Henry Williams, Part 2 – Shelby Olivieri
Guided Reflection Questions
Opening Questions
How did the simulated experience of Henry Williams’s case make you feel? – based on the introduction I
felt more comfortable comp
...
Henry Williams, Part 2 – Shelby Olivieri
Guided Reflection Questions
Opening Questions
How did the simulated experience of Henry Williams’s case make you feel? – based on the introduction I
felt more comfortable completing this simulation
What nursing actions did you feel were appropriate within this scenario? – physical and mental
assessment
Scenario Analysis Questions*
PCC What communication techniques could be used to decrease the anxiety of Henry Williams and
his daughter-in-law, Betty, about his wife, Ertha? – I supported the family as necessary, included
them in assessments, assessed any concerns they had, and educated them regarding plan of
care and next steps.
T&C/I How would you use the situation-background-assessment-recommendation (SBAR) format to
communicate transition of care from the acute care nurse to the pulmonary rehabilitation
nurse?
Situation 69 year old male admitted five days ago with
progressive shortness of breath
Background Weak and progressing slow with pulmonary
rehabilitation. Generally tired and worries
about wife who is experiencing frequent
memory lapses
Assessment Vitals stable, using oxygen at night and as
needed for SHOB, able to complete ADLs,
alert and oriented
Recommendation Emphasize need to maintain adequate
oxygenation, use of respiratory therapy,
stress and coping mechanisms, follow with
existing orders
PCC Given Henry Williams’s current condition, what do you anticipate the next steps would be in the
coming days? – initiating therapy with a trained psychiatrist, identify adequate stress and coping
mechanisms, perform thorough respiratory assessments
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