vsim_Linda waterfall_Reflection Questions_정신간호학실습

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"vsim_Linda waterfall_Reflection Questions_정신간호학실습"에 대한 내용입니다.

목차

1. 사례 정보

2. vSim 실습결과

3. Documentation Assignments
1) Document your findings related to the focused assessments of Ms. Waterfall’s signs and symptoms of respiratory and/or cardiac distress. Include her responses to your assessment.
2) Document your findings related to the focused assessment of Ms. Waterfall’s signs and symptoms of acute anxiety. Include her responses to your assessment.
3) Referring to your feedback log, document all nursing care provided and Ms. Waterfall’s response to this care.
4) Document all interventions associated with the management of Ms. Waterfall’s anxiety as they are included into her plan of care. Include interventions especially focused on her spiritual and cultural needs, as well as those demonstrating nursing advocacy.
5) Document your handoff report in the SBAR format to communicate Ms. Waterfall’s future needs.
6) How did the simulated experience of Linda Waterfall’s case make you feel?
7) Talk about what went well in the scenario.
8) Reflecting on Linda Waterfall’s case, were there any actions you would do differently? If so, what were these actions and why?
9) What priority problem(s) did you identify for Linda Waterfall?
10) If the nurse did not recognize or respond appropriately to Linda’s concerns, what could the ramifications be?
11) Discuss the importance of a medication bundle for Native Americans.
12) What other individuals in addition to the primary care team should be involved in Linda Waterfall’s case?
13) In Linda Waterfall’s situation, what therapeutic communication techniques would be most effective?
14) Describe how you would apply the knowledge and skills that you obtained in Linda Waterfall’s case to an actual patient care situation.

본문내용

1. 사례 정보
이 름 : Linda waterfall
성 별 : Woman
진단명 : breast cancer
기 타 : 왼쪽 유방 절제술을 받을 예정임. 대상자 어머니가 수술 합병증으로 사망하여 대장자는 수술에 대하여 긴장하고 있고, 잠을 잘 못자고 있다고 말함. 유방 절제술으로 인한 자신의 신체상에 대하여 걱정하고 있음. 자정 이전 이후로 입으로 아무것도 먹지 않았다고 함.

<중 략>

2 Document your findings related to the focused assessment of Ms. Waterfall’s signs and symptoms of acute anxiety. Include her responses to your assessment.

불면증과 호흡곤란을 나타냄. R: 24회, P: 110회, BP: 150/80으로 정상보다 높으며 흉통은 없다고 함. 맥박을 사정하려 할 때 심장박동이 요동치는 것 같다고 말하였고, 폐를 청진한다고 하니까 숨을 쉴 때 무거운 느낌이라고 말함. 폐 청진결과 양측 일정하며 정상적임. 심장을 청진한다고 하니까 매우 초조하다고 말함. 심장 청진결과 잡음이 없으며, 규칙적임.

3 Referring to your feedback log, document all nursing care provided and Ms. Waterfall’s response to this care.

-대상자와 상담 중에 사촌이 옆에 있어도 되는지 양해를 구하였는데 사촌에게 떠나지 말라며 그녀는 커피를 원한다고 하여 사촌이 커피를 가지러 가도 내가 옆에 있겠다고 말해줌.
-호흡을 사정함. 24회
-말초산소포화도를 사정함. 매우 긴장된다고 말함. SpO2 100%
-맥박을 사정함. 심장이 요동치는 것 같다고 말함. 110회이며 규칙적임.
-혈압을 사정함. 여전히 그렇다고 함. 150/80
-고막체온을 측정함. 빠르게 해달라고 함. 37도

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