Summary UNFOLDING REASONING CAS STUDY TEST BANK

Education Priorities/Discharge Planning 1. What will be the most important discharge/education priorities you will reinforce with her medical condition to prevent future readmission with the same problem? Monitor blood sugar and take insulin as prescribed. Finish full course of antibiotics to treat pneumonia infection. 2. What are some practical ways you as the nurse can assess the effectiveness of your teaching with this patient? Have the patient summarize the teachings you provided. Ask questions to see if the patient understood teachings. © 2016 Keith Rischer/www.KeithRN.com Caring and the “Art” of Nursing 1. What is the patient likely experiencing/feeling right now in this situation? She might feel alone and maybe she doesn’t have motivation or anything to forward too. The patient’s mother recently passed away, she is divorced and has no children. 2. What can you do to engage yourself with this patient’s experience and show that he/she matters to you as a person? Build a connection with the patient by talking with her about things she likes. Regularly check up on the patient to see if there is anything she needs or something that I can do for her. Also provide physical touch to demonstrate that I care about her and provide comfort if she is okay with that. Use Reflection to THINK Like a Nurse Reflection-IN-action (Tanner, 2006) is the nurse’s ability to accurately interpret the patient’s response to an intervention in the moment as the events are unfolding to make a correct clinical judgment. 1. What did I learn from this scenario? I learned how important it is for someone with diabetes to take care of themselves and how quickly it can go downhill. Also, dehydration, infection, inadequate insulin dose, and stress can all cause diabetic ketoacidosis 2. How can I use what has been learned from this scenario to improve patient care in the future? This will help in the future clinical setting by being able to identify those at risk of developing DKA. © 2016 Keith Rischer/www.KeithRN.com