Name the criteria you would use to recommend hospitalization for this patient
The patient’s presentations require urgent intervention and close observation to prevent complications. One of the criteria applicable for hospitalization is prolonged fluid loss. The patient has experienced vomiting for the last 48 hours. Vomiting is associated with high volume loss that can exceed the rate of intake. This process also leads to the loss of electrolytes from the body. Continuous loss over 48 hours can cause fluid and electrolyte imbalance, increasing a patient’s risk of developing hypotension, sepsis, and acute kidney injury. The state necessitates admission for the administration of fluid therapy and monitoring for further complications (Walley et al., 2019).
Another reason for hospitalization is the aggressive clinical presentation of the patient’s condition. Ms. P.C. experienced intense symptoms for two days, indicating advanced pathogenic growth or the existence of several conditions. A microscopic examination of the vaginal discharge specimen revealed the existence of yeast and diplococci, suggesting a fungal and bacterial condition. Hospitalization is necessary to allow enough time for exhaustive diagnostic testing. In addition, admission will provide enough time to monitor patient outcomes with a specific treatment plan. Advanced disease stages produce unpredictable results with conventional therapies, especially in comorbidities (Diehl-Schmid et al., 2017). Admission is necessary to monitor outcomes, vary interventions based on patient progress, and prevent complications.
In addition, Ms. P.C. may require hospitalization due to the absence of a primary caregiver at home given her partner is away on business. The patient is experiencing severe physiological distress characterized by nausea, vomiting, and abdominal pain. Moreover, the two days of illness have caused body weakness and reduced her ability to care for herself. So, the patient’s welfare may deteriorate while at home alone. Hospital admissions will care for the patient until she regains her health or a primary care provider is available. This admission will contribute to better patient outcomes (Walley et al., 2019).