Reference no: EM133472893

Case Study:-  Issues with Rural, Migrant, andUrban Health CareMarty, a 75-year-old male, with a history of myocardialinfarction called home complaining of heartburn andrunning out of antacids. When his daughter-in-lawreminded him to maintain his rest and diet times, Martygrew angry. "Knock it off. I am doing fine despite whatthe doctor said. I will care for the diabetes after theharvest and I will come home as soon as I can."Driving his combine formation with other workers for anight harvest, Marty paused at 9:45 PM for a breakwhile the rest of the combine formation continuedmoving forward. Marty's 6-year-old grandson rode in thecombine with him to experience his first night harvest.No further communication was received from Marty'scombine.The boy's mother called again at 10:00 PM with noanswer. Used to "farm time" and dead space for the cellphones, she was not overly worried but was concernedabout her son being out so late at night. The mothercalled her spouse who drove another combine in adifferent field to find out why the boy was not yet home.The father dispatched a truck to find Marty while thecombines continued harvesting and gleaning.The truck driver found the missing combine on its sidein a gully with the lights shining upward. A satellitephone was used to notify the Northern Air AmbulanceNUR4636and the local 911 of GPS coordinates. The volunteerflight and paramedic teams were dispatched. TheItalian-made Agusta Power-109 helicopter usedinstruments to fly over two counties of hilly terrain. Thesingle pilot employed night vision goggles to study theinstrument panel and the radio to keep the pilotinformed of ground rescue operations and hospitalpreparations. The flight nurses double checked thelaryngoscopes, blood supplies, and jump kits whilemaintaining contact with the first scene arrivals.When the paramedic vehicle arrived, an employee truckwas seen driving away from the combine. Marty wasunconscious with a weak, irregular pulse of 100,BP of 65/48, and respirations of 26. A bruise over theright mastoid is noticed. The grandson is conscious andcrying, splinted for a broken leg. His pulse is 120, BP138/118, and respirations of 24. Purple circles are seenaround his eyes. The 6-year-old complains of aheadache and calls for his mother.

Question: 1. How will the nurse gather needed information toeffect a successful rescue?

Question: 2. What travel and emergency transport resources are available?

Question: 3. What rural barriers to diagnosis, treatment, andfollow-up resources exist?

Question: 4. What roles do rural nursing theory principles playin Marty's health behaviors?

Question: 5. The nearest critical access hospital does nothave a trauma level due to the lack of a 24-hourstaff with trauma training. What types of traumasupport do patient needs indicate?