University:
Grand Canyon University
Course:
HCA-450 | Quality in Health Care
Academic year:

2022
Views:

491

Pages:

2
Author:

Jameson Hunt

Josephine Morrow Guided Reflection Questions Opening Questions How did the simulated experience of Josephine Morrow’s case make you feel? -I felt prepared and had a better idea of what to do. This was the best I had done on a first attempt so far. Talk about what went well in the scenario. -I introduced my self, performed hand hygiene and confirmed the patients ID. I assessed her wound, changed the dressing and performed patient education for wound care and for improving venous return. -I also did a head-to-toe assessment on Mrs. Morrow. Results were acceptable for the patient other than her mucus membranes were dry. Reflecting on Josephine Morrow’s case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change? No I got a 100 on my first attempt which showed me that I did everything correctly and knew how to assess and educate the patient. Scenario Analysis Questions S What priority problem(s) did you identify for Josephine Morrow? Most of all her risk for infection. Because Mrs. Morrow was 80 years old her immune system is weaker and she has potential for poor circulation. Which would decrease her speed of healing. Also her dry mucous membranes. Mrs. Morrow may be dehydrated which could also have a negative influence on her healing. PCC Identify in Josephine Morrow’s health history any factors that predisposed her to having chronic venous insufficiency. Mrs. Morrow’s age and immobility could predispose. Not having as much mobility in her older age com- pared to her younger age could cause problems with blood flow and increase her risk for DVT. PCC/S Discuss the assessment findings and diagnostic studies that correlate with chronic venous insufficiency and venous stasis ulceration. Provide the reasons behind these findings. Mrs. Morrow has brown hyperpigmentation on her lower legs which may be due to lack of oxygenated blood flow in her legs. Mrs. Morrow also has edema at +2 on her legs which is related to her chronic venous insufficiency, the fluid in her legs is not moving like it should. Mrs. Morrow has a pressure ulcer from her inability to ambulate as needed. S What is the rationale for the daily dose of ASA? To aid Mrs. Morrow’s circulation. EBP/I What is the rationale for compression therapy? To increase venous return and to facilitate the healing process EBP/I What is the rationale for performing a Braden scale assessment on Josephine Morrow? This is used to evaluate the chances of the patient developing a pressure ulcer. T&C What other interprofessional team members should be involved in Josephine Morrow’s care? The wound care team and a dietician. Also, potentially a home health nurse for when she returns home after discharge. Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Josephine Morrow’s case to an actual patient care situation. Always be assessing the patients entire body and systems even when there is one specific problem. Like finding dry membranes when I was just asked to change the dressing