Nursing homework help

PURPOSE:

The following information is to be used in guiding your preparation and participation in the virtual simulation scenario for this course. This document will provide applicable course outcomes in preparation for your simulation.

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SCENARIO OVERVIEW:

Maggie Naganashe is a 60-year-old American Indian female with a 15-year history of type II diabetes mellitus. Mrs. Naganashe was brought to the emergency department by her husband after 2 days of nausea and vomiting. She lives on an American Indian reservation and is a proud member of the Odawa tribe. Mrs. Naganashe was reluctant to seek care due to the geographical distance between her home and the nearest hospital. She reports trying traditional health practices to relieve her symptoms but continued to experience worsening nausea and vomiting. She was admitted yesterday for gastroenteritis and hyperglycemia.

LEARNER OBJECTIVES:

  1. Utilize clinical reasoning skills to perform a health history and physical assessment on an adult patient. (CO 1, 2, 3, 4)
  2. Construct a plan of care based by prioritizing assessment findings and nursing diagnoses (CO 4, 5, 6, 7)
  3. Evaluate patient outcomes to determine the effectiveness of nursing interventions and need for ongoing care (CO 4, 8)
  4. Communicate and collaborate with the patient, family, and interdisciplinary healthcare team members (CO 3, 6)

STUDENT ROLES DURING SIMULATION:

You are the staff nurse at the hospital who will be conducting a comprehensive assessment.  After completing your assessment, you are expected to document your findings as a nurse’s note in SBAR format. Nursing homework help

KEY FEATURES OF i-HUMAN:

  • As the nurse, you are expected to complete the case scenario using the following tabs: EHR, History, Physical, Analyze, Actions, Nursing Notes, Summary
  • There are required questions and/or additional information provided related to this case. The questions, information, and videos must be completed/reviewed prior to progressing to the next tab.
  • Nursing Notes: At the end of the simulation, you will document your assessment findings using ISBAR.

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CONFIDENTIALITY:

To preserve the educational value, integrity, and safety of the learning environment, you agree to maintain strict confidentiality about the proceedings of the simulation session, details of the training scenarios and the performance of all participants. You acknowledge that this expectation aligns with the guidelines related to the Health Insurance Portability and Accountability Act (HIPAA) as well as laws governing Protected Health Information (PHI) in client care environments.  You will not view, discuss, share, record or disclose any confidential information pertaining to the session. You understand that lapses in confidentiality are considered academic misconduct and could result in dismissal from the academic program.

 

 

FICTION AGREEMENT:

You will suspend judgment of realism for any given simulation in exchange for the promise of learning new knowledge and skills, treating the simulated patients with the same care due an actual patient, act with a genuine desire to learn even when it may be difficult to do so.

 

DUE DATE:

The virtual simulation is assigned to be completed during Week 2 prior to your scheduled debriefing with faculty/peers.

 

 

SIMULATION TIMING:

  • Pre-simulation preparation: 30-60 minutes
  • Pre-brief: 15 minutes
  • Run Time: 2.75 hours
  • Debriefing: 60 minutes

 

 

ASSESSMENT & EVALUATION

Faculty will utilize your participation measurements in the i-Human case, and debriefing discussions to identify areas of opportunity for enhancement of your clinical growth. Your experiences in i-Human will contribute to your overall completion of clinical requirements for the course as documented on the Clinical Learning Evaluation tool.

i-Human Evaluation – What does my total score mean?

REVIEW AND COMPLETE PRIOR TO THE START OF THE VIRTUAL SIMULATION:

In order to prepare for the simulation, you are required to complete the pre-simulation questions below and submit this prework to the faculty via uploading your responses in Canvas prior to the start of the virtual simulation. If you do not complete the pre-simulation questions and upload them, you will not be able to access or participate in the simulation. Nursing homework help

 

  1. Compare and contrast the signs and symptoms of hypoglycemia and hyperglycemia.

 

  1. Outline the onset, peak, and duration of:

 

Medication Onset Peak Duration
Rapid Acting

  • Lispro
  • Aspart
     
Short Acting

  • Regular
     
Intermediate Acting

  • NPH
     
Long Acting

  • Glargine
  • Detemir
     
Mixed

  • NPH/Regular 70/30
     

 

 

  1. Describe strategies for managing diabetes during times of illnesses and increased stress.

 

  1. Compare and contrast nursing interventions when providing care to a conscious and unconscious hypoglycemic patient.

Immediately following the completion of the virtual simulation, you will complete the evaluation of the simulation using the link provided. Nursing homework help