Brady Marshall: Care Simulation for a Homeless Diabetic Client (Pre-Sim Guide) with Complete
Solutions
Brady Marshall: Care Simulation for a Homeless
Diabetic Client (Pre-Sim Guide) with Complete Solutions
Scenario: Brady Marshall: Care of a Homeless Client with Type 1 Diabetes
Mellitus
Student Pre-Simulation Guide
PURPOSE:
The purpose of this document is to provide an overview of the simulation-based education (SBE) activity
aligned with the course and guide your preparation activities. This document will review the required
foundational concepts related to pathophysiology, management of the disease process, and the clinical
skills that learners will be expected to apply during the scenario.
SCENARIO OVERVIEW:
Brady Marshall 63-year-old client presenting to the local homeless shelter clinic two days after being
discharged from the hospital with DKA. Client was diagnosed with type 1 diabetes at age 15. He has been
homeless for four years with sporadic compliance with diabetes treatment regimen. The scenario takes
place at 1130 at the start of an outpatient clinic visit.
SCENARIO RUN TIME: 30 minutes
MAPPING OF LEARNING OBJECTIVES:
Didactic Course Objectives MET UNMET
1. Implement nursing actions in the community to achieve desired ☒ ☐
population health outcomes.
2. Evaluate the population outcomes of interprofessional community- ☐ ☒
based health actions and initiatives.
3. Choose nursing actions that address the impact of social determinants ☒ ☐
of health.
4. Evaluate the impact of the built environment on population health ☐ ☒
outcomes.
5. Plan interprofessional care activities based on community-level data. ☐ ☒
6. Respond safely and effectively to community level emergencies and ☐ ☒
disasters.
7. Evaluate the use of information technology to promote population ☐ ☒
health.
Lab Course Objectives MET UNMET
1. Provide safe and effective nursing care in the community to achieve ☒ ☐
desired population outcomes.
Brady Marshall: Care Simulation for a Homeless Diabetic Client (Pre-Sim Guide) with Complete
Solutions
, Brady Marshall: Care Simulation for a Homeless Diabetic Client (Pre-Sim Guide) with Complete
Solutions
2. Provide community education to achieve desired population ☐ ☒
outcomes.
3. Provide community education to achieve desired population ☒ ☐
outcomes.
4. Perform nursing actions that promote health and prevent disease. ☒ ☐
5. Deploy information technology to promote population health. ☒ ☐
Scenario Learning Objectives
1. Assess barriers to the management of diabetes for a homeless client.
2. Modify the plan of care to address the social determinants of health.
3. Develop and implement an appropriate education plan for a homeless client with type 1
diabetes mellitus.
4. Demonstrate therapeutic communication techniques to establish a client rapport.
5. Collaborate with the healthcare provider to coordinate client care and resources to improve
continuity of treatment.
6. Utilize the electronic health record to coordinate care, and document assessments and client
response to interventions.
LEARNER ROLES DURING THE SIMULATION-BASED ACTIVITY
The facilitator of the SBE activity will ensure that each learner is assigned to a specific nursing role.
While each of the roles represent a component of the responsibilities of a nurse providing client care, it is
important that learners function as a nursing team to successfully complete the SBE activity. This may
require delegation and/or learners to assume responsibilities aligned with other roles. The learner roles for
this scenario are as follows:
Charge Nurse
The charge nurse is the team leader, ensuring the client receives safe, organized, high-quality care. The
learner fulfilling this role may delegate duties to members of the nursing team as appropriate. The charge
nurse will be the primary point person for communicating with members of the interdisciplinary team to
coordinate client care. This role requires the learner to keep members of the nursing team updated with
changes in client status, healthcare provider updates, and new information learned throughout the
scenario. Additionally, this role will support the primary nurse with the implementation of orders as
needed.
Primary Nurse
The primary nurse is fundamentally responsible for maintaining effective communication with the client
and/or family member(s). The learner fulfilling this role will obtain the client’s health history, perform
initial comprehensive or focused physical assessments and follow-up reassessments, and implement non-
medication interventions included in the plan of care. The primary nurse will purposefully observe the
client for any changes in status. Additionally, the primary nurse will provide all clients and family
members with education, with the exception of medication administration.
