From: Complicated versus complexity: when an old woman and her daughter meet the health care system
The encounters between agents is enacted through expressions of signs and symptoms | |||||
---|---|---|---|---|---|
Daughter | Esther | RETTS | National guideline | ICD 10 | Medical record |
Mother was not her usual self, was not feeling well, was not OK, never been in such a condition, seemed to be feeling down, hysterical, sweating, crying, wailing, hyperventilating, seemed confused, picking with her fingers, seemed to disappear mentally, did not know where she is, not aware of what is happening. Her personality had completely changed, like she was demented. | I thought I was dead, I had no sense of time, I could not speak. It was like a cramp, I felt I was crazy | Green: Regularly checkups by nursing assistant, temperature 35 °C - 38.5 °C. Examination by physician within 240 min [13] | In women > 15 years of age New inconvenience of two of the following symptoms; smart, urgency and increased frequency of urination. Note: Non-specific symptoms, such as tiredness and confusion, should not be considered as UTI [29], SKR 2011 [26], STRAMA 2017 [28], Folkhälsomyndigheten 2019 [27]. | F419P Unspecified anxiety R699 Unknown and unspecified causes of morbidity R410 Disorientated, unspecified confusion Excludes Psychogenic confusion (F44.8) [30] | Physical status: Normal, delayed reflex responses, good sleep. Cognitive status: Anxiety, confusion, picking with her hands, shaking, hyperventilate, disoriented, difficulty in finding words, babbles, do not follow instructions, cannot be alone. Biochemical markers: Normal, urine dipstick strong indication of UTI, CRP 69. Diagnosis: F419P. R 410 Confusion Unspecified anxiety, R 699, Hyponatremia, UTI [30] |