Clinical Day 3 \u2013 Student Worksheet
\nRead the indicated chapters below before clinical and complete the text-related questions. Complete the \u201cat clinical\u201d section during the clinical experience.
\nChapter 26
\n1. Discuss your position in the family and how that has affected your relationship with siblings and parents.
\n2. How have your grandparents affected your life?
\n3. How you would conduct a review of systems in the area of sexual health with an older adult?
\n4. What would be the most important factors to consider when providing education about sexuality and sexual health to older adults?
\n5. What resources are available for older adults who identify as LGBT in your community?
\nAT CLINICAL: Interview a resident who is willing.
\n1.\tWhat is your role in your family?
\n2.\tDo you have children? Are they married?
\n3.\tDo you feel you come from a small or large family? Why?
\n4.\tAre you a grandparent? How does it feel to be a grandparent?
\n5.\tAt what age did you stop being sexually active? What impact did that have on your life?
\nPOST CLINICAL:
\nCase Study:
\nMs. Booth, 68 years old, comes to the senior health clinic to establish care and is accompanied by Ms. Singh, her partner of 20 years. Ms. Booth has a history of osteoarthritis in her hips and knees, coronary artery disease, a chronic obstructive pulmonary disease with a 53-pack\/year history of smoking, and Type 2 diabetes with mild peripheral neuropathy. Her medications include meloxicam 15 mg daily, aspirin 81 mg daily, valsartan\/hydrochlorothiazide 160 mg\/25 mg daily, nitroglycerin SL 0.5 mg every 5 minutes\u202f\u00d7\u202f3 as needed for chest pain, fluticasone\/salmeterol 250 \u00b5g\/50 \u00b5g inhaled twice a day, glipizide\/metformin 5 mg\/500 mg twice a day, and pregabalin 50 mg three times per day. Vital signs include a blood pressure of 145\/88 mmHg, a pulse of 92 beats per minute, a respiration rate of 18 breaths per minute, a temperature of 97.9\u00b0F, and oxygen saturation on room air of 96%.
\nThe nurse asks Ms. Singh to leave the room during Ms. Booth\u2019s physical examination; however, Ms. Booth asks for her partner to stay, saying they have some sensitive questions to ask and want to ask them together. Both women appear uncomfortable. The nurse sits down, leans forward, smiles, and asks how they can help. Ms. Singh looks at Ms. Booth, then says they are afraid to have intercourse since Ms. Booth\u2019s chest pain began 6 months ago. The nurse nods then discuss with them ways to adapt to Ms. Booth\u2019s chronic illnesses. During Ms. Booth’s physical exam, the nurse asks Ms. Singh to leave the room. Ms. Booth, however, asks her partner to stay, saying they have some sensitive questions to ask and want to do so together. Both women look like they don’t feel good. The nurse sits down, leans forward, smiles, and asks how she can help. Ms. Singh looks at Ms. Booth and says that since Ms. Booth’s chest pain started 6 months ago, they are afraid to have sexual relations. The nurse nods and then talks to them about how to deal with Ms. Booth’s long-term illnesses.
\nWhich strategies should the nurse recommend to improve the client\u2019s sexual health?<\/p>\n
Chapter 27
\n1. What do you think your role will be when your parent or parents need help?
\n2. What would you find most difficult in regard to Helping your older parent\/grandparent?
\n3. You are preparing an 81-year-old woman for discharge following a stroke. Her husband will be the caregiver. What teaching might you provide to prepare him for the caregiving role?
\nAT CLINICAL: Ask a nurse:
\nWhat is the process when a patient comes back from the hospital?
\nIs a COVID test required prior to re-admission to the facility?
\nWhat interventions are utilized when a patient comes back post-stroke?
\nPOST CLINICAL: Research the interventions utilized by the facility. Research why the interventions are utilized, what the rationale is, why they could be utilized, and what they might help or prevent from occurring.<\/p>\n
Chapter 28
\n1. Explore your response to being given a terminal diagnosis. What coping mechanisms work for you? With which awareness approach would you be comfortable?
\n2. Describe the priority nursing actions related to a dying person and their family when they are especially protective of one another.
