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Situation: A 55-year-old African woman named Amina has a history of sudden crushing chest pain at home.

Background: Amina has a history of hypertension, diabetes, and obesity. She reports feeling short of breath and lightheaded. She denies any recent trauma or illness.

Assessment: Given Amina's age, medical history, and presenting symptoms, the most likely diagnosis is a heart attack (myocardial infarction). Other differential diagnoses to consider include pulmonary embolism, aortic dissection, or unstable angina.

Recommendation: Write a care plan for Amina

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Student nurse first day in clinical placement

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Situation: You are a third-year nursing student about to start your last placement as a student nurse.
Background: You are working a long day in a hospital ward.
Assessment: You are feeling excited and nervous about finishing your course and entering the NMC register.
Recommendation: You are working on a ward with your practice supervisor you have a small caseload of four patients with varying needs.
Decision: How would you deal with the following patients?  Be prepared to feedback to the larger group

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We are now going to spend the rest of our time with a period of debriefing.

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Lesson Goal
To gain knowledge and understanding of decision-making. Using scenario-based learning work in groups through a scenario.

Outcomes

1.  Students will discuss what constitutes decision making
2. Working through scenarios using decision-making tools
3. Explore how decisions are made

4. Participate in peer discussions and self-reflection.

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Please complete Evaluation for today's session

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Situation: Malcom is a 25-year-old male with a history of depression and anxiety who has expressed suicidal thoughts and intentions.

Background: Malcolm has been struggling with feelings of hopelessness and worthlessness for several months. He has a history of previous suicide attempts and has recently experienced a significant stressor, such as a relationship breakup.

Assessment: Malcom is at high risk for suicide given his history of depression, anxiety, and previous suicide attempts. He may also be experiencing feelings of isolation and lack of support.

Recommendation: Write a careplan

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Situation: 9-year-old Ravi has been diagnosed with asthma. His symptoms include coughing, wheezing, and shortness of breath, especially during physical activities.

Background: Ravi has been having a lot of time off school in the past 2 months due to respiratory infections. Parents are concerned that Ravi may be stressed due to preparing for transitioning from primary to secondary school.

Assessment: Ravi's asthma symptoms are impacting his daily activities and quality of life. It is essential to identify and avoid triggers, take prescribed medications regularly, and have an asthma action plan in place to manage exacerbations effectively.

Recommendation: Write a care plan

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How to take blood pressure - Clinical skills for student nurses

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Intravenous (IV) cannulation | OSCE Guide | UKMLA | CPSA | PLAB 2

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How To Take Blood Like A Pro - Venepuncture Explained - Clinical Skills - Dr Gill