Dale Mayman Renal Liver Cirrhosis-End Stage Disease complex

Renal Liver Cirrhosis - End-Stage Disease Dale Mayman - Complex Case Target groups: Nurses Estimated scenario time: 20 to 30 minutes Estimated guided reflection time: 30 minutes Brief Summary This case will present the student(s) with a patient with end-stage liver disease. His wife is present and questioning liver transplant options. The student(s) is expected to provide information and manage different options regarding organ transplant as well as quality of life issues to a noncompliant patient. Learning Technology by Laerdal Simulation in Nursing Education Volume II Q) V) u "' X Q) c.. E 0 u c E "' ~ I: Q) -;;; 0 Educational Rationale This scenario is developed as one out of 20 Simulation in Nursing Education Volume II scenarios that address major learning objectives applicable to all types of undergraduate nursing programs. The simulation scenarios are designed to encourage students to assess and manage the patients by identifying key indicators to allow critical interventions to be performed. The scenarios are designed to provide fidelity within the simulation, determine the appropriate level of complexity, imbed cues and provide adequate debriefing opportunities using the Quality and Safety Education for Nurses (QSEN) competencies. The scenarios are specifically developed for use with the SimMan simulator and the SimMan Essential and SimMan 3G simulators utilizing Instructor Mode, Classic View. Learning Objectives General: D Identifies the primary nursing diagnosis D Identifies relevant patient history information D Implements patient safety measures D Explains physical assessment findings and diagnostics related to patient condition D Implements clinician orders appropriately D Implements nursing interventions based on patient care needs D Prioritizes nursing interventions D Identifies indications, contraindications, and potential adverse effects of prescribed medications D Demonstrates correct medication administration D Provides relevant patient/family education and teaching D Demonstrates therapeutic and confidential communication D Demonstrates direct and accurate communication with interprofessional team members D Demonstrates effective teamwork Scenario-specific: D Implements a focused cardiac, respiratory, and neurological assessment D Summarizes ethical considerations related to patient situation D Summarizes different end of life options D Demonstrates appropriate nursing interventions for a patient with liver cirrhosis