a cognitively impaired patient who experiences trauma. (pp 2630-2631)

Question 19

Identify chronic medical conditions likely to be encountered by paramedics including cancer, cerebral palsy, congenital heart disease, cystic fibrosis, multiple sclerosis, muscular dystrophy, myasthenia gravis, spina bifocal, post polio syndrome, & TBI. (Pg 2631-2637)

Question 20

Discuss treatment and transport concerns for patients with chronic medical conditions not commonly encountered by EMS providers. (pp 2631-2637)