Shadow Health Assignment- Discharge and Conclusion.

Shadow Health Assignment- Discharge and Conclusion. What is the most appropriate response to Anita in this situation? I hear and understand what you are saying. We'll certainly do what we can to make sure you don't stay any longer than you have to! The provider didn't say you were ready to be discharged today, but I can bring up your concerns with him today. In the meantime, why don't we discuss your feelings further? Why is this the best response to Anita's concern? This answer reiterates that a nurse is not able to decide if a patient may be discharged without the input of their provider, although the patient's perspective should still be heard, acknowledged, and addressed. The correct answer is: While your entire healthcare team monitors your progress, ultimately your provider decides when you may be discharged. This will be when you have satisfied certain benchmarks, such as using your walker by yourself, transferring, and going up and down stairs. If we discharged you too soon, it could put you at risk for another fall. I know you miss home, but your safety is of the utmost importance. Why is this the best response to Anita's concern? This answer provides medical reasoning for why early discharge could jeopardize patient safety, in addition to correctly representing Toolkit policy. What is the most appropriate response to Anita's concern? Continue doing your exercises and following the physical therapist’s instructions. Eat well, get plenty of rest, and take your medications as recommended by your provider. It’s great that you’re motivated, but just remember that pushing too hard and too fast can end up causing damage in the long-run. Why is this the best response to Anita's concern? This answer reiterates the importance of providing education on medical interventions in order to protect patient safety. hat is the most appropriate response to Anita in this situation? Whether you go home or go to a rehabilitation facility is determined by how much progress you have made toward these benchmarks. Other factors include your support system, as well as the safety of your home. The provider will always recommend the option that is best for your health and safety. Why is this the best response to Anita's concern? This answer promotes patient safety, while providing accurate information about discharge. What is the most appropriate response to Anita's concern? I’m not at liberty to share another patient’s private health information. Be assured she is being well cared for. Why is this the best response to Anita's concern? This answer avoids betraying patient confidentiality. Pt.Patel interactions The correct answer is: You arrived at our hospital with gastroenteritis and were showing signs of dehydration and confusion. You hadn't been able to keep your diabetes medication down, which had raised your blood sugar and led to you going into a hyperosmolar, hyperglycemic state. This means that your body was trying to expel the excess sugar through your urine, which contributed to your dehydration. You were treated with IV fluids and insulin to hydrate you and bring your blood sugar back under control, and you were given promethazine to soothe your nausea. At this point, your blood sugar has returned to an acceptable level and your nausea has decreased. The correct answer is: The correct selection uses clear language to briefly but thoroughly describe Mr. Patel's hospital experience. It neither skips over important information nor relies on jargon. The correct answer is: This prescription is for 25 mg of promethazine to be taken twice a day for a week, as needed, for nausea. If the nausea continues, follow up with your primary care provider. If you forget a dose, take it immediately unless it's close to time for the next dose. Never take an extra dose to make up for missing a dose. If you overdose or show signs of an allergic reaction, get emergency help immediately. Store the pills at room temperature. The correct answer is: The correct selection includes a complete and accurate set of instructions. The correct answer is: There are a number of serious adverse effects that can be caused by promethazine. You should stop using promethazine and seek out emergency care immediately if you experience severe drowsiness, light-headedness, confusion, hallucinations, fidgeting and increased irritability, spontaneous muscle movements, nervous system disorders, sudden weakness or illness, yellowing of the skin or eyes, increased bruising or bleeding, an increased or decreased heartbeat, or seizures. The correct answer is: You provide Mr. Patel an accurate list of serious adverse effects to look out for and advise him of what to do if he experiences them. The correct answer is: There are some common adverse effects that you may experience while taking promethazine. These include dizziness, drowsiness, tinnitus, dry mouth, double vision, and difficulty sleeping. You should avoid alcohol while taking promethazine, as it can make some of these effects worse. Since it can make you drowsy and dizzy, you should be careful if you drive, operate heavy machinery, or do anything else that requires a quick reaction time. Promethazine will also make you more susceptible to sunburn, so it's a good idea to use sunscreen when you go outside. The correct answer is: You provide Mr. Patel with a complete, accurate list of promethazine's common adverse effects and tell him what he should avoid doing while taking it. The correct answer is: Actually, if it is already time for your next dose, you should skip the missed dose and return to your normal schedule. Aside from that, it seems like you have a good grasp on how to manage your promethazine. The correct answer is: You offer a correction for your patient's error in a respectful and considerate way. The correct answer is: It's a good idea to work with a diabetes educator or a dietitian to develop a meal plan that works for you and helps you meet your blood glucose target. One popular diabetic diet is the 1800-calorie, low sugar and low carbohydrate diet, which can help patients lose weight or stabilize their weight. You should also try to drink 8 cups of water a day to stay at the appropriate level of hydration. When it comes to exercise, aerobic exercise can help your body use insulin, improve blood circulation, lower blood pressure, and lower blood glucose, while strength training can lower blood glucose and make you more receptive to insulin. The American Diabetes Association recommends getting 30 minutes of