Paul is a 69 year old male admitted to hospital with a UTI. He is currently having antibiotic therapy to treat the UTI. The patient has a history of Hypertension being managed with antihypertensive medication. He is accompanied by his husband Saul, who is his primary care giver. While in hospital Paul develops acute onset of weakness in his right arm, a facial droop and unintelligible speech. These symptoms are noticed by his husband who alters the nurse. The husband is very anxious and in panic mode. The nurse will perform an assessment of the patient and inform the doctor.
• Remind the goals (student doing the exercise.
• Ask about the feeling during the exercise.
• What happened – describe what happened step by step (student)?
• What went well?
• Why specific decisions were made?
• How it should be done (ideas are generated by students, the tutor leads to the right conclusions)?
• What to do to make it better?
• Students’ questions.
• What do you remember from the exercise (each student says 1 item – preferably everyone should say something different?
• Point out step by step what the students’ behavior should look like – exemplary.
• Motivate students to think reflectively while deceiving strengths and correct paths.
I can demonstrate understanding of assessment of a person experiecing a stroke.
I can have an understanding of appropriate resources to use while assessing, planning and implementing care.
I can correctly carry out a physiological assessment.
I can assess vital signs and patient’s symptoms and concerns.
I can identify assessment findings which could lead to complications.
I can approriately respond to questions from the family.
I can create a SBAR report at the end of the simulation.
I can utilize therapeutic and professional communication techniques.
I can show understanding of the cultural implications in the management of a stroke.
Assessment of a patient suffering a stroke.
REFERENCES, MATERIALS FOR CLASSES
The scenario was prepared based on the content contained in the literature:
- Tulek, Z., Poulsen, I., Gillis, K. and Jönsson, A. (2017). Nursing care for stroke patients: A survey of current practice in 11 European countries. Journal of Clinical Nursing, 27(3-4), pp.684–693.
- Supporting clients/patients when they are distressed.
- Stages of confusion, upset and distress.
- Communication – how to as questions and use verbal and non verbal cues.
- The student will be able to show knowledge by:
• Describing Holistic approaches to care planning
• Asking open questions for assessment
• Explaining and justifying patient partnership in care
- The student will show skills of:
• Assessing patients physical abilities (ADLs)
• Assessment and anticipatory care eg falls, diet and nutrition etc.
• Goal setting with older patients
Paul is a 69 year old male admitted to hospital with a UTI. He is currently having antibiotic therapy to treat the UTI. The patient has a history of Hypertension being managed with antihypertensive medication. He is accompanied by his husband Saul, who is his primary care giver. While in hospital Paul develops acute onset of weakness in his right arm, a facial droop and unintelligible speech.
CURRENT CLINICAL CONDITION
Patient looks anxious and is having problems communicating.
The student should engage in therapeutic communication with the patient and relative.