\n3. Describe and strategize how you would bring up the topic (sample nursing essay examples by the best nursing assignment writing service) of advance directives.
\n4. What advance directive related to end of life is legally recognized in your state?
\n5. Describe how you would introduce the topic (sample nursing essay examples by the best nursing assignment writing service) of dying with a patient who is critically ill and not expected to live.
\nAT CLINICAL: Ask a nurse about the policy surrounding a death at the clinical facility.
\nWhat is the process after the body dies?
\nWhat events occur prior to the death?
\nWhat does the facility do to facilitate a good death?
\nDoes the facility have a contract with Hospice services? What does that entail?
\nPOST CLINICAL:
\nWhat is an ethical dilemma?
\nDescribe or provide details of either a real or fictitious ethical dilemma you have experienced or could experience.
\nWhat were the choices or responses that caused it to be an ethical dilemma?
\nWhat was the end result?<\/p>\n
Case Study
\nMrs. Arroyo, 78 years old, is in a hospice for end-stage dementia. She lies in bed curled in the fetal position. She is on a pureed diet with nectar thick liquids. Over the last year, she has been treated for aspiration pneumonia four times. Her weight is steadily declining. Six months ago, she weighed 115 pounds (BMI 18.56 kg\/m2) and yesterday she weighed 103.5 pounds (BMI 16.70 kg\/m2). Her vital signs are 88\/44 mmHg, heart rate of 60 beats per minute, respiration rate of 10 breaths per minute and irregular, and her temperature is 94.2\u00b0F. Her albumin level is 2.2 g\/L. Over the last day, the nurse has documented the presence of a stage 2 pressure injury measuring 5 mm\u202f\u00d7\u202f2.5 mm\u202f\u00d7\u202f2 mm on Mrs. Arroyo\u2019s coccyx; the wound base is pale. Her skin is cool to touch and purplish on her hands and feet. She had one wet under pad in the last 24 hours. She is occasionally restless but is not responding to stimuli and is no longer eating or drinking. The nurse has called the family to come to the bedside, telling them death is approaching.
\nTo facilitate a good death, which nursing actions should be implemented?
\nWhat ethical considerations can be seen here with this situation or case study?
\nComplete During Clinical:
\nHEAD TO TOE Assessment Data
\nThis is data that you collected while caring for your patient (It is not to be information from other nurses). Use appropriate abbreviations and terminology. Remember, if something is out of the normal, you may need more assessment!
\nVital Signs: Can use height and weight from patient\u2019s chart, the rest of the VS you should be taking.
\nBlood Pressure:
\nHeart Rate:
\nOxygen:
\nTemperature:
\nRespirations:
\nPain:
\nWeight:
\nHeight:
\nPAIN: If they do not have pain, list out one of the PRN pain medications and what they take it for.
\nLocation:
\nIntensity: (pain scale):
\nAlleviating Factors, treatments, and PRN medications:<\/p>\n
Neurological Status
\nLOC (alert and oriented to person, place, time, situation A & O x 4 confused, etc.):<\/p>\n
Speech (clear, appropriate, inappropriate):
\nGlasgow Coma Scale Score – Eye-Verbal-Motor Score: Please write this out and tell me why you chose this score:
\n\u2022\tEye:
\n\u2022\tVerbal:
\n\u2022\tMotor:
\nPupils: PERRLA?
