Assessment Case 01 Josephine Morrow GRQ Final PDF

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vSim Health Assessment Case 1: Josephine Morrow Guided Reflection Questions Opening Questions How did you feel throughout the simulation experience?

This sSim was a little different than what I’ve been used to so far with the other vSims. This one was a little more interactive with the skills to perform than the previous vSims so far. I was getting a little frustrated because I was performing task that I have normally done but was timing out. Then I realized that certain task didn’t need to be done at the moment. I needed to worry about what was needed to be completed not what I’m used to doing. What do you think went well?

The skin assessment went well because I knew from the recommendation that a full detail assessment is what was being asked for the nurse to perform. Scenario Analysis Questions* PCC What priority problem(s) did you identify for Josephine Morrow? 

Priority problem that I identified was her having any more pressure sores and the poor circulation. Because of her lack of mobility, we want to keep her active as much as possible with some ROM and ambulating when we can. We also want to make sure we are keeping an eye out on her skin integrity and documenting any changes that can cause her any harm. What potential problems could arise due to the venous stasis ulcer and comorbidities?

PCC 

Potential problems that could arise due to venous stasis ulcer and comorbidities, could be her developing a DVT she already has a history of having them. She. Could also develop an infection if not taken care of properly. So, we want to elevate her legs, ambulate her to get the blood circulating in her legs and compression stocking on the unaffected leg until wound is healed or with a dressing in place. Discuss your initial assessment findings related to the integumentary system for Josephine Morrow.

EBP

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The lower extremity had pitting edema, legs was shinny, cool and dry. Her right legt brown hyperpigmentation and an ulcer covered by a dressing. The From vSim for Nursing | Health Assessment. © Wolters Kluwer.

hair on her scalp was thinning, but scalp was clean and dry. The skin at the thorax was smooth, warm, dry and mobile with no tugor. The skin at the upper arm had no lesions or scarring; normal color, odor and skin integrity. Which labs are related to the integumentary health of Josephine Morrow?

EBP 

Albumin, prealbumin and protein labs were related to Josephine Morrow. Keeping an I on these levels helped us to how the patient was healing. What is the priority intervention to prevent further compromise of the integumentary system for Josephine Morrow?

PCC

   T&C

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Elevating the legs Using a moisturizer to prevent skin breakdown Repositioning every 2 hours Describe the interprofessional collaborative efforts beneficial in the care of Josephine Morrow.

The nurse assigned to her, the aids, her doctor, physical therapist, a social worker and a dietitian. Describe the safety measures that should be incorporated in Josephine Morrow’s care.

S   

Use her call bell when needs an assistance getting up and transferring to the chair or bed. Making sure her room is clear or cluttering or cords for her to walk Rest when she is feeling any discomfort

Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Josephine Morrow’s case to an actual patient care situation. 

By understanding that each patient is an individual and going into their room with the mindset that I am here to help them

What opportunities for improvement should you address? 

Opportunities for improvement would be to making sure I’m completing the right task that I’m assigned for the amount of time that is given.

From vSim for Nursing | Health Assessment. © Wolters Kluwer.

* The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/

From vSim for Nursing | Health Assessment. © Wolters Kluwer....