aerobic activity 5 days a week and performing strength training two times a week. This kind of diet and exercise can lower your risk for diabetes-related complications, like the HHS for which you were just treated. The correct answer is: You make accurate recommendations and explain their importance in a clear and respectful way, without assigning blame. The correct answer is: That's correct! You show a good understanding of the importance of diet and exercise, and it sounds like you know what you need to do to get started The correct answer is: You positively reinforce Mr. Patel's comprehension, without offering redundant, unnecessary, or insulting feedback The correct answer is: Make sure to check your blood pressure at least one time a day. Check your glucose once the morning before you eat breakfast and then once later in the day, 2 hours following any meal. Record the results so that you can bring them to appointments with your primary care provider. This log can help you track the effectiveness of your care plan and let you and your provider know the kinds of changes you will need to make to keep your blood glucose and blood pressure in a healthy range. The correct answer is: You provide comprehensive instructions on when to take blood pressure and blood sugar readings and explain why it is important to monitor and keep a record of those readings. The correct answer is: It sounds like you have a good grasp of what to do and why it's important. I know that the finger-prick test is uncomfortable for you, and I'm sorry that it's so difficult. Keep in mind, though, that maintaining a continual record of your blood sugar could be an important part of keeping your diabetes under control without insulin. If you end up on insulin, that could mean more needle use, or the need to use an insulin pen or jet injector. Now, there are some new glucose-monitoring products that do not use needles, but if that ends up not being an option, I strongly recommend that you continue to test your blood glucose with the finger-prick test. The correct answer is: You reiterate the importance of Mr. Patel monitoring his blood glucose, bringing up a possible negative outcome of not doing so properly, while responding to his dislike of needles with respect and empathy. The correct answer is: You can make this plan with your doctor or a diabetes educator. It should include when you should call the members of your diabetes care team, how often you should take your blood sugar and measure your urine ketones, and what medications you should take. It will also include a description of how to eat, when and if you can still eat. I recommend that you actually draft up this plan and keep it in a place that's easy for you to find. You should also keep critical phone numbers -- for your doctor, your diabetes educator, and your dietitian -- with the plan, so you don't have to go hunting for them. The correct answer is: You explain the concept of a sick-day plan and help Mr. Patel understand how to start developing one with expert help The correct answer is: Having a dietitian and a diabetes educator on your healthcare team can be really valuable, and I recommend you work with your insurance company to explore your options. However, if getting these specialists proves to be an impossibility, you can still develop a sick-day plan with your primary care provider. The correct answer is: You respond to Mr. Patel's financial concern honestly and with empathy. The correct answer is: Make an appointment to follow up with your primary care provider within one week. The correct answer is: You give Mr. Patel a clear, specific instruction with a clear deadline. While this practice does cut down on liability issues for hospitals, at heart, it's designed to support patient safety. Many patients, coming off of bedrest and unfamiliar medications, are at risk for falls at the time of their discharge. Interactions with Charge Nurse Angel The correct answer is: We need to clarify who does what aspects of the discharge. The correct answer is: This policy addition would help prevent situations where staff members don't complete tasks that they incorrectly think a different staff member has claimed. The correct answer is: "The nurse in charge of the patient's care will complete all aspects of the discharge, unless they must delegate certain tasks." The correct answer is: It prevents staff members who are not in charge of a patient's care from executing tasks that the nurse in charge may have already done or delegated The correct answer is: "RNs can complete and/or delegate all discharge tasks. LPNs can go over with patients any educational materials already written by RNs; LPNs can also wheel patients out of the hospital. UAPs can wheel patients out of the hospital." The correct answer is: The licensure competencies in this case determine what level of involvement staff can have with discharge education. The correct answer is: We're lacking a policy about having a conversation with the patient on the best time to be discharged. The correct answer is: Discussing discharge times with the patient helps them to make ride arrangements and feel in the loop about their schedule. The correct answer is: "The nurse in charge of the patient's care will talk to the patient about what time will work for them to be discharged. The nurse in charge will then relay this time to any staff delegated to assist with the discharge." The correct answer is: This policy ensures that the patient's scheduling needs are addressed, and that the delegatees are informed about when they are needed to help with the discharge. Time: 1400 Description of Activity Prioritize care between multiple patients. Student Responses Arun Patel discharge Model Response Patient discharge should take place as soon as possible, allowing the patient to leave and also freeing up the bed for other patients in need. The discharge process has many steps, which must be carefully walked through in accordance with hospital policy. Time: 1600 Description of Activity Priotize the delivery of care between Mr. Haddad and Dr. Douglas. Student Responses Omar Haddad pain Model Response Nursing tasks that should take place at a specific time should be prioritized above tasks that can be performed subsequently or delegated to appropriate staff members. If a task must be performed by a staff member with a specific certification, you must also take that into consideration when determining if a task should prioritized, in order to be completely by the appropriate staff member, or if it can be delegated.