Admission of a patient is a serious issue and requires diligence in its undertaking. This is because as much as it gives the physician and the nurses time to observe and assess the patient, it also has its fair share of setbacks. Primarily, this is due to the fact that it predisposes the patient to nosocomial infections that are very common after organ transplantation, as it is the case for this patient (Berenger, Doucette, & Smith, 2016). Furthermore, admission of every patient will burden the health system and lead to poor services.
The first and most reliable indication for admission that the patient meets is based on the intensity of the service required, which is an inpatient approved surgery within 24 hours of admission. It is essential that the patient is admitted to the hospital to undergo pre-operative care. This care consists of checking vital signs, among other preparations that will ensure that the patient is fit for surgery, and reduce the risk of avoidable complications during surgery.
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The indication in the aspect of the severity of illness is that the patient is at risk of active bleeding. This is evidenced by the concern that there are signs of arterial dissection. A case by Ono et al. (2017) demonstrated that arterial dissection could lead to infarction as well as blood loss when the blood enters the "false lumen." In essence, it can form a clot or even worse behave like an aneurysm and burst, leading to severe hemorrhage. What aggregates this risk is the fact that this patient is on aspirin, which is a blood thinner. This patient should, therefore, be treated as one at risk of active bleeding. Hence, it is vital that a patient is admitted to the hospital when they meet the set criteria for admission since it also has its downsides.
References
Berenger, B. M., Doucette, K., & Smith, S. W. (2016). Epidemiology and risk factors for
nosocomial bloodstream infections in solid organ transplants over a 10‐year period. Transplant Infectious Disease , 18 (2), 183-190.
https://doi.Org/10.1111/Tid.12505
Ono, H., Inoue, T., Suematsu, S., Tanishima, T., Tamura, A., Saito, I., & Saito, N. (2017).
Middle cerebral artery dissection causing subarachnoid hemorrhage and cerebral infarction: Trapping with high-flow bypass preserving the lenticulostriate artery. Surgical neurology international , 8 . https:// doi: 10.4103/sni.sni_154_17
