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
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
