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Are you sick enough to stay home but don’t want to infect your family or co-workers?
Are you sick enough to stay home but don’t want to infect your family or co-workers? 150 150 Tony Guo

Are you sick enough to stay home but don’t want to infect your family or co-workers?

If you’re sick enough to be bedridden, but not sick enough to call out of work or school, it may be a good idea to visit an urgent care center. An urgent care center is staffed by a variety of professionals such as nurse practitioners and physicians assistants who can diagnose your condition and give you some much-needed medicine and advice.

If you’re sick enough to stay home but not sick enough to visit your doctor, it might be time to visit an urgent care center. An urgent care facility is a place where patients can get treated for illnesses that aren’t serious enough for a hospital. These clinics are more convenient than visiting a regular doctor’s office and more affordable than being admitted to a hospital. When you go to your primary care physician with a non-emergency medical issue, they may refer you to urgent care because they don’t have any available appointments until next week or they don’t carry all of the necessary equipment or medications.

In most cases, you’re probably better off heading to an urgent care center instead of your primary care physician’s office. While a trip to urgent care might cost you a little more, it will likely save you time and keep your germs from spreading. Plus, urgent cares are often open on nights and weekends when your doctor’s office might not be. This is especially important for those who can’t take sick days from work—the flu shot is no longer just for kids! Instead of infecting everyone at home or bringing a cold into work, head to urgent care in order to avoid complications from even something as simple as walking pneumonia.

Take a moment to weigh your options, especially if you work in a hospital or other medical setting. Are you going to risk spreading illness to your colleagues by dragging yourself into work sick? Or are you going to take a day off and recover properly? An urgent care facility is ideal for when you don’t want to be out sick too long but know that what ails you isn’t serious enough to go straight to the emergency room.

A visit to an urgent care clinic is a convenient way to get immediate relief and keep your germs at bay. While these clinics generally aren’t able to provide the same level of care as a hospital, you can still receive X-rays, lab work and basic treatments. The wait times are much shorter than they would be at an emergency room, too. If you’re healthy enough to go out and about, but don’t want everyone else around you getting sick, a trip to urgent care is for you.

Do you need X-rays or lab tests right away?
Do you need X-rays or lab tests right away? 150 150 Tony Guo

Do you need X-rays or lab tests right away?

Even if you don’t think so, it’s possible that you do. Many urgent care facilities have radiology departments and lab services on site. These doctors know what tests to order and how quickly to get them done in a way that large emergency rooms typically can’t replicate. And, when it comes to X-rays or other imaging procedures, they also know what kinds of films are appropriate for each patient—something radiologists at large hospitals might not take into account.

Sometimes symptoms of more serious health problems can begin to appear without you even realizing it. For example, head or chest pain may signal a heart attack, while extreme fatigue could indicate a blood clot or infection. If you’re experiencing any of these symptoms and think they could be signs of something more serious, go to your doctor right away—but if it’s past office hours or you don’t have access to immediate medical care, visit an urgent care facility. Most urgent cares offer X-rays and lab tests on site—and their doctors are trained to handle every kind of illness from colds to skin conditions to broken bones.

All urgent care centers have X-ray and lab services, as well as diagnosis and treatment. Sometimes, your regular doctor’s office won’t have certain tests or equipment available right away — and sometimes it can take hours for results. Going to an urgent care center allows you to get everything done quickly and go home instead of sitting in a crowded waiting room at your doctor’s office. It also keeps you from having to wait hours for your appointment with your regular physician just so they can send you on your way. If you need immediate medical attention but don’t want to wait around in a hospital emergency room all day, consider visiting an urgent care center instead.

If you’re not feeling well and it’s a weekend or holiday, a trip to your regular doctor might mean waiting hours for a quick diagnosis. That’s where urgent care clinics come in. They’re walk-in facilities that offer most of the same services as your primary care physician, but with quicker access and shorter wait times. To find one close to you, look up urgent care clinics near me . If you feel like there may be something seriously wrong and don’t have time to wait, visit any local urgent care center or walk-in clinic instead of your primary physician for faster treatment.

Going to urgent care when you’re not sure if you need to see a doctor can save time and, potentially, money. If you’re unsure about what symptoms are minor and which ones require immediate medical attention, visit urgent care or another walk-in clinic. If it turns out your injuries are more serious than they initially seemed, a trip to urgent care saves you from getting sent home with instructions to drink plenty of fluids and get some rest. Instead, you get treated right away—and that means quicker recovery.

 

Do you need stitches or drugs that aren’t available at a regular doctor’s office?
Do you need stitches or drugs that aren’t available at a regular doctor’s office? 150 150 Tony Guo

Do you need stitches or drugs that aren’t available at a regular doctor’s office?

