Sarah Kathryn Horton
phase one:
educational needs - increased
fall risk - increased
health change - increased
pain level - increased
psychological needs - increased
sensorium - normal
phase two:
acute pain
an
...
Sarah Kathryn Horton
phase one:
educational needs - increased
fall risk - increased
health change - increased
pain level - increased
psychological needs - increased
sensorium - normal
phase two:
acute pain
anxiety
disturbed personal identity
impaired physical mobility
impaired skin integrity
risk for post trauma syndrome
alteration of protective mechanisms
phase three:
scenario 1 -
- wash hands prior to entering the room
- assess respiratory status
- do not disturb the patient
- reduce stimuli in patient room
- document all findings
scenario 2 -
- wash hands prior to entering the room
- assess Ms. Horton's orientation
- medicate patient
- attempt deescalation strategies
- document all findings
scenario 3 -
- gather supplies needed for dressing change
- wash hands upon entering the room
- explain procedure to Ms. Horton
- provide Morphine Sulfate 4 mg IV
- perform dressing change
scenario 4 -
- educate Ms. Horton that paroxetine is to be taken as ordered
- reinforce past coping mechanisms
- educate family regarding active listening and open communication
- educate family regarding intervention and support for Ms. Horton
- document all interactions
scenario 5 -
- assess Ms. Horton's orientation status
- use therapeutic communication to reorient and provide reassurance
- assist Ms. Horton back into the wheelchair
- escort patient to ER for a physical and psychological evaluation
- provide report to ER nurse
Charlie Raymond
phase one:
educational needs - increased
fall risk - increased
health change - increased
neurological - normal
pain level - normal
psychological needs - normal
phase two:
death anxiety
impaired gas exchange
ineffective breathing pattern
phase three:
scenario 1 -
scenario 2 -
- don appropriate PPE
- change to simple O2 face mask
- perform focused respiratory assessment
- notify respiratory therapist to begin treatment
- notify family to self isolate for 14 days
scenario 3 -
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