olivia jones, Olivia Jones, 올리비아 존스 여성 브이심[피드백 반영]

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Ⅰ. Documentation Assignments
1. Document the data from your focused antepartum assessment of both Ms. Jones and the fetus.
2. Write the situation-background-assessment-recommendation (SBAR) communications you would use to update the provider on Ms. Jones’s status at the time of her admission.
3. Document the teaching you would provide to the patient and her support person prior to administering magnesium sulfate.
4. Document the administration of the magnesium sulfate bolus and the initiation of the magnesium sulfate infusion.
5. Document your reassessment of the patient’s status after administering magnesium sulfate.

Ⅱ. Guided Reflection Questions
- opening question
1. How did the simulated experience of Olivia Jones’s case make you feel?
2. Describe the actions you felt went well in this scenario.

- scenario analysis questions
1. What are the indications that Olivia Jones’s preeclampsia has progressed?
2. What should the priority teaching for Olivia Jones include?
3. Olivia Jones was placed on magnesium sulfate for treatment of her preeclampsia. What are the indications for this drug, and what should be taught to the patient regarding side effects?
4. What key elements would you include in the handoff report for this patient? Consider the situation-background-assessment-recommendation (SBAR) format.
5. What safety measures should be initiated while Olivia Jones is in the hospital?
6. Based on your experience with Olivia Jones’s case, reflect on possible nursing actions for enhanced safety and quality improvement.
7. Reflecting on Olivia Jones’s case, were there any actions you would do differently? Explain.
8. Describe how you would apply the knowledge and skills that you obtained in Olivia Jones’s case to an actual patient care situation.

본문내용

1. Document the data from your focused antepartum assessment of both Ms. Jones and the fetus.
- 올리비아 존스 : 임신 36주의 23세의 아프리카계 미국인 여성으로 산과력은 G1P0이다. 그녀는 심각한 자간전증 진단을 받았고 중재와 치료를 위해 분만실에 입원했다. 현재 혈압 164/98mm Hg, 체중 110kg, 체온 37도, HR 110, RR 12회/분이고, 두통과 오심, 불분명한 시야를 호소하고 있다. 또한, 1주일 전부터 3파운드의 체중 증가가 있었고, Lab 결과로는 단백뇨 수치 +4, 케톤 음성, 글루코스 음성이며, 혈소판 수치, RBC, MCH 및 MCHC는 감소하였고, BUN, ALT/AST/LDH는 상승하였다. 또한, 현재 체위의존성 부종과 안면 부종이 존재한다.
- 태아의 HR는 138이고 태아 이동이 감지된다.

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