If you have a cut that requires stitches, or you need prescription medication, your urgent care clinic may be your best option. Visiting a walk-in clinic will help you avoid going to a crowded emergency room and waiting for hours while you sit in pain. Many urgent care centers are open late and on weekends too, so they’re very accessible. If it’s after hours when you get hurt, just call ahead to let them know how many people need treatment—an urgent care clinic will often see multiple patients at once.

Are you getting blood drawn, or taking care of a deep cut? If so, it may be worth your time to visit an urgent care center instead of your usual physician. The doctors at these facilities are often board-certified and can treat minor problems like yours more quickly than you’d be able to see your regular doctor. Plus, they often have access to over-the-counter drugs that may not be available at a regular doctor’s office.

While there are a number of situations that might call for an urgent care, it’s important to remember that these offices aren’t meant to replace your regular medical provider. If you need stitches or a prescription for a drug you can’t get from your doctor, urgent care is a good option—but going to urgent care when you just have a really bad case of strep throat isn’t going to help anyone. Instead, make sure that you go to your regular provider when in doubt about which doctor (or type of doctor) you should be seeing. Most providers will tell you if they think it would be best for you to head elsewhere; listen and trust their advice!

Reasons You Should Visit an Urgent Care : Is it life threatening?
Reasons You Should Visit an Urgent Care : Is it life threatening? 150 150 Tony Guo

Reasons You Should Visit an Urgent Care : Is it life threatening?

Even if you’re seeing a doctor at your local hospital, it’s not always a bad idea to seek care in an urgent care center. These centers are often staffed by board-certified physicians and can see you for illnesses like cold and flu symptoms, or even minor sprains and fractures. That said, if you think you’re having a heart attack or experiencing another life-threatening emergency, do not go to urgent care—go directly to your nearest emergency room. As long as you go for nonlife threatening ailments, however, don’t be afraid to use your local urgent care center as well as general practitioners. After all, doctors are busy people and don’t always have time on their schedules.

Not every ailment is a medical emergency, but sometimes even a minor ailment can become serious if not treated quickly. Make sure you know what’s worthy of urgent care. Unexpected illness and injuries occur more often than you think and not everyone has access to a primary care physician. For example, toothache could be easily taken care of with a trip to your dentist, but some cases are severe enough that you need immediate attention at an urgent care facility. Depending on your condition, it might be best to call ahead or check out local urgent cares to find out how they handle walk-ins and emergencies before you find yourself in dire straits.

An urgent care center is best used for non-life threatening injuries and illnesses. The point of going to a professional is to get advice from someone who can make decisions and take action immediately. If you have something that’s life threatening, it’s best to go directly to an emergency room. It’s better for you and it’s better for everyone else on your wait list in case your illness or injury does turn out to be non-urgent.

While most urgent care centers provide similar services, one important way to tell them apart is by their level of expertise. While all of them can treat non-life threatening conditions such as minor burns and bumps and bruises, not all urgent care centers are created equal. Be sure to find out if your local urgent care center has a board-certified doctor (or doctors) who will be overseeing treatment and making decisions about your health. If they do not have a physician on site, it might be better to go straight to a hospital emergency room instead—especially if you are in danger or worried about anything serious going on with your body. In that case, you don’t want anyone second guessing you or making uninformed decisions when it comes to your health.

Reasons You Should Visit an Urgent Care : Are you in pain?
Reasons You Should Visit an Urgent Care : Are you in pain? 150 150 Tony Guo

Are you in pain?

Headaches and stomach pains are one of those symptoms that can plague us and make life difficult. At a primary care physician’s office, you might have to wait quite some time before you get an appointment. Plus, once you arrive, it might take some time before your doctor is able to see you due to their heavy workload. However, at most urgent care centers, these aren’t things that concern patients because these offices are more about treating patients immediately when they arrive in order to prevent a potentially serious health condition from getting worse. An urgent care center is perfect for immediate treatment so you can go on with your day.

If you’re in serious pain, don’t wait until morning to see a doctor. By then, your condition could be worse. Head to an urgent care center instead and get immediate treatment for whatever ails you. One of its many advantages is that it doesn’t cost much more than visiting a regular physician’s office or ER. In addition, since urgent care centers are set up like clinics, most offer extended hours, meaning you can visit after work or on weekends if needed. Look online for urgent care centers near you; many will even provide their address and phone number so that you can quickly make an appointment online if necessary.

