Julia Morales and Lucy Grey, Part 1 Guided Reflection Questions 100% CORRECT

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Opening Questions How did the simulated experience of Julia Morales and Lucy Grey’s case make you feel? Personally, I felt a little uncomfortable during this simulation because of the discussion o... f hospice care. I understand that this is a difficult conversation to have, but an important one. What nursing actions did you feel were appropriate within this scenario? Nursing actions I felt were appropriate within this scenario was educating the family about palliative care and further information and resources they may need. Additionally, performing the Katz Index and Informal caregivers of Older Adults at Home was appropriate to assure that the goals of Lucy and Julia were clear, and both understood the changes of assistance needed as Julia’s illness progresses. Scenario Analysis Questions* PCC What priority problem(s) did you identify for Julia Morales and Lucy Grey? A priority problem I identified for Julia and Lucy was Julia’s ability to perform ADLs. Although she is able to do some ADLs independent, assistance is still needed. For instance, Julia would need a bathing chair, so she does not get tired while bathing and is able to wash her back and feet safely. PCC/ What teaching measures and what other members of the health care team should be included T&C/I in the home health nurse visit for Julia Morales and Lucy Grey? Julia and Lucy were concerned about needing assistance with ambulating and bathing. I think an occupational therapist should be included in the health care team to teach them the proper use of a walker and bathing chair. Due to her diagnosis of stage IV lung cancer, I would expect her to have shortness of breath overtime and would teach interventions to prevent SOB or the frequent occurrences of SOB. PCC What potential barriers might Julia Morales and Lucy Grey encounter that would hinder active participation in Julia’s care? Potential barriers could be the Lucy being unprepared for when Julia’s condition worsens (unable to ambulate, weakness, less nutritional intake). Being unprepared can cause a Lucy to be stressed and could hinder the participation in Julia’s care. Additionally, Lucy’s age could be a potential barrier because as Julia’s condition worsens, it could a physical strain on Lucy. From vSim for Nursing | Gerontology. © Wolters Kluwer Health. Ellen Limpin PCC/I What appropriate assessments were made to help you decide what interventions Julia Morales and Lucy Grey needed? Because Lucy wants to be the primary caregiver, I felt that the Informal Caregiver of Older Adults at Home assessment was appropriate to do. Based on the assessment, a follow up appointment would be needed for managing at home, early changes, and assistance needed for ADLs. Additionally, it was appropriate to do the Katz Index to assess what ADLs Julia would need assistance for and which ones she is able to do independently. PCC/I What appropriate strategies could be implemented to empower Julia Morales and Lucy Grey in the management of Julia’s care? Lucy requested a bathing chair and a walker to assist Julia when she bathes and ambulates. Providing these assistive devices would h [Show More]

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