Marilyn Hughes Documentation Assignment, Guided Reflection Questions

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"Marilyn Hughes Documentation Assignment, Guided Reflection Questions"에 대한 내용입니다.

목차

I. V-sim 사례 기반 : Documentation Assignments 에 따라서 작성한다.
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.

II. V-sim 활동 후 제시하는 Guided Reflection Questions에 따라서 작성한다.
1. How did the scenario make you feel?
2. What interventions exist to alleviate compartment syndrome, and what assessments indicate improved perfusion to the extremity?
3. Why is it important to maintain the limb at heart level versus elevating it above heart level?
4. What could have happened in this scenario if Marilyn Hughes’ condition was not treated expediently?
5. What key elements would you include in the handover report for this patient? Consider the ISBAR (introduction, situation, background, assessment, recommendation) format.
6. 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: 어느 부위가 아픈가요? -> “왼쪽 아래 다리가 너무 아파요.”
Q: 어떻게 아프나요? -> “욱신거리며 타는 듯한 느낌이에요. 누가 제 다리를 만지면 더 통증이 심해져요”
R: “붕대가 너무 꽉 끼는 것 같아요” -> 붕대를 느슨하게 풀어줌
S: “0-10점 중 어느정도로 아픈가요?” -> “8점이요. 왜 약 효과가 없죠?”
T: 이전보다 다리가 계속해서 아프다고 호소함.

2. Document Marilyn Hughes’ neurovascular assessment.
-> 왼쪽 다리 통증 호소하며 다리가 창백하고 pedal pulse가 확인되지 않았다.

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