ReaganRevon_Pharm_Scenario_03_DanielleYoung,WELL EXPLAINED VERIFIED ANSWERS.

How did the simulated experience of Danielle Young Bear’s case make you feel? ⟶ I felt more confident in this simulated experience since it was my second one. I also felt better about this scenario because we learned about pain management some in first semester. I understood how to use Vsims and knew what to look for. Talk about what went well in the scenario. ⟶ I was able to assess the pt well and educate her on medications. I also educated her well on how much acetaminophen was safe to take in 24 hr. The pt understood she needed to lower her dose of acetaminophen and to look for medications without acetaminophen in them. Reflecting on Danielle Young Bear’s case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change? ⟶ In the first scenario, I should have assessed the pt.’s lower back and legs. I also should have ordered the correct blood sample. In the next scenario I fixed my mistakes and the pt care went better. Scenario Analysis Questions1 PCC What priority problem(s) did you identify for Danielle Young Bear? ⟶ Pt. had common cold and chronic back pain. S/EBP/PCC Provide medication reconciliation for this patient. ⟶ Cyclobenzaprine 5mg x 3 daily ⟶ Duloxetine 60 mg x 1 daily ⟶ Tramadol 50 x 4-6 daily ⟶ Hyrdrocodone 5mg/acetaminophen 325 mg x 4 daily ⟶ Nyquil 3 tbsp a day ⟶ Acetaminophen 500 mg x 4 daily ⟶ Willow bark tea 1 cup S/EBP/PCC ⟶ What problems did you identify during the medication reconciliation? Pt was surpassing recommended daily dose of acetaminophen. S/EBP/PCC Provide patient education related to information found during the medication reconciliation. ⟶ The pt. should not surpass 4g of acetaminophen in 24 hr. Pt. was informed that excessive amounts of acetaminophen could be damaging to the liver. The pt was informed to look for OTC without acetaminophen. I Explore evidence-based alternative pain management resources to assist with pain control for Danielle Young Bear. ⟶ Pt could use other options such as a TENS machine, acupuncture, massages, seeing a chiropractor, or physical therapist. Concluding Questions Describe how you would apply the knowledge and skills that you obtained in Danielle Young Bear’s case to an actual patient care situation. 1 The Scenario Analysis Questions are correlated to the Quality and Safety Education for Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration (T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and Informatics (I). Find more information at: ⟶ In an actual patient care situation I would know to do a medication reconciliation and to obtain blood labs for liver enzymes and serum acetaminophen levels. I would be able to use this case to help teach pt.’s about their use on acetaminophen. I also learned in this scenario to ask about the patient about their use of OTC medications to ensure they did not have any adverse reactions to their prescriptions.