Marvin Hayes reflection W PDF

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Marvin Hayes Guided Reflection Questions Opening Questions How did the simulated experience of Marvin Hayes’s case make you feel? I felt quite overwhelmed because there were so many new signs and symptoms that I wasn’t familiar with and I struggled with knowing how to respond to these. After my final attempt I was much more confident. Talk about what went well in the scenario. I made sure to maintain safety precautions and hygiene when checking the patients ostomy pouch and incisions. I also made sure to educate the patient on diet, colostomy care and the incentive spirometer Reflecting on Marvin Hayes’s case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change? I would ask about the patients pain earlier in the assessment. I didn’t ask about his pain until quite late in the assessment and I want the patient to know how he feels is my priority. Scenario Analysis Questions∗ PCC

What priority problem(s) did you identify for Marvin Hayes?

The priority problem I identified for this patient was maintaining the ostomy pouch. The pouch was full and needed to be changed to prevent infection and pressure on the skin barrier. PCC

What potential problems could arise due to the newly placed colostomy?

Potential problems include leaking, skin irritation, and the patient himself could also experience some embarrassment. PCC

Discuss what type of diet would be appropriate for Marvin Hayes.

An almost normal diet would be appropriate for the patient. He should avoid using a straw to help prevent gas. Large leafy vegetable should also be kept to a minimum to prevent blockages at the stoma. Many foods such as asparagus and fish will increase the odor while yogurt will limit.

∗∗ 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/

PCC/T&C Discuss the importance of peer support groups with other adults with colostomies. Peer support groups would allow similar individuals to express how their feeling without any judgement. This is healthy way to cope with any self esteem issues regarding their colostomy. EBP

Explain why it is important to measure the stoma at least once a week for the first 6-8 weeks after surgery.

The stoma changes in size after surgery. Ensuring the correct size of the stoma will secure the colostomy pouch better and prevent any leakage. T&C

What other interprofessional team members should be involved in Marvin Hayes’s care?

A dietician would be very helpful for this patient as well a primary care physician. I

Cite one source that you could give to Marvin Hayes that would provide more information on colostomy care and resources.

http://healthinfo.uclahealth.org/Search/34,17641-3 Concluding Questions Describe how you would apply the knowledge and skills that you obtained in Marvin Hayes’s case to an actual patient care situation. This simulation helped me create a framework for my future colostomy patients. I gained new insight on managing the ostomy pouch as well as making sure my patient is coping with this major lifestyle change. Now, I have more information on how to educate my future patients....