Vernon.odt,WELL EXPLAINED

Opening Questions How did you feel throughout the simulation experience? It was a good stimulation , did a lot to check the patients strengths. What do you think went well? I think the assessments went very well. Scenario Analysis Questions* EBP What priority assessment needs did you identify for Vernon Russell? He had left sided weakness EBP Describe findings that might concern you regarding Mr. Vernon’s safety, fall risk, and musculoskeletal assessments. Doing daily activitys like eating or bathing might impair him because of the left sided weakness S Utilizing the Morse Fall Scale found at T&C Based on Russell Vernon’s comment, “I have been walking by myself for 55 years. Why do I need someone to help me now? I am not that bad off,” what other health care team member and/or support services should be recommended? You can have someone from social services come and get him someone to talk to because he has been so used to being independent it will be a change that he is no longer as independent. PCC What risk factors does Vernon Russell have (modifiable and nonmodifiable) that indicate the risk for reoccurrence of a stroke? He has a history of hypertension, coronary artery disease, and diabetes mellitus type 2. He has smoked over a pack per day for the past 35 years and does not exercise. PCC What patient education should be initiated due to the identified modifiable risk factors? Smoking a pack daily is something that should be changed. 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. I would appl;y the skills by doing the same steps I took here by using Sbar, also by including teaching so that he understands what can happen and why it Is happening. What opportunities for improvement should you address? I should have positioned him in bed so that he can sit up right, I dont want him in the same position for to long. * 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: