Millie larsen part 1 reflection questions PDF

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Millie Larsen, Part 1 Guided Reflection Questions Opening Questions How did the simulated experience of Millie Larsen’s case make you feel? This simulation was interesting. It was good to focus on interacting with and educating the patient and their family. It also focused on different assessments used in patient care such as the CAM and Morse falls risk assessment tool which was great to get some more experience with. What nursing actions did you feel were appropriate within this scenario? It was appropriate to communicate effectively with the patient and their family. I had to administer medications as ordered and obtain a urine specimen. It was appropriate to assess the patient’s confusion and what her baseline is. I performed a CAM and a MORSE falls risk assessment tool which was important for this patient. Scenario Analysis Questions* EBP What findings indicate the cause(s) of Millie Larsen’s confusion? How do these findings do so? The results of the urinalysis showed that the confusion was due to a urinary tract infection. Her urinalysis showed leukocytes and nitrite which is an indication of a UTI. Since her confusion was very sudden was another sign it could be due to an infection. EBP

What potential problems can you identify for Millie Larsen?

Some potential complications of a UTI may include recurrent infections and if it goes untreated it could result in kidney damage or a chronic kidney infection. I also am a little concerned that she lives alone and has a cat; these could be safety issues and lead to a fall. Although, her daughter seems to visit her a lot, if she were to fall overnight or something she could possibly lay there for a while until someone found her and a fall could lead to further complications such as a bone fracture. PCC

What communication techniques could be used to improve Millie Larsen’s situation? It is important to reorient Millie every time she is confused or says something that does not make sense. You should talk in a calm, kind manner and reassure Millie and Dina that her condition and confusion are only temporary and is due to a UTI. It is important to educate them on how to prevent any future UTIs.

S/QI

For the following Safety/Quality Improvement measures, what nursing actions should be taken during Millie Larsen’s case? Safety/Quality Improvement Measures

Nursing Actions

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

Medication administration to include drug calculations

Patient/family teaching and assisting in care delivery

Equipment use

T&C

It is important to educate the patient and their family about the medications she is taking. They should be told the names of the medication, what each of them are used for, when and how often to take them. The route and any other considerations should be talked about as well. For example, she should be taught to take her pulse and to do so before taking Metoprolol. All of the potential side effects of each medication should be taught as well. All of this information should be printed out in simple terms for them to take home. Patient/family education is a huge part of patient care. They should be educated on the medications Millie is on and why she is taking them. It is important to talk about her condition and diagnosis along with how to prevent future infections. Dina should be given resources for being the primary caregiver and should be reassured the importance of taking time for herself too. The use of equipment should be provided for Millie during her stay at the hospital. She says she walks without difficulty, but her gait seems weak and she kind of shuffles her feet. I think a walker may be useful for her and could prevent falls. She should be taught how to use it and should be encouraged to use it at home.

Why was it important to include Dina, Millie Larsen’s daughter, as a member of the health care team? It was very important to include Dina as a member of the health care team because she can provide the information we need about her mother since Millie was so confused and unable to answer many questions. Including loved ones is very important and can improve the quality of care, so we could get a description of the patient’s baseline and sometimes they can catch things that may have been potentially overlooked or forgotten.

Concluding Questions Reflecting on Millie Larsen’s case, were there any actions you would do differently? If so, what were these actions, and why would you do them differently? Yes, I would do some things differently. I would have auscultated the lungs and heart earlier than I had. I also would have assessed her intake and output earlier. There were also a lot of questions that I From vSim for Nursing | Gerontology. © Wolters Kluwer Health.

would have worded differently; for example, I would have said “Please tell me what year is it.” rather than “Do you know the year?”. I also would have made sure to complete the CAM and Morse Fall Scale assessment tool correctly. How would you apply the knowledge and skills that you obtained in Millie Larsen’s case to an actual patient care situation? I would apply the knowledge and skills that I learned from this Vsim in future patient care. I would make sure to focus on effective communication. I understand even a simple rewording of questions could make a difference. Patient education and family support are also extremely important in patient care.

*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 | Gerontology. © Wolters Kluwer Health....