nur2214ll 7 wk nursing care of the older adult clinical millie larsen
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NUR2214LL -7 WK: Nursing Care of the Older Adult Clinical -Janelle
Schaal
Student Name: Date:
STUDENT INSTRUCTIONS FOR THE SIMULATION CLINICAL DAY PACKET
This activity packet is intended to be used with your assigned client. The
following steps in the learn flow is to be followed as instructed below. Once you
have completed the Steps, in addition to this Clinical Replacement Activity
Packet, submit for grading as instructed in your syllabus.
LEARN FLOW – PRECOGNITIVE WORK
➢ Prior to simulation, the students should be familiar with the
following topics:
➢ Finish the Suggested Readings, then complete the following
activities-
Readings:
Required Precognitive Activities: (Individual)
❖ Plan of Care Concept Map on
❖ Medication Templates-
LEARN FLOW – SIMULATION
➢ Simulation (Group)
❖ Students will be assigned a role in the simulation each scenario is
20-30 minutes.
LEARN FLOW – POST COGNITIVE ACTIVITY
➢ Document-
❖ ISBAR Worksheet
LEARN FLOW – DEBRIEF
➢ Reflection Questions
❖ Students are to complete the reflection questions and submit to
instructor on page 12.
CONCEPT MAP/ PLAN OF CARE Est. Time: 30 Minutes
This activity creates an opportunity for you to organize the nursing care required
for the patient care presented in your assigned vSim.
STUDENT LEARNING OUTCOMES
At the end of this activity, student will be able to:
1. Describe pathological events associated with the patient’s disease
process or condition.
Last Updated 9/7/2021 1|P a ge
, NUR2214LL -7 WK: Nursing Care of the Older Adult Clinical -Janelle
Schaal
2. Create a plan of care and prioritized nursing interventions based on
patient care needs.
3. Identify anticipated diagnostic and physical assessment findings related
to the identified condition or disease process.
ASSIGNMENT
1. Following all instructions posted on your learning management system
(LMS)-Blackboard Ultra
2. Review the information contained in the patient information.
3. Review the Resources associated with Nursing Care, Diagnostics, and
Pharmacology found in the suggested reading area- Black Board Ultra
4. Describe the appropriate use of assessment tools such as the
SPICES:
Hendrich II Fall Risk Assessment:
Confusion Assessment Method (CAM):
5. Create the following “concept maps”. List all the pathophysiologies
associated with the patient’s disease processes or conditions, the
anticipated physical assessment findings, vital signs, diagnostics, specific
nursing interventions, and other patient information associated with the
patient situation.
6. Utilize the (LMS)-Blackboard Ultra resources to complete the worksheet.
7. Submit your concept map for review.
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, NUR2214LL -7 WK: Nursing Care of the Older Adult Clinical -Janelle
Schaal
CONCEPT MAP WORKSHEET
DESCRIBE ALL THE DISEASE PROCESSES AFFECTING THE PATIENT
(Include Pathophysiology of Disease Process)
Urinary tract infection:
Disease: Patient is affected by a lower Urinary Tract Infection.
Pathophysiology: Bacteria invade the bladder mucosa and multiply, which is why the bacteria can’t be readily
eliminated by normal urination. There is an inflammation of the bladder that can be caused by a bacterium that went
around the urethras tissue of the vagina and traveled to the bladder through the urethra.
DIAGNOSTIC TESTS ANTICIPATED PHYSICAL
PATIENT INFORMATION
(Reason for Test and Results) FINDING
UTI -Confusion, burning feeling
Complete Blood Count- Check Millie Larsen is an 84-year-old when urinating and frequent need
overall health. female who was brought in by her to urinate, urinary incontinence,
daughter who noticed that her blood in urine, cloudy/foul-
WBC: 12,000 mother was acting abnormally and smelling urine, fever,
not making sense. Ms. Larsen was nausea/vomiting, abdominal pain,
Hemoglobin: 11 assessed by her doctor who abnormalities in day-day tasks
suspects that she may have a brought on by confusions
Basic Metabolic- Check electrolytes, urinary tract infection, which
fluid balance and kidneys. would correspond with the patient’s
confusion and other problems. The
Sodium: 149; Potassium: 3.2 patient is being prescribed an
antibiotic for her UTI, and a
Urinalysis- Check urine for UTI, SPICES assessment, used for
kidneys patients with incontinence and
Urine: Dark amber, cloudy Specific
confusion problems has been
Gravity: 1,050, RBC: 9, & WBC: 50
completed and needs to be gone
over.
Last Updated 9/7/2021 3|P a ge
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