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i-Human Patient: Marvin F. Webster, Jr. - Reflection | Comprehensive Solution
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1i-Human Patient: Marvin F. Webster, Jr. - Reflection
NRP/531: Advanced Health Assessment I
February 2, 2020
Lee Arthur
, 2
Article Summary
The first H1N1 flu diagnoses was made in April of 2009 (Jain et al, 2009). This article
describes this particular strain of flu was unlike any strain of flu ever seen before. “The 2009
H1N1 virus contained a unique combination of gene segments that had not previously been
identified in humans or animals” (Jain et al, 2009, p. 1). The virus quickly spread to 191
countries and territories. This study goes on to evaluate the antiviral medication and the effects
on 272 patients hospitalized. Of those hospitalized patients, twenty-five percent were admitted to
the intensive care unit, seven percent died and forty-five percent of the patients were children
under the age of 18 with five percent over the age of 65 (Jain et al, 2019). This study concluded
patients who received the antiviral drug therapy before 48 hours of onset had a better outcome
then those who started after 48 hours of symptom onset. “Data suggest that the use of antiviral
drugs was beneficial in hospitalized patients, especially when such therapy was initiated early”
(Jain et al, 2009, p. 3). It is essential that providers consider the flu in the patient’s differential
diagnosis, if flu-like symptoms are present, and initiate antiviral therapy when a patient is
hospitalized or has other health concerns such as asthma, COPD or even pregnancy (Jain, 2019).
History Examination Rationale
The questions asked during the patient encounter included questions regarding Marvin’s
exposure and contact with other people having similar symptoms. Detecting who, when and
where can sometimes help identify potential illnesses and mode of transmission. Questions
regarding fever, chills, malaise, cough, arthralgias and myalgias are all relevant to signs and
symptoms of the flu according to the CDC (2020). Determining Marvin’s cough and exhaustion
came on suddenly can further narrow down his diagnosis. According to Papadakis et al (2019) a
positive flu is suspected when a person has sudden onset symptoms of exhaustion and cough. It
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