vSim Health Assessment Case 3: Sara Lin
Guided Reflection Questions
Opening Questions
What do you believe were the priorities for this simulation?
To perform a focused assessment on the patient’s abdomen and pain to educate the patient on pain
management and know the extent of the patient’s chief complaint of being in the hospital.
What actions do you think went well?
The focused assessment went well, patient was compliant with care and expressed that the nursing
care implemented with the previous shift had improved her initial state.
Were there issues or problems that you identified during the simulation experience? Please list.
1. Abdomen was slightly distended and upon light palpation, patient expressed tenderness and
pain in the right lower quadrant.
2. The client expressed pain upon movement and pain when doing ROM of the lower
extremities.
3. Patient is at a risk for falling due to having an IV and having taken morphine.
4. Patient is at risk for DVT or a PE due to limited movement from the pain.
Scenario Analysis Questions*
EBP What assessment needs did you identify for Sara Lin?
Ms. Lin needs to be more mobile to decrease the risk of a blood clot and continue monitoring
her pain level as it may increase after surgery is performed.
PCC Discuss additional nonpharmacologic actions that would be appropriate for managing Sara Lin’s
pain.
Ms. Lin can listen to music or watch tv to keep her mind off the pain or use guided imagery to
distract herself from the pain.
T&C What preoperative teaching topics would be relevant to Sara Lin at this time?
Educate the patient about the importance of being mobile after surgery and to use cough, deep
breathing exercises to decrease the risk for a blood clot or pneumonia. Educate the patient about an
increase in protein in her diet to promote healing after surgery.
Guided Reflection Questions
Opening Questions
What do you believe were the priorities for this simulation?
To perform a focused assessment on the patient’s abdomen and pain to educate the patient on pain
management and know the extent of the patient’s chief complaint of being in the hospital.
What actions do you think went well?
The focused assessment went well, patient was compliant with care and expressed that the nursing
care implemented with the previous shift had improved her initial state.
Were there issues or problems that you identified during the simulation experience? Please list.
1. Abdomen was slightly distended and upon light palpation, patient expressed tenderness and
pain in the right lower quadrant.
2. The client expressed pain upon movement and pain when doing ROM of the lower
extremities.
3. Patient is at a risk for falling due to having an IV and having taken morphine.
4. Patient is at risk for DVT or a PE due to limited movement from the pain.
Scenario Analysis Questions*
EBP What assessment needs did you identify for Sara Lin?
Ms. Lin needs to be more mobile to decrease the risk of a blood clot and continue monitoring
her pain level as it may increase after surgery is performed.
PCC Discuss additional nonpharmacologic actions that would be appropriate for managing Sara Lin’s
pain.
Ms. Lin can listen to music or watch tv to keep her mind off the pain or use guided imagery to
distract herself from the pain.
T&C What preoperative teaching topics would be relevant to Sara Lin at this time?
Educate the patient about the importance of being mobile after surgery and to use cough, deep
breathing exercises to decrease the risk for a blood clot or pneumonia. Educate the patient about an
increase in protein in her diet to promote healing after surgery.
