Discussion: Clinical simulation of Older Adult

Discussion: Clinical simulation of Older Adult
ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Discussion: Clinical simulation of Older Adult

Discussion: Clinical simulation of Older Adult

Question Description
NUR 2214 Nursing Care for the Older Adult Clinical

NLN SIM: Henry Williams Sim 3Name:__________________________

Module 1: Clinical Sim Objectives

Assess Functional status of an older adult using KATZ ADL assessment tool
Correctly transpose discharge orders to After Hospital Care Plan.
Provide Patient Education on COPD post-hospital care and discharge to Assisted Living facility
Required Reading:

Meiner, S., & Yeager, J. J. (2019). Gerontologic nursing (6th ed.). St. Louis, Missouri. Elsevier.

Chapter 1 Pages 7-13 (Overview of Gerontological Nursing)
Chapter 20 Pages 373-379 (COPD)
Chapter 26: pages 549-566 (HealthCare Delivery Settings and Older Adults)
Pre-Simulation Assignment:

Discussion: Clinical simulation of Older Adult

Review KATZ ADL Assessment video and article: https://consultgeri.org/try-this/general-assessmen…
Review COPD Patient Education video (7 minutes) at:https://www.bing.com/videos/search?q=patient+teach…
Review ATI Active Learning Template-System Disorder Template on COPD (Clinical Module 1)
Review Project RED Toolkit for Patient Discharge: https://www.ahrq.gov/hai/red/toolkit/index.html
RED Discharge Preparation Workbook-Henry Williams SIM
Patient Name _________________________MRN ________________DOB ______________
Date of admission ______________ Date of Discharge:_____________
Language preference ?:_______________________Interpreter Needed (Y/N)
Learning Preferences for discharge: Spoken communicationWritten materialsPhone communication
Attending:______________________________Pager #________________________________
Case Manager/Education (You):_______________________Contact #__N/A___Rasmussen Student Nurse Activity
Contacts with family/caregiver _Wife Ertha_____________ Date: _______ Nurse: __________
Date
Outstanding Patient Teaching/Information
Date Completed
Discharge Medications/Patient Demonstration
Discharge Going Home Guide
KATZ Assessment
Admitting Dx:_______________________________________________________________________
Comorbidities:______________________________________________________________________
Does patient have transportation to PCP appt? _ Yes ___ No ____ Transportation discussed:_________
PCP Name __________________Day / Date / Time:_____________________________

LocationAddress____________________________________Floor: _____________

Phone #: ____________Fax #:____________________

Allergies: _________________Patient confirmed:_____

Discharge Diet:___________________Activity:_____________________________

Durable medical equipment (DME) needed at home?: No ____ Yes ____

Current or New Outpatient Services (ex. VNA, PT)? ______________________________________

Service_______________________ Company name:_________________Contact:__________________

Address:_________________________ Phone:_____________________ Date scheduled:_____________________

Final teaching completed? Yes ____ Done by Discharge Educator (you):____ ________________

Reviewed what to do about problems? Yes ____ No ____ Patient understanding confirmed? Yes ____ No ____

Medicines reconciled with patient and medical team prior to final teaching? Yes ____ No ____

National guidelines checked prior to final teaching? Yes ____ Date: _________ No ____

AHCP given and reviewed by DE with patient?Yes ____ Time spent: ____

Does client have concerns for physical, mental, social, or financial abuse?________________________________
Guided Reflection Questions- Henry Williams
Concluding Questions
How did the simulated experience of case make you feel?

What went well in the scenario?

Reflecting on case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change?

Scenario Analysis Questions*

PCCWhat potential problems could arise if he does not understand his Discharge teaching?

PCC/T&CWhat other interprofessional team members should be involved in care?

SIdentify potential patient safety issues related to oxygenation and specific to Henry’s and Ertha’s care?.

T&C/IDid you provide Henry with education on the importance of smoking cessation and the role that smoking has on respiratory health. As part of this education, provide him with a list of smoking cessation support groups.

Concluding Questions

Describe how you would apply the knowledge and skills that you obtained in Henry’s case to an actual patient care situation.

Clinical Simulation Evaluation

Indicate whether the simulation met the following objectives

Strongly agree
Agree
Neutral
Slightly disagree
Strongly Disagree
The simulation experience enhanced my ability to meet the following objectives

Comments:

Score using

Perform a focused assessment of pain

Comments:

54321

Provide patient education on end of life care and signs of impending death

Comments:

54321

Demonstrate proper administration of Fulmer SPICES tool

Comments:

54321

Demonstrate proper administration of Preparedness for Caregiving Scale

Comments:

54321

Document death using nursing note

Comments:

54321

Use standard precautions when caring for the patient

Comments:

54321

Facilitated the creation of a nursing care plan using patient assessment data

Comments:

54321

* The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: http://qsen.org/

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