vSim for Nursing | Henry Williams. NURSING . Henry Williams Age: 69 years Diagnosis: COPD exacerbation. Feedback Log. Scored 92%

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Henry Williams - 17/9/2020 1114 9/17/20, 11:15 AM https://simserver.wkhpe.com/debriefing/debrief.aspx?dss=https%3A…%2FDebriefingLog%2FSingle%2F04b039f7-8ea8-4340-940f-aaf6c446f6a4 Page 1 of 2 Feed... back Log You should have completed the SPICES assessment tool. 0730 You opened the Medication Fall Risk Score assessment tool. 0730 You washed your hands. To maintain patient safety, it is important to wash your hands as soon as you enter the room. 0730 You identified the patient. To maintain patient safety, it is important that you quickly identify the patient. 0730 Henry Williams: My name is Henry Williams and I was born on the third of January 1951 0730 You asked if the patient was allergic to anything. It was correct to ask about allergies. 0730 Henry Williams: Yes, I'm allergic to penicillin. 0730 You performed medication reconciliation. 0731 You checked the patient's breathing. That was appropriate for this patient. 0731 You attached the pulse oximeter. It was a good idea to monitor the oxygen saturation and pulse here. This will allow you to reassess the patient continuously. 0731 You checked the radial pulse. This was appropriate at this time. 0732 You measured the patient's temperature. 0732 You checked the temperature at the mouth. The temperature was 99.0 degrees fahrenheit (37.2 degrees celcius). 0732 You measured the blood pressure. This was correct. 0732 You listened to the lungs of the patient. This was correct. 0733 You performed a head-to-toe assessment. This was correct. 0733 You examined the patient's skin. This was correct. 0734 You placed a 2.5-mg dose of albuterol in a nebulizer. This was part of your orders. 0734 You removed the nasal oxygen cannula. 0734 You performed medication reconciliation. 0735 You placed a 0.5-mg dose of ipratropium in a nebulizer. This was part of your orders. 0735 You removed the nasal oxygen cannula. 0735 You performed medication reconciliation. 0736 You phoned the provider in order to discuss the patient. 0738 You supported the family members. Henry has been admitted with an exacerbation of COPD, and the priority focus of assessments in this scenario is the physical assessment and treatment that will stabilize Henry’s breathing, including administering ordered medications. After the breathing is stabilized the next priority is to complete the admission, including conducting a comprehensive assessment to ascertain Henry’s individualized aging pattern and risk profile. The SPICES assessment tool is an efficient and effective tool that will help to identify common geriatric syndromes and develop a plan of care based on current best practices. The assessments should also focus on the causes of Henry’s exacerbation of COPD, and it is important for the nurse to be familiar with current research evidence and understand how his difficult life situation (e.g., his declining physical health and his wife’s problems with memory) may affect his health. Some of Henry’s answers indicate that his mood ! ! " " " " " " " " " " " " Date of completion 17/9/2020 1114 Henry Williams Age: 69 years Diagnosis: COPD exacerbation Score 0 1 0 92% ! ! ! ! ! ! ! ! ! https://www.coursehero.com/file/68363358/Henry-Williams-1792020-1114pdf/ This study resour [Show More]

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