Pharm Scenario 08 Suzanne Morris GRQ revised PDF

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Pharmacology Scenario 8: Suzanne Morris Guided Reflection Questions

Opening Questions How did the simulated experience of Suzanne Morris’s case make you feel? It was a challenge for me because it was my first interactive case study. I felt lost because I was not sure what to do that is why I had to do so many attempts. However, I believe it is a good way to learn, I am sure it will help me when I will work with real patients. Talk about what went well in the scenario. I did pretty good with health assessment and safety management. I had only some problems finding the right tools on the bar, but now I know what and where I can find. Reflecting on Suzanne Morris’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 did not educate my patient about metronidazole and probiotics. I would deferentially do it on my next attempt. I think it is very important because a patient's disease is an adverse effect of antibiotics and it is very important to care about the normal flora.

Scenario Analysis Questions1 PCC/EBP What priority problem(s) did you identify for Suzanne Morris? I think that priority problems for Suzanne Morris were dehydration and pain. PCC/EBP

What information in Suzanne Morris’s medical history could have potentiated the C. difficile infection and why?

Suzanne Morris was treated with triple combination therapy of amoxicillin, clarithromycin, and pantoprazole for H. pylori. Antibiotics killed normal gut flora. EBP

What are the potential problems that could arise if the C. difficile was not treated immediately?

1 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 | Pharmacology. © Wolters Kluwer.

Severe C. difficile infection-causing dehydration, colon becoming inflamed and sometimes form patches of raw tissue that can bleed or produce pus. C. difficile infection may also cause severe intestinal inflammation, enlargement of the colon and sepsis. PCC/T &C/S    

T&C

1. 2. 3. 4.

Discuss what should be taught to Suzanne Morris regarding her C. difficile infection.

needing to use the bathroom 10 or more times per day severe abdominal cramping and pain reduced appetite fatigue

What other interprofessional team members should be involved in Suzanne Morris’s care? Physician Nuirse Pharmasist Lab Technician

Concluding Questions Describe how you would apply the knowledge and skills that you obtained in Suzanne Morris’s case to an actual patient care situation. I see that is skipping an education part was my biggest mistake. As long as antibiotics are actual couse of Suzane Morris disease I have to be sure that patient has fule information about the adverse effects of medicines. I should deferentially educate the patient about probiotics because it is very important to restore normal gut flora.

From vSim for Nursing | Pharmacology. © Wolters Kluwer....