Vernon Russell Reflection Questions PDF

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Vernon Russell Guided Reflection Questions Opening Questions How did the simulated experience of Vernon Russell’s case make you feel? 

In this vSim of Vernon Russell, I felt excited because this vSim gave me an idea on how to treat a patient with a right-sided stroke and left-sided hemiplegia. However, I did get nervous when Mr. Russell began to choke on the medication Losartan, but I did figure out what to do to stop Mr. Russell from choking.

Talk about what went well in the scenario. 

In this vSim of Vernon Russell, various thing went well such as, I took vital signs; Auscultated lungs and heart; IV site showed no signs of redness, inflammation, and bleeding; Took pedal pulse; Neurological assessment; Put in High-Fowler’s position and contacted HCP when choking on the medication Losartan occurred; Educated on safety, medication, and risk/prevention of aspiration.

Reflecting on Vernon Russell’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? 

If I were to repeat this scenario, I would have put Mr. Russell in a High-Fowler’s position and assessed swallowing before I would have given any oral medications to prevent chocking.

Scenario Analysis Questions S

What priority problem(s) did you identify for Vernon Russell? 

The priority problems that I identified for Mr. Russell was risk for choking and falls related to inability to swallow and muscle weakness caused by right-sided stroke and left-sided hemiplegia.

S/EBP Correlate the abnormal coagulation studies results to Vernon Russell’s current treatment that has been initiated thus far. 

EBP/I

A coagulation screen was performed, and Mr. Russell’s prothrombin time was 42 seconds which it’s abnormal since it should be 10-14 seconds. As a result, Aspirin order says “Hold until labs come back” because Aspirin increases risk for internal bleeding and Mr. Russell’s coagulation would not react appropriately to bleeding. Also, Mr. Russell’s platelets were forming inappropriate clots, so in the ED a Thrombolytic Therapy was started to dissolve the clots that caused the Stroke.

What resources are available to the interprofessional health care team to guide the care of Vernon Russell and/or any stroke patient?

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 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 | Fundamentals. © Wolters Kluwer.

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The resources available to the interprofessional health care team to guide the care of Mr. Russell are scholarly articles and supports groups.

PCC/S Discuss the rationale for Vernon Russell being placed on NPO status? 

Mr. Russell was put on NPO because he has an impaired ability to swallow and could choke/aspirate on any medication or foods given.

PCC/S How did you respond to Vernon Russell’s question related to why he needs someone to help him walk, and what is your rationale for your response? 

PCC

I responded, “Mr. Russell needs someone to help him walk because his right-sided stroke caused left-sided hemiplegia which weakens his muscle and could result in a fall leading to more health complications such as a fractured bone.”

Utilizing Vernon Russell’s health history, identify factors that predisposed him to having a stroke. 

T&C 

The factors that predisposed Mr. Russell to having a Stroke are hypertension, CAD, diabetes mellitus type 2, smoking more than a pack of cigarettes every day for 35 years, and no exercise.

Discuss why the referral for speech therapy is important in Vernon Russell’s care. A speech therapist assesses Mr. Russell’s ability to swallow and promotes swallowing exercises to be able to swallow again.

Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Vernon Russell’s case to an actual patient care situation.  In an actual patient care scenario, I would ensure that I take vital signs; Auscultate lungs and heart; Assess IV; Take pedal pulse; Neurological assessment; Assess swallowing and put in High-Fowler’s position when giving medications or food; Put in NPO and contacted HCP if choking occurs; Educated on safety, medication, and risk/prevention of aspiration.

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