Vsim Marilyn Hughes 시나리오(구획증후군) 보고서

소개

Vsim 시나리오 중 수술후 구획증후군이 의심되는 45세, 여성 Marilyn Hughes에 대한 Documentation Assignments 5문항과 Debriefing 7문항에 대한 보고서입니다.

목차

1. Documentation Assignments
1)Document a comprehensive pain assessment for Marilyn Hughes.
2)Document Marilyn Hughes’ neurovascular assessment.
3)Document the changes in Marilyn Hughes’ vital signs.
4)Identify and document key nursing priorities for Marilyn Hughes.
5)Referring to your feedback log, document the nursing care you provided and Marilyn Hughes’ response to this care.

2. Debriefing
1)How did the scenario make you feel?
2)How would you recognise that Marilyn Hughes’ condition was deteriorating?
3)What interventions exist to alleviate compartment syndrome, and what assessments indicate improved perfusion to the extremity?
4)Why is it important to maintain the limb at heart level versus elevating it above heart level?
5)What could have happened in this scenario if Marilyn Hughes’ condition was not treated expediently?
6)What key elements would you include in the handover report for this patient? Consider the ISBAR (introduction, situation, background, assessment, recommendation) format.
7)What would you do differently if you were to repeat this scenario? How would your patient care change?

본문내용

1. Document a comprehensive pain assessment for Marilyn Hughes.
- P (postion, 부위) : 좌측 다리에 통증을 호소하고 있고 방사통은 없다고 대답하였다.
- Q (quality, 양상) : 쥐가 난 것처럼 붕대가 꽉 끼는 듯한 통증을 호소하였다.
- R (reliving, 완화요인, 악화요인) : 통증을 완화시키는 요인은 없으나, 다리를 만질 때 통증이 심해진다고 대답하였다.
- S (severity, 강도) : 대상자의 통증은 초기에 NRS 8점으로 사정되었다가 붕대를 다시 감고 다리를 내려주자 NRS 5점으로 사정되었다.
- T (time, 시간) : 대상자는 수술에서 이후부터 통증이 있다고 말하였다.

참고자료

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