The family of a patient in hospice care for the final stage of lung cancer has summoned 911 because their father is short of breath. The patient is responsive to verbal stimuli and has an open airway with adequate respiration of 18 to 20 breaths per minute. His skin is cool and diaphoretic with diminished breath sounds bilaterally. Your partner reports a heart rate of 112 beats/min, blood pressure of 96/44 mmHg, and SpO2 of 82% on room air. The patient has a valid DNR order, but family is scared and wants him transported to the ED for evaluation. Your next action would be to:

When handling patients with special challenges, EMTs can: Assess the patient: EMTs should be aware of the patient's condition and treat what they find. They should also consider that all conditions exist on a continuum and not assume the patient has the most or least severe traits. Assess the environment: EMTs should document the environment thoroughly and observe the patient's behavior. They should also consider that some geriatric patients may have cognitive disabilities that can make it difficult to communicate effectively. Ask questions and listen attentively: EMTs should allow the... Show more

When handling patients with special challenges, EMTs can:
Assess the patient: EMTs should be aware of the patient's condition and treat what they find. They should also consider that all conditions exist on a continuum and not assume the patient has the most or least severe traits.
Assess the environment: EMTs should document the environment thoroughly and observe the patient's behavior. They should also consider that some geriatric patients may have cognitive disabilities that can make it difficult to communicate effectively.
Ask questions and listen attentively: EMTs should allow the patient to communicate at their own pace and not rush them to complete a sentence or thought.
Obtain information from the patient and caregivers: EMTs should try to obtain an explanation from both the patient and caregiver as to what happened.
Notify the hospital of the patient's special needs: EMTs should retrieve visual aids and glasses, explain and demonstrate all procedures, and allow guide dogs to accompany the patient.
Carefully lead the patient when ambulatory.

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