Show simple item record

dc.contributor.authorBailey, Rachael
dc.contributor.authorMortimore, Gerri
dc.date.accessioned2020-05-22T10:47:00Z
dc.date.available2020-05-22T10:47:00Z
dc.date.issued2020-05-14
dc.identifier.citationBailey, R., and Mortimore, G. (2020). 'Orthostatic Hypotension: clinical review and case study'. British Journal of Nursing, 29(9), pp. 506-511.en_US
dc.identifier.issn0966-0461
dc.identifier.doi10.12968/bjon.2020.29.9.506
dc.identifier.urihttp://hdl.handle.net/10545/624802
dc.description.abstractTransient loss of consciousness (TLOC) accounts for 3% of all attendance in emergency departments within the UK. More than 90% of TLOC presentations are due to epileptic seizures, psychogenic seizures or syncope. However, in England and Wales in 2002, it was estimated that 92000 patients were incorrectly diagnosed with epilepsy, at an additional annual cost to the NHS of up to £189 million. This article will reflect on the case study of a 54-year-old female patient who presented with a possible TLOC, and had a background of long-term depression. Differential diagnoses will be discussed, but the article will focus on orthostatic hypotension. Being diagnosed with this condition is independently associated with an increased risk of all-cause mortality. Causes of orthostatic hypotension and the pathophysiology behind the condition will be discussed, highlighting the importance of obtaining an accurate clinical history. This is extremely pertinent if a patient collapses in an NHS setting and this is witnessed by nurses because they can contribute to the history of the type of collapse, to aid diagnosis and correct treatment. In addition, nurses have a valuable role to play in highlighting polypharmacy to doctors, and non-medical prescribers, as a contributing factor to orthostatic hypotension is polypharmacy. It is therefore important to accurately distinguish TLOC aetiology, not only to provide appropriate management, but to also identify patients at risk of morbidity/mortality related to underlying disease.en_US
dc.description.sponsorshipN/Aen_US
dc.language.isoenen_US
dc.publisherMark Allen Groupen_US
dc.relation.urlhttps://www.magonlinelibrary.com/loi/bjonen_US
dc.relation.urlhttps://www.magonlinelibrary.com/doi/full/10.12968/bjon.2020.29.9.506en_US
dc.subjectTLOC, orthostatic hypotension, polypharmacy, prescriptionen_US
dc.titleOrthostatic hypotension: clinical review and case studyen_US
dc.typeArticleen_US
dc.contributor.departmentUniversity of Derbyen_US
dc.identifier.journalBritish Journal of Nursingen_US
dcterms.dateAccepted2020-03-10
dc.author.detail782817en_US


Files in this item

Thumbnail
Name:
OH case study Final.pdf
Size:
297.6Kb
Format:
PDF
Description:
Accepted Manuscript

This item appears in the following Collection(s)

Show simple item record