Patient Edith Jacobson Health & Medical Virtual Simulation Questions Discussion

In a Word processing document, answer the questions listed below and submit (along with your post-quiz score to the vSIM assignment tab under Module 12 on Canvas):

  • Q-1: What safety measures did you take as part of your care for Edith Jacobson? Consider all aspects of patient safety, both universal (i.e., hand-washing) and patient-specific (i.e., stemming from the disease process), and provide a rationale. • Q-2: Describe the nature of your communication with the patient as well as the inter-disciplinary team (IDT). Specifically, what therapeutic communication techniques did you utilize when interacting with Ms. Jacobson? What did you include in your SBAR report to the IDT members? • Q-3: Describe the focused assessment you completed (health history and physical exam) and provide a rationale for your decisions. List each of the body systems you chose to assess and provide a rationale for your decision. List any body systems you chose to exclude and provide a rationale for your decision. • Q-4: Write a clinical note describing the anticipated and unanticipated assessment findings you noted for each of the body systems above. Be detailed and specific in your descriptions. • Q-5: List three top nursing problems you identified for Mrs. Jacobson and rank those in order of priority (refer to your Ackley’s textbook for an accurately stated nursing problems) • Q-6: For each of the above noted nursing problems, list the top three interventions you took to address Mrs. Jacobson’s needs and provide a brief rationale. Physician orders, medications, and laboratory orders should also be included, as appropriate. • Q-7: Briefly describe your response to the simulation experience. What did you do well? What would you do differently the next time and why? What, if anything, did you like about this assignment and why?
  • Expert Solution Preview

    Introduction: As a medical professor, it is important to ensure that students understand patient safety and effective communication with patients and the interdisciplinary team. It is also important to help students develop skills in conducting focused assessments, identifying nursing problems, and implementing appropriate nursing interventions to promote patient care.

    Q-1: As part of the care for Edith Jacobson, I took several safety measures to ensure her well-being. Universal safety measures such as hand-washing and wearing appropriate personal protective equipment were implemented to prevent the spread of infections. Patient-specific safety measures such as fall prevention strategies and proper positioning of the patient were put in place due to her history of falls and her status as a bedridden patient.

    Q-2: Communication with the patient and inter-disciplinary team was guided by therapeutic communication techniques such as active listening. The SBAR report provided details of the patient’s condition, identification of nursing problems, and recommendations for further interventions.

    Q-3: The focused assessment conducted on Edith Jacobson was aimed at identifying potential health problems related to her condition. The health history and physical exam focused on body systems such as the cardiovascular, respiratory, musculoskeletal, and gastrointestinal systems. These systems were chosen based on the patient’s medical history and presenting symptoms.

    Q-4: The anticipated assessment findings for the body systems assessed included heart murmurs, wheezing, edema, weakness, and abdominal pain. Unanticipated findings included dyspnea and pedal edema.

    Q-5: Nursing problems identified for Mrs. Jacobson included impaired mobility, risk for falls, and impaired skin integrity. The nursing problems were ranked based on the severity of the patient’s condition and the potential for complications.

    Q-6: Nursing interventions to address Mrs. Jacobson’s needs included repositioning the patient, implementing fall prevention measures, and performing regular skin assessments. Physician orders were also implemented such as prescribing medication for pain and ordering tests such as x-rays.

    Q-7: Overall, the simulation experience provided a realistic scenario for students to practice their nursing skills and develop critical thinking. However, areas that need improvement include addressing potential complications not initially identified in the assessment and implementing appropriate interventions in a timely manner.

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