Chances are you’ve experienced a pain that just wouldn’t go away—you take some ibuprofen, and it goes away for a little while. But then comes back with a vengeance. If you keep taking ibuprofen, that headache or muscle ache could turn into something worse: kidney stones, cardiovascular issues, etc. Before you know it, your pain becomes unbearable and now you’re in urgent care. That’s why one of your first questions should be if it’s better to visit urgent care or wait for your doctor.

If you’re dealing with pain, either acute or chronic, it can be tempting to try to deal with it on your own. However, if you experience severe pain or prolonged aches that aren’t improving and aren’t due to menstruation, you should visit an urgent care near me. Some simple illnesses, like strep throat or food poisoning, are better treated by a medical professional than by self-care at home. While many of these symptoms are nothing serious (like allergies), they can be signs of something more serious that requires attention. Prompt treatment is important! Here are some reasons why we recommend urgent care over a primary care physician

7 Reasons You Should Visit an Urgent Care
7 Reasons You Should Visit an Urgent Care 150 150 Tony Guo

7 Reasons You Should Visit an Urgent Care

If you are experiencing any of the following symptoms, it may be time to visit an urgent care center to address your condition: 1) Sudden or severe pain 2) Chest pains 3) Fever and/or chills 4) Difficulty breathing 5) Headaches that won’t go away 6) Nausea, vomiting or diarrhea 7) Injury from car accidents or other accidents

Are you in pain?

Does it hurt to walk? Are you in so much pain that you can’t sleep or concentrate? If your answer is yes, then you might be experiencing a bone fracture, muscle tear or sprain. Seeing a doctor is important because some injuries can get worse if left untreated and others may not heal at all.

Is it life threatening?

It is always better to err on the side of caution, so if you have serious concerns about your health, visit a doctor immediately. If you are worried about a serious illness or injury that might be life threatening, don’t wait around; make sure you seek immediate medical care.

Do you need stitches or drugs that aren’t available at a regular doctor’s office?

If you need stitches, or require prescription drugs that aren’t available at a regular doctor’s office, urgent care facilities are a great alternative. A typical urgent care center can be thought of as a hybrid between a regular doctor’s office and an emergency room: They treat common illnesses quickly and inexpensively (think $150 for stitches), but they also offer X-rays and other diagnostic tests to determine exactly what might be wrong with you.

Do you need X-rays or lab tests right away?

It’s usually pretty clear when you should go to a hospital and when you can visit an urgent care. If your case is too severe for urgent care, or if it’s something that needs immediate attention (e.g., a wound that won’t stop bleeding), go to a hospital right away. On the other hand, if your condition isn’t urgent but still requires medical attention, see a doctor at an urgent care facility.

Are you sick enough to stay home but don’t want to infect your family or co-workers?

If you’re sick enough to be bedridden, but not sick enough to call out of work or school, it may be a good idea to visit an urgent care center. An urgent care center is staffed by a variety of professionals such as nurse practitioners and physicians assistants who can diagnose your condition and give you some much-needed medicine and advice.

Does your health plan cover urgent care visits?

Some health plans, especially plans that don’t include out-of-network benefits, only cover office visits to primary care physicians and specialists. If you see a doctor who isn’t part of your plan’s network, you could face hefty copayments (e.g., $100 per visit) or even uncovered charges on top of that amount.

Do you need immediate access without waiting in long lines at the emergency room (ER)?

If you’re sick or injured and are not experiencing life-threatening symptoms, a trip to urgent care might be your best bet. By visiting urgent care centers—which have longer hours than ERs and often take walk-in patients—you can get medical help without sitting in waiting rooms or overpaying for services that don’t require hospital admission. This can save you time and money if you don’t need immediate access to a full-service hospital.

 

Evaluation : Inflammatory Brain Disorder
Evaluation : Inflammatory Brain Disorder 150 150 Tony Guo

Evaluation

  • Patient will
    • Demonstrate appropriate cognitive function
    • Be oriented to person, place, and time
    • Maintain body temperature within normal range
    • Report satisfaction with pain control
  • As a nurse, since bacterial meningitis is very contagious and potentially a fatal infection, Universal precautions should ALWAYS be in place – you have the right to implement more conservative care (respiratory isolation) at any time as a professional nurse.

