University:
The University of Texas Rio Grande Valley
Course:
NURS4504 | Community Health Nursing
Academic year:

2019
Views:

187

Pages:

2
Author:

Raina Flores

Maternity Case: Fatime Sanogo Guided Reflection Questions Opening Questions How did the simulated experience of Fatime Sanogo’s case make you feel? The simulation went well. I have found as long as I follow the doctors orders while also reading the patient chart I am able to know how to provide care. I make sure to not follow the orders blindly but to make sure the orders make sense for the patient. I thought the language barrier would be more of an issue but it didn’t really seem to be evident in the scenario. Describe the actions you felt went well in this scenario. I think that my assessments were done well and in an orderly fashion. I think overall my care flowed very nicely. Scenario Analysis Questions1 EBP/I What risk factors did you identify in Fatime Sanogo’s case that could have led to postpartum hemorrhage? Risk factors included the fact that Fatime was 41 4/7 weeks preganany and was delivering very close to post-term. The delivery was induced by oxytocin, and had a prolonged second stage. The baby was large, at 9 lbs, and she had a second-degree perineal laceration during delivery. The infant was also born within the last 24 hours. EBP List the actions that should be initiated if administering oxytocin is ineffective. Measures should be taken to decrease the bleeding and to prevent shock. These measures could include IV fluid bolus and constant communication with the patients provider. EBP What were the assessment findings in Fatime Sanogo’s case that indicated her condition was worsening? Her b/p was lowering while her HR was getting higher which is a sing of shock. PCC What communication techniques could be initiated to decrease the anxiety of Fatime Sanogo and her husband and provide care that is culturally sensitive? The nurse could use a translator to give information to Sanogo and her husband and also make sure to ask if there are any cultural rituals the health care team should be aware of when provding care. T&C How important do you feel it is to include Fatime Sanogo’s husband as a member of the health care team? Why? It’s very important to include the husband as a member of the health care team because he speaks better English than Fatime so can help translate and speak on her behalf and also the baby is also his. Concluding Questions Reflecting on Fatime Sanogo’s case, were there any actions you would do differently? Explain. I would have gotten a translator. I am not sure this was an option of the Vsim as I didn’t see it. Describe how you would apply the knowledge and skills that you obtained in Fatime Sanogo’s case to an actual patient care situation. I would know how to care for a patient at risk for a hemorrhage after vaginal delivery.

Maternity Case Fatime Sanogo

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