David Carter 1 (Schizophrenia)Opening Questions1. How did the simulated experience of David Carter’s case make you feel?I was very nervous to start his case, as this type of simulation is very different from any that we have done before. I really wasn't sure of what to expect, so I wasn't able to prepare like I have before starting previous simulations. Now, once I got started, I was actually pleasantly surprised at the various options for communication. That was something that I felt was lacking in the simulations we have done for other classes, so it was nice to be able to choose how to respond to David. Overall, I felt slightly calmer during the simulation as he wasn't acting violently, so I was able to try to think my way through the assesment questions that needed to be completed and the proper therapeutic responses. However, I thought it was good first experience with mental health virtual simulations.
Feedback Log:0:00 Patient0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety.0:07 You introduced yourself.0:32 You washed your hands.0:39 You identified the patient.1:08 You measured the temperature.1:23 You checked the radial pulse.1:36 You checked the pulse oximetry.1:53 You assessed the respiration.2:05 You measured the blood pressure.<중 략>7:13 The patient said: Have you seen the security guard with the blond hair? He can take me back to my cell anytime.You answered: I don't want to hear you talk about other staff in that way. You used the nontherapeutic technique of rejecting.7:16 You asked the patient: What other pain management strategies have you used other than medications? The patient said: No. Let's stick with the meds. It was correct to ask if the patient was using any pain management strategies other than medication.
Feedback Log: 0:00 Patient0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety.0:05 You introduced yourself.0:29 You washed your hands.0:34 You identified the patient.0:51 You asked the patient: Is it OK for your wife to be here, while we talk? It was correct to let the patient give his consent for letting his wife be a part of the interview.1:02 The patient said: I'm not sure what I would do without Joy.You answered: It sounds like your relationship with your wife is very important to you. You used the therapeutic technique of encouraging expression.
0:00 Patient0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety.0:06 You introduced yourself.0:26 You washed your hands.0:33 You identified the patient.2:45 You asked the patient: Have you taken your medication?2:58 The patient said: I'm not going to eat; no one can make me eat poison.You answered: Have you had similar experiences? You used the therapeutic technique of encouraging comparison.3:01 You asked the patient: Can you tell me a little bit more about what's going on with you today? It was appropriate to ask the patient what was going on with him to get an understanding of this.3:21 The patient said: They came and got me and forced me into this poison prison. It's your fault for keeping us here to rot of poison!You answered: My purpose for being here today is to help you and complete your nursing assessment. You used the therapeutic technique of giving information.
Feedback Log:0:00 Patient0:00 You checked scene safety. It was correct to check scene safety in order to maintain your own safety.0:06 You introduced yourself.0:26 You washed your hands.0:39 You identified the patient.0:53 You asked if the patient had any known allergies.1:07 You measured the temperature.1:24 You checked the radial pulse.1:38 You assessed the respiration.