Viral Meningitis

  • Most common causes are enterovirus, arbovirus, HIV, and HSV
    • Most often spread through direct contact with respiratory secretions
  • Usually presents as headache, fever, photophobia, and stiff neck
    • Fever may be moderate or high
  • Diagnostic testing of CSF
    • Rapid diagnosis with Xpert EV test
      • Sample of CSF is evaluated for enterovirus
      • Results available within hours
    • PCR to detect viral-specific DNA/RNA
  • Treat with antibiotics after obtaining diagnostic sample but before receiving test results
    • Symptomatic management
    • Disease is self-limiting
    • Full recovery expected
Nursing implementation : Inflammatory Brain Disorder
Nursing implementation : Inflammatory Brain Disorder 150 150 Tony Guo

Nursing implementation

  • Health Promotion
    • Vaccinations for pneumonia and influenza
    • Meningococcal vaccines
      • MCV4 (Meningococcal conjugate vaccine), MPSV4 (Meningococcal polysaccharide vaccine), Serogroup B
    • Early, vigorous treatment of respiratory tract and ear infections
    • Prophylactic antibiotics for anyone exposed to bacterial meningitis
      • Bacterial meningitis is a medical emergency. Rapid diagnosis based on history and physical examination is crucial because the patient is usually in a critical state when health care is sought. When meningitis is suspected, antibiotic therapy is instituted after the collection of specimens for cultures, even before the diagnosis is confirmed. 
  • Acute Care
    • Revolve around the nursing diagnoses of
      • Decreased intracranial adaptive capacity
      • Risk for ineffective cerebral perfusion
      • Increased fever
      • Acute pain
    • Close observation and assessment
    • Provide relief for head and neck pain
    • Position for comfort
    • Darkened room and cool cloth over eyes for photophobia
    • Minimize environmental stimuli
    • Provide safety
  • Observe and record seizures
    • Prevent injury
    • Administer antiseizure medications
  • Vigorously manage fever
    • Fever increases cerebral edema and the frequency of seizures
    • Neurologic damage may result from high, prolonged fever
  • Assess for dehydration
    • Evaluate fluid intake and output
    • Compensate for diaphoresis in replacement fluids
  • Maintain therapeutic blood levels of antibiotics
  • Respiratory isolation until cultures are negative (Droplet precautions)
  • Ambulatory Care
    • Provide for several weeks of convalescence
    • Increase activity as tolerated
      • Stress adequate nutrition
      • Encourage adequate rest and sleep
    • Progressive ROM exercises and warm baths for muscle rigidity
    • Ongoing assessment for recovery of vision, hearing, cognitive skills, motor and sensory abilities
    • Tend to signs of anxiety and stress of family and caregivers
Diagnostic studies : Inflammatory Brain Disorder
Diagnostic studies : Inflammatory Brain Disorder 150 150 Tony Guo

Diagnostic studies

  • Blood culture
  • CT scan and  MRI
  • Diagnosis verified
    • Lumbar puncture
    • Analysis of CSF (for protein, WBC, and glucose)
    • Specimens of secretions are cultured to identify causative organism
    • Gram-stain to detect bacteria
  • Neutrophils are predominant WBC in CSF
  • X-rays of skull

Interprofessional care

  • Bacterial meningitis is a medical emergency
  • Rapid diagnosis crucial
    • Patient  usually critical when health care is initiated
    • Antibiotic therapy instituted before diagnosis is confirmed

Nursing Assessment

  • Initial assessment should include
    • Vital signs
    • Neurologic assessment
    • Fluid intake and output
    • Evaluation of lungs and skin

Nursing diagnosis

  • Decreased intracranial adaptive capacity related to decreased cerebral perfusion or increased ICP
  • Risk for ineffective cerebral tissue perfusion related to reduction of blood low and cerebral edema
  • Hyperthermia related to infection
  • Acute pain related to headache and muscle aches

Planning

  • Overall Goals
    • Return to maximal neurologic functioning
    • Resolve the infection
    • Control pain and discomfort
Complications : Inflammatory Brain Disorder
Complications : Inflammatory Brain Disorder 150 150 Tony Guo

Complications

  • Increased ICP
    • Major cause of altered mental status
  • Residual neurologic dysfunction
    • Cranial nerves III, IV, VI, VII, or VIII can become dysfunctional
    • Sequelae varies by cranial nerve
  • Optic nerve (CN II) compressed by ↑ ICP
    • Papilledema with possible blindness
  • Ocular movements affected with irritation to nerves III, IV, and VI
    • Ptosis
    • Unequal pupils
    • Diplopia
  • CN V irritation
    • Sensory loss and loss of corneal reflex
  • Inflammation of CN VII
    • Facial paresis
  • Irritation of CN VIII
    • Tinnitus, vertigo, deafness
    • Hearing loss may be permanent
  • Hemiparesis, dysphagia, hemianopsia
  • Suspect the following if above do not resolve
    • Cerebral abscess, subdural empyema, subdural effusion, or persistent meningitis
  • Acute cerebral edema may cause
    • Seizures
    • CN III palsy
    • Bradycardia
    • Hypertensive coma
    • Death