CUS by Priscilla

Scenario 11 (Group 1)

priscillatan6880_ — 2023-11-16 02:21:47 UTC

Mr. Ahmad is a type 1 DM patient. He was admitted due to LOA and nausea. He was asked to NBM as he needs to go for CTAP. Nurse Qin Qin was preparing medication for Mr. Ahmad. She realized there was no basal insulin order for Mr. Ahmad.

Please apply CUS to highlight your concern to Dr. Lee.

Scenario 12 (Group 2)

priscillatan6880_ — 2023-11-16 02:24:52 UTC

Mr. Goh is an 80-year-old patient. He was admitted due to a new stroke.

The on-call house officer Dr. Ian clerked the patient and ordered a normal diet for the patient.

You are staff nurse Nisha looking after this patient. Based on your assessment, you noticed that Mr. Goh has no upper teeth and no dentures found at the bedside.

Please apply CUS to highlight your concern to Dr. Ian.

Scenario 13 (Group 3)

priscillatan6880_ — 2023-11-16 02:30:12 UTC

Mdm. Tan is an 85-year-old patient who is taking metformin XR for her diabetes mellitus. She is admitted due to a lump in her throat causing her to have difficulty in swallowing.

You are Linda, the nurse in charge of Mdm Tan.

You noticed she has difficulty swallowing this medication and this medication cannot be crushed.

Please apply CUS to highlight your concern to Doctor Ivan.

Scenario 14 (Group 4)

priscillatan6880_ — 2023-11-16 02:31:54 UTC

Kelly is a 28-year-old patient who was admitted 5 days ago for paracetamol overdose. She took 30 tablets of paracetamol to commit suicide. She was reviewed by the psychiatrist 2 days ago and was certified to be "safe for discharge".

You are Joel, the medical social worker in charge of Kelly. After your review and chat with Kelly, you realized that she still has active suicidal thoughts.

Please apply CUS to highlight your concern to the house officer looking after her.

Scenario 15 (Group 5)

priscillatan6880_ — 2023-11-16 02:33:44 UTC

Mr. Chen is a 75-year-old patient who was admitted 8 days ago for pneumonia. He has past medical histories of Parkinson’s disease, stroke, vascular dementia, and dysphagia on a modified diet.

He has completed 5 days of antibiotic. His clinical condition has improved during his stay. He is planned for discharge today after your chest physiotherapy session.

You are Jason, his physiotherapist. During the physiotherapy session, you realized that he has much more secretion than yesterday and he appeared tachypneic. There was a low-grade temperature of 37.9 degree Celsius. His SpO2 was 92% on room air at the end of the therapy session.

You are concerned about a new episode of pneumonia.

Please apply CUS to highlight your concerns to the house officer looking after him.