Lisa Rae Week 3 Ticket NUR 330 Denver College of Nursing

Lisa Rae Week 3 Ticket NUR 330 Denver College of Nursing

Patient Name: Lisa Rae

SIM Visit: Scenario #2

Hypotension and fall resulting in right hip injury

Allergies: NKDA

DOB: November 24 Age 78

BSN – Foundation Lab Admission Ticket Objectives: Performs safe patient care using DCN protocol (CO 4, 5, 8)

•  Performs a head-to-toe assessment and recognizes normal and abnormal findings (APPLYING) (CO 2, 7, 8)

•  Designs an individualized nursing plan of care based on subjective/objective assessment data (CREATING) (CO 2, 3, 5, 6, 7, 8)

•  Performs safe oral medication administration (APPLYING) (CO 4, 7, 8)

•Uses therapeutic communication to actively engage patient and family in plan of care (APPLYING) (CO 1, 2, 5, 7)

•Demonstrate teamwork and collaboration skills, including delegation (APPLYING)(CO1, 4, 6, 7)

•Evaluates the patient’s responses to nursing interventions (EVALUATING) (CO 1, 3, 7, 8) Review:

1.      Basic environmental safety assessment and measures to maintain a safe environment (SWIPE/BRowN COW)

2.      Safe medication administration process according to the five rights.

3.      How to do a head to toe assessment and use the Fall Assessment tool in your Fundamentals book.

Complete the following questions prior to simulation for a patient that has fallen:

1.      Describe 3 risk factors for falls in the elderly.

Home hazards, poor vision, and syncope are risk factors for falls in the elderly (Jarvis, 2020)

2.      What is orthostatic hypotension?

Orthostatic hypotension is a sudden drop in blood pressure (over 10mm Hg in systolic and over 10 mmHg in diastolic) (Jarvis, 2020).

3.      What is osteoporosis?

Osteoporosis is a loss of mineralization bone mass disease that leads to porous bone and an increase in fractures (Jarvis, 2020).

4.      What patient population is of greatest risk for Osteoporosis?

Aging women are at greater risk of osteoporosis, but decreased levels of estrogen in either sex can cause osteoporosis as well (Jarvis 2020)

5.      What nursing interventions can be performed prior to providing patient with oxygen therapy?