Year 2 - Patient Assessment. 03/04/24 by

vhall41 — 2024-03-17 19:34:57 UTC

List ways of making communication effective.

vhall41 — 2024-03-17 19:34:57 UTC

What is the main role of communication?
What are the four main methods of communication?

Age appropriate communication

vhall41 — 2024-03-17 19:34:57 UTC

What is age-appropriate communication?
How would you describe an X-ray to a 5 year old and a 12 year old?

Discuss other communication barriers you have seen in practice and write the main points below?

How can you support the patient to understand the information and overcome communication barriers?

vhall41 — 2024-03-17 19:34:57 UTC

What is prioritisation of care?
Why is prioritisation of care important?
What skills are needed to prioritise care?
Can you name any assessment tools used to aid prioritisation?

vhall41 — 2024-03-17 19:34:57 UTC

What does the A-E assessment stand for? Discuss in your groups all the components of a complete A to E assessment. What would you assess in each section?

Physical Assessment

vhall41 — 2024-03-17 19:34:57 UTC

What does a physical assessment entail? What would you consider with regards to Frankie?

Vital Signs

vhall41 — 2024-03-17 19:34:57 UTC

What observations are part of vital signs?

List the normal ranges for each of the vital signs.

vhall41 — 2024-03-17 19:34:57 UTC

Using your knowledge of the A-E assessment read the scenario and go through an A-E assessment.
Situation: You are a student nurse walking to work. You see a homeless woman that you are concerned about. You call the emergency services
Background: You see this woman on your regular walk to work and know that she is a homeless person. When you saw her last night on the walk from work to home, she passed the normal pleasantries.
Assessment: You don't know what is wrong but you are worried. She looks pale and mottled hands/fingers responsive to pain only. Breathing is shallow respiration 10.
Recommendation: Explain what you need to do.

vhall41 — 2024-03-17 19:34:57 UTC

Using your knowledge of the A-E assessment read the scenario and go through an A-E assessment.
Situation: You are a student nurse working within a GP setting. You and your practice supervisor are running a drop-in clinic. Katia is a new mother who comes in and explains that she thinks her baby does not love her.
Background: Katia had been trying to have a baby for 5 years and went through 3 rounds of IVF. She is 9 weeks postbirth. Her birth was long with a failed induction and ended with an emergency caesarean.
Assessment: Katia is low in mood, and gets agitated at times and although she holds her baby her body language displays detachment from her child. She looks tired. You believe that Katia is suffering from postnatal depression.
Recommendation: Explain what you need to do and specify the timeline.

vhall41 — 2024-03-17 19:34:57 UTC

Using your knowledge of the A-E assessment read the scenario and go through an A-E assessment.
Situation: You are a student nurse working on the ward. You and your practice supervisor are caring for 6 patients. Marcus is a 14-year-old who was admitted last night with a temperature of 38, dry cough, and runny nose.
Background: Marcus has been out of sorts according to his mother. She says for the past 2 days he has had a dry cough Marcus started with a runny nose two days ago. Although she has been self-medicating with paracetamol and simple linctus. Last night Marcus became lethargic.
Assessment: Marcus looks very unwell. He has a dry cough, and runny nose and his eyes look watery. He has a high temperature.
Recommendation: This is Marcus' third day of symptoms. Explain what you need to do.

What are the sepsis 6?

vhall41 — 2024-03-17 19:34:57 UTC

Name the sepsis 6?
One of the 6 interventions needs to happen before giving antibiotics... Which one could this be? And why?

Korotkoff sounds

vhall41 — 2024-03-17 19:34:57 UTC

Understanding the audio-visual skill of blood pressure reading

vhall41 — 2024-03-17 19:34:57 UTC

Video: how to undertake a manual blood pressure

vhall41 — 2024-03-17 19:34:57 UTC

Mind the gap

vhall41 — 2024-03-17 19:34:57 UTC

Documentation

vhall41 — 2024-03-17 19:34:57 UTC

Find information of what good documentation should look like.

vhall41 — 2024-03-17 19:34:57 UTC

What is this? What do you use it for in hospitals? What do the colours mean?

vhall41 — 2024-03-17 19:34:57 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 19:34:57 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 19:34:57 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 — 2024-04-03 07:14:42 UTC

Whooley Questions

vhall41 — 2024-04-03 10:02:10 UTC

Importance of Documentation

vhall41 — 2024-04-03 10:22:28 UTC

vhall41 — 2024-04-03 10:25:13 UTC

Group 3 Presentation

vhall41 — 2024-04-03 14:12:00 UTC

Your group presentation on A to E assessment was informative and organised. The group worked well, with speakers explaining the concept clearly and provided some examples to enhance understanding. The presentation was engaging. I hope your group are more confident in your ability to perform an A to E assessment after working together on this presentation. I hope overall, it was a valuable learning experience. Thank you!

vhall41 — 2024-04-04 08:50:43 UTC

Amazing presentation group1. You have all worked exceptionally well as a group. Very proud of the work you have produced. Thank you.