David Carter Part 2 Guided reflection PDF

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Download David Carter Part 2 Guided reflection PDF

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Mental Health Case: David Carter, Part 2

Diana Ahmad

Guided Reflection Questions Opening Questions How did the simulated experience of David Carter’s case make you feel? I felt more comfortable with performing part 2 of the simulation, for I felt like I had more background information in regards to the patient. I feel like I did a much better job handling the questions and concerns as well as properly answering statements using effective therapeutic techniques. Talk about what went well in the scenario. David Carter was much more relaxed, had a clear though process, and was open to learning about his new prescribed medications. Reflecting on David Carter’s case, were there any actions you would do differently? If so, what were these actions and why? I would of asked for the permission for his mother to be in the room before actually starting the interview because he has the right to deny anyone being in the room with him. Scenario Analysis Questions* PCC What needs to be stressed during discharge teaching related to his new medication regimen (sertraline and fluphenazine)? Extraparymidal side effects that have to be measured periodically to pevent increasing tardive diskenesia because of fluphenazine regimen. With sertraline David have to be careful and watch out for serotonin syndrome. PCC/I Identify community resources in your area that are available to David Carter and his family. One should be for David Carter, one for his mother, and one for the family. In my area David could function in a group home if his mother decided she could not have him home. Also, there are adult day centers that could help his mother have time to herself. There are group meetings for families with people with mental illness that can provide more resources and support. PCC/S What other discharge teaching is recommended for David Carter and his family? Teaching that will ensure compliance with medication. Most of relapses are caused by patient not taking the medication. It is worth discoussing IM depot injections that will take the stress of skipping a dose.

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

Concluding Questions How would you apply the skills and knowledge gained in David Carter’s case to an actual patient situation in different acute care units (emergency room, intensive care unit, obstetrics unit, etc.)? I would apply these skills learned in this simulation by using therapeutic language when possible and affirm the patients progress. The goal is to facilitate the desire in the patient live and work on their own successfully. I have learned that social support is critical upon discharge, so I would help he patient get involved with individuals with similar diagnosis, so they can encourage each other.

* 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 | Mental Health. © Wolters Kluwer....