Year 1 - Patient Assessment. 29/04/24 by

vhall41 — 2024-03-17 19:46:58 UTC

As a year 1 nursing student, you are aware of the importance of effective communication in the healthcare setting. One day, you and your practice assessor is assigned to a patient who is non-verbal and has difficulty expressing their needs. Discuss alternative ways to communicate with them in order to provide proper care.

In addition to communicating effectively with your patient, you need to communicate with your colleagues so that you can work together as a team to provide the best care possible. How would you ensure this?

vhall41 — 2024-03-17 19:46:58 UTC

How can you ensure effective communication between you and your practice supervisor? Discuss and be prepared to feedback to the wider group.

vhall41 — 2024-03-17 19:46:58 UTC

Situation: Frankie is a 45-year-old homeless woman who has been admitted with abdominal pain.

Background: Frankie has been homeless for the past 9 months since she and her partner separated and she lost her job.

Assessment: Frankie looks unkempt, she is in a lot of discomfort.

Recommendation: You are working in the A&E department with your practice supervisor who has asked you to take Frankie's vital signs and assist Frankie with a bed bath.

Decision: Document the care you would provide and hand over to your practice supervisor the care you have given Frankie.

vhall41 — 2024-03-17 19:46:58 UTC

It’s 09:00 and you are in A&E with your practice supervisor has been asked to see a patient in Paediatric A&E hospital. Your practice supervisor takes you along with them as they attend to a 16-month-old called Kylie who has been brought in by her Dad approximately 12 hours after bilateral burns to her feet. Jason reports a story of running a bath and one of his older kids putting her in the bath when it was too hot and he was out of the room. The registrar has given analgesia but wanted you to review the patient and take a history from the parent before any ongoing management.

Your task is to undertake a focused history from Jason (the father) and formulate a care plan.

You have 20 minutes

vhall41 — 2024-03-17 19:46:58 UTC

You are a first-year nursing student completing your clinical placement on a busy medical-surgical unit. You have been assigned to care for three patients today with your practice supervisor. Your practice supervisor has gone to check medication with another nurse and she asks you to check on the patients you both have:

1. Patient A is a 65-year-old man who was admitted with pneumonia. He is currently receiving oxygen therapy via nasal cannula and has just started complaining of difficulty breathing and chest pain.

2. Patient B is a 45-year-old woman who underwent a hip replacement surgery yesterday. She is in a lot of pain and is requesting her pain medication she rates her pain as 8/10. She also needs assistance getting out of bed to use the bathroom.

3. Patient C is a 30-year-old man who was admitted for a flare-up of his ulcerative colitis. He is experiencing severe abdominal pain and diarrhoea, and needs to be monitored closely for signs of dehydration he has had an accident and needs help following diarrhoea.

You realise that all three patients require your immediate attention. You must prioritise your care and decide which patient needs to be seen first. Make sure to consider the severity of their condition, the urgency of their needs, and the resources available to you.

How would you prioritise the care of these three patients? What actions would you take for each patient?

vhall41 — 2024-03-17 19:46:58 UTC

What does the A-E assessment stand for?

Vital Signs

vhall41 — 2024-03-17 19:46:58 UTC

What observations are part of vital signs?

List the normal ranges for each of the vital signs.

vhall41 — 2024-03-17 19:46:58 UTC

Korotkoff sounds

vhall41 — 2024-03-17 19:46:58 UTC

Understanding the audio-visual skill of blood pressure reading

vhall41 — 2024-03-17 19:46:58 UTC

Video: how to undertake a manual blood pressure

vhall41 — 2024-03-17 19:46:58 UTC

Mind the gap

vhall41 — 2024-03-17 19:46:58 UTC

Documentation

vhall41 — 2024-03-17 19:46:58 UTC

As a first-year nursing student, you are learning the importance of accurate and thorough documentation in patient care.

One day during your clinical placement, you and your practice assessor are assigned to care for a patient who has undergone surgery and is recovering on your ward post-operatively.

In your group discuss and write how you would document the care you have provided for your patient.

vhall41 — 2024-03-17 19:46:58 UTC

Lesson Aim
To gain knowledge and understanding of Patient assessment by discussing the principles and techniques for patient assessment.

Outcomes

1. Students will develop a working knowledge and
understanding of what constitutes effective
communication.

2. Understand the importance of patient assessment.

3. Students will know how to perform a patient assessment
in a systematic way.
4. Document findings from the case scenario.

5. Students will hand over the care they have delivered
using an SBAR tool.

6. Participate in peer discussions and self-reflection.

vhall41 — 2024-03-17 19:46:58 UTC

Michalea's A-E Assessment
Airway: Patent - Michaela is able to maintain her own airway. No added sounds.
Breathing: When you look, listen, and feel Michaela does not seem to be struggling to breathe when you count for 1 minute you find that her respiration is 22 bpm.
O2 Saturation - 96%
Circulation: Pulse rate 110 bpm regular and thready. B/P 130/85
Disability: Blood glucose 3 mmol, pupils are equal and reactive. Relatives of Michaela are concerned that her speech is not coherent and she does not recognise she is in hospital.
Exposure: Temp 36.2. No abnormality on exposure.

vhall41 — 2024-03-17 19:46:58 UTC

Gemma's A-E Assessment
Airway: Gemma is talking to her mother unable to complete full sentences.
Breathing: When you look, listen, and feel Gemma's respiratory rate seems fast, you can hear a wheeze and when you expose her chest of Gemma you see accessory muscles working hard. Respiratory rate 35.
O2 Saturation - 89%
Circulation: Pulse rate 120 bpm regular and strong. B/P 110/65
Disability: Gemma remains alert, pupils are equal and reactive to light. Blood sugar - 6 mmols
Exposure: On exposure, we notice accessory muscles are working very hard. Temp 36.2

vhall41 — 2024-04-27 11:46:37 UTC