\n\u2022\tPupil size before light:
\n\u2022\tPupil size after light:
\nMusculoskeletal System
\nBones, joints, muscles (fractures, contractures, arthritis, spinal curvatures, etc.), extremity circulation checks (pulses, temperature of skin, sensation, edema):<\/p>\n
Cardiovascular System
\nPulses (both radial and pedal):
\nCapillary refill (<3 seconds):
\nEdema (pitting vs. non-pitting, 0-3+):
\nNeck vein distention:
\nHeart sounds (S1 S2 heard, rate & rhythm):
\nChest pain: Yes\/No
\nRespiratory System
\nRespiratory Rate, Depth, rhythm:
\nAccessory muscles:
\nOxygen\/ flow rate:
\nPulse Oximeter:
\nSmoking:
\nLung Sounds:
\nGastrointestinal System
\nAbdomen: inspect, auscultate, percuss & palpate:
\nSymptoms:
\nBowel sounds:
\nLast BM:
\nDo they have an ostomy, if so provide description:
\nGenitourinary
\nLast bowel movement:
\nIncontinence of bowel:
\nIncontinence of bladder:
\nProducts used:
\nDo they have a catheter, if so provide description:
\nSkin and Wounds
\nColor & turgor of skin:
\nRash\/ bruises:
\nWounds:
\nDressings:
\nSutures:<\/p>\n
Eyes, Ears, Nose, Throat (EENT)
\nEyes (redness, drainage, edema, irritation, light accommodation):<\/p>\n
Ears (drainage, external ear intact):\tNose (redness, drainage, edema):\tThroat (sore, color):<\/p>\n
Mouth (teeth visualized, dentures, pain, cavities):<\/p>\n
Psychosocial and Cultural Assessment
\nCultural Background:<\/p>\n
Religious Preference:<\/p>\n
Home Environment:<\/p>\n
Marital Status:<\/p>\n
Nursing Interventions
\nBased on your assessment and reading, write 4 nursing interventions.
\nList one educational needs for your patient, the plan to meet these needs, and practical ways to you can assess the effectiveness of your teaching as well as barriers to Learning
\nNursing Priority\tRationale\tInterventions and plan to determine effectiveness.
\nFamily Involvement in Care<\/p>\n
1.
\n1.<\/p>\n
2.<\/p>\n
3.<\/p>\n
COPD \t1.\t1.<\/p>\n
2.<\/p>\n
3.<\/p>\n
Topic\tDescription\tPoints
\nClinical Pre-Work\tIncludes reading each chapter and completing any pre-clinical work as identified in the assignments.\t\/5
\nAssignment completion\tCompletion of the assignment in its entirety. \t\/35
\nAssessment & Intervention\tCompletion of the assessment in its entirety. \t\/40
\nGrammar & Punctuation\tUtilizes complete sentences, utilizes a source of proof-reading such as another classmate, instructor, professor, librarian, or online source such as Grammarly. APA formatting and reference page.\t\/10
\nClinical Performance\tClinical attendance, arriving on time, punctuality, and professionalism.\t\/10
\nTotal\t\t\/100<\/p>\n","protected":false},"excerpt":{"rendered":"
Clinical Day 3 \u2013 Student Worksheet Read the indicated chapters below before clinical and complete the text-related questions. Complete the \u201cat clinical\u201d section during the\u2026<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8981,8978,8975,7725,8985,8980,7726,8973,8986,8972,8974,8979,8984,8977,8983,8976,8982],"tags":[8893,1053,8883,8885,8884,8888,8889,8890,8894,8892,8887,8886,54,8895,8891],"class_list":["post-102157","post","type-post","status-publish","format-standard","hentry","category-best-custom-paper-writing-service","category-best-online-paper-writing-service","category-best-paper-writing-service","category-best-research-paper-writing-services","category-cheap-research-paper-writing-service","category-cheapest-paper-writing-service","category-college-paper-writing-service-cheap","category-free-paper-writing-service","category-free-term-paper-writing-service","category-paper-writing-service","category-paper-writing-service-reddit","category-professional-paper-writing-service","category-someone-to-write-my-paper","category-websites-that-write-papers-for-you","category-what-is-the-best-paper-writing-service","category-write-my-paper","category-write-my-paper-for-me-free","tag-australia-nursing-writing-help","tag-case-study-help","tag-criminal-justice-essay-writers","tag-criminal-law-research-essay-writers","tag-criminology-paper-writing-service","tag-essay-roo","tag-my-assignment-help","tag-need-nursing-assignment-help-in-australia","tag-nursing-assignments","tag-nursing-essay-help-by-australian-academic-writers","tag-nursing-essay-writing-help-australia","tag-nursing-homework-assignment-help","tag-nursing-writing-help","tag-nursing-writing-helpers","tag-treat-assignment-help"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/102157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=102157"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/102157\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=102157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=102157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=102157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}