vSim 브이심 Fundamentals Scenarios - Marvin Hayes 5단계(Documentation Assignments) 6단계(Guided Reflection Questions)

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vSim 브이심 Fundamentals Scenarios - Marvin Hayes 5단계(Documentation Assignments) 6단계(Guided Reflection Questions) 내용을 작성했습니다.
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목차

Ⅰ. Documentation Assignments
1. Document your findings related to the focused assessment regarding Mr. Hayes's stoma status, peristomal skin, abdominal and perineal incisions.
2. Document assessment findings related to gastrointestinal function, output from colostomy, and ability to advance current diet post surgery.
3. Identify and document key nursing diagnoses for Mr. Hayes regarding his current condition.
4. Referring to your feedback log, document all nursing care provided and Mr. Hayes's response to this care.
5. Document all patient education regarding colostomy care, diet, and safety issues provided to Mr. Hayes, as well as his response to the teaching.
6. Document your handoff report in the situation-background-assessment-recommendation (SBAR) format to communicate Mr. Hayes's future needs.

Ⅱ. Guided Reflection Questions
1. Opening Questions
2. Scenario Analysis Questions
3. Concluding Questions

본문내용

1. Document your findings related to the focused assessment regarding Mr. Hayes's stoma status, peristomal skin, abdominal and perineal incisions.
- 대상자의 장루를 평가한 결과 분홍색, 축축한, 둥근 모양이고, 피부와 피부장벽 사이에 약간의 누수가 있었다. 회음부 패드가 있으며 회음부 절개 부위에 감염이나 배액의 징후가 없고, 복부 절개 부위에 감염이나 출혈의 징후는 없다.

2. Document assessment findings related to gastrointestinal function, output from colostomy, and ability to advance current diet post surgery.
- 복부 청진 시 장음은 정상이었다. 장루 장치의 평가는 장루 주머니가 갈색 액체 대변으로 반쯤 차 있음을 보여주었다.

참고자료

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