Julia&Morales&and&Lucy&Grey,&Part&2&
Guided&Reflection&Questions&
Opening Questions
How did the integration of Julia MoralesÕs dying in this simulated experience make
you feel? I feel that it progressed rather quickly between sim one and two. At the
end of sim two, Julia appeared to be fine.
What nursing actions did you feel were appropriate within this scenario? I feel all
nursing actions were appropriate giving JuliaÕs situation.
Scenario Analysis Questions*
PCC When analyzing the relevant cues, what priority problem(s) did you identify
for Julia Morales and Lucy Grey? JuliaÕs breathing was getting shallower and
shallower. Ensuring the family was prepared was top priority.
PCC/I What is the importance of therapeutic communication during the dying
process and postmortem care? Therapeutic communication is essential in a
nurse patient relationship. Without it, important information can be left out.
PCC What potential barriers might affect Julia MoralesÕs wish to die peacefully? If
her family had not agreed with her wishes.
PCC/I What strategies might empower Lucy Grey in making decisions about
Julia MoralesÕs end-of-life care? Lucy stepped when Julia needed her most
when providing care in the home. She will do whatever she needs to do to
help ease JuliaÕs pain.
PCC What can the healthcare team members caring for Julia Morales do to cope
with their grief over the patientÕs death? They need to express their emotions
and feelings amongst coworkers, so they do not express it in front of the
family. They need to understand that they did everything they could.
T&C What is the role of the home health/hospice nurse and interprofessional team
after Julia MoralesÕs death? How was the situation-background-assessment-
recommendation (SBAR) technique used to communicate with the primary
care provider?
Situation Julia passed away in her home while
on hospice care
Background Julia has been on hospice care for 8
weeks.
From vSim for Nursing | Gerontology. © Wolters Kluwer.
Guided&Reflection&Questions&
Opening Questions
How did the integration of Julia MoralesÕs dying in this simulated experience make
you feel? I feel that it progressed rather quickly between sim one and two. At the
end of sim two, Julia appeared to be fine.
What nursing actions did you feel were appropriate within this scenario? I feel all
nursing actions were appropriate giving JuliaÕs situation.
Scenario Analysis Questions*
PCC When analyzing the relevant cues, what priority problem(s) did you identify
for Julia Morales and Lucy Grey? JuliaÕs breathing was getting shallower and
shallower. Ensuring the family was prepared was top priority.
PCC/I What is the importance of therapeutic communication during the dying
process and postmortem care? Therapeutic communication is essential in a
nurse patient relationship. Without it, important information can be left out.
PCC What potential barriers might affect Julia MoralesÕs wish to die peacefully? If
her family had not agreed with her wishes.
PCC/I What strategies might empower Lucy Grey in making decisions about
Julia MoralesÕs end-of-life care? Lucy stepped when Julia needed her most
when providing care in the home. She will do whatever she needs to do to
help ease JuliaÕs pain.
PCC What can the healthcare team members caring for Julia Morales do to cope
with their grief over the patientÕs death? They need to express their emotions
and feelings amongst coworkers, so they do not express it in front of the
family. They need to understand that they did everything they could.
T&C What is the role of the home health/hospice nurse and interprofessional team
after Julia MoralesÕs death? How was the situation-background-assessment-
recommendation (SBAR) technique used to communicate with the primary
care provider?
Situation Julia passed away in her home while
on hospice care
Background Julia has been on hospice care for 8
weeks.
From vSim for Nursing | Gerontology. © Wolters Kluwer.