Medication Nurse
The medication nurse is accountable for performing all aspects of medication administration and
documentation. The learner fulfilling this role will ensure all medications are administered according to
Brady Marshall: Care Simulation for a Homeless Diabetic Client (Pre-Sim Guide) with Complete
Solutions
Solutions
Brady Marshall: Care Simulation for a Homeless
Diabetic Client (Pre-Sim Guide) with Complete Solutions
Scenario: Brady Marshall: Care of a Homeless Client with Type 1 Diabetes
Mellitus
Student Pre-Simulation Guide
PURPOSE:
The purpose of this document is to provide an overview of the simulation-based education (SBE) activity
aligned with the course and guide your preparation activities. This document will review the required
foundational concepts related to pathophysiology, management of the disease process, and the clinical
skills that learners will be expected to apply during the scenario.
SCENARIO OVERVIEW:
Brady Marshall 63-year-old client presenting to the local homeless shelter clinic two days after being
discharged from the hospital with DKA. Client was diagnosed with type 1 diabetes at age 15. He has been
homeless for four years with sporadic compliance with diabetes treatment regimen. The scenario takes
place at 1130 at the start of an outpatient clinic visit.
SCENARIO RUN TIME: 30 minutes
MAPPING OF LEARNING OBJECTIVES:
Didactic Course Objectives MET UNMET
1. Implement nursing actions in the community to achieve desired ☒ ☐
population health outcomes.
2. Evaluate the population outcomes of interprofessional community- ☐ ☒
based health actions and initiatives.
3. Choose nursing actions that address the impact of social determinants ☒ ☐
of health.
4. Evaluate the impact of the built environment on population health ☐ ☒
outcomes.
5. Plan interprofessional care activities based on community-level data. ☐ ☒
6. Respond safely and effectively to community level emergencies and ☐ ☒
disasters.
7. Evaluate the use of information technology to promote population ☐ ☒
health.
Lab Course Objectives MET UNMET
1. Provide safe and effective nursing care in the community to achieve ☒ ☐
desired population outcomes.
Brady Marshall: Care Simulation for a Homeless Diabetic Client (Pre-Sim Guide) with Complete
Solutions
, Brady Marshall: Care Simulation for a Homeless Diabetic Client (Pre-Sim Guide) with Complete
Solutions
2. Provide community education to achieve desired population ☐ ☒
outcomes.
3. Provide community education to achieve desired population ☒ ☐
outcomes.
4. Perform nursing actions that promote health and prevent disease. ☒ ☐
5. Deploy information technology to promote population health. ☒ ☐
Scenario Learning Objectives
1. Assess barriers to the management of diabetes for a homeless client.
2. Modify the plan of care to address the social determinants of health.
3. Develop and implement an appropriate education plan for a homeless client with type 1
diabetes mellitus.
4. Demonstrate therapeutic communication techniques to establish a client rapport.
5. Collaborate with the healthcare provider to coordinate client care and resources to improve
continuity of treatment.
6. Utilize the electronic health record to coordinate care, and document assessments and client
response to interventions.
LEARNER ROLES DURING THE SIMULATION-BASED ACTIVITY
The facilitator of the SBE activity will ensure that each learner is assigned to a specific nursing role.
While each of the roles represent a component of the responsibilities of a nurse providing client care, it is
important that learners function as a nursing team to successfully complete the SBE activity. This may
require delegation and/or learners to assume responsibilities aligned with other roles. The learner roles for
this scenario are as follows:
Charge Nurse
The charge nurse is the team leader, ensuring the client receives safe, organized, high-quality care. The
learner fulfilling this role may delegate duties to members of the nursing team as appropriate. The charge
nurse will be the primary point person for communicating with members of the interdisciplinary team to
coordinate client care. This role requires the learner to keep members of the nursing team updated with
changes in client status, healthcare provider updates, and new information learned throughout the
scenario. Additionally, this role will support the primary nurse with the implementation of orders as
needed.
Primary Nurse
The primary nurse is fundamentally responsible for maintaining effective communication with the client
and/or family member(s). The learner fulfilling this role will obtain the client’s health history, perform
initial comprehensive or focused physical assessments and follow-up reassessments, and implement non-
medication interventions included in the plan of care. The primary nurse will purposefully observe the
client for any changes in status. Additionally, the primary nurse will provide all clients and family
members with education, with the exception of medication administration.
Medication Nurse
The medication nurse is accountable for performing all aspects of medication administration and
documentation. The learner fulfilling this role will ensure all medications are administered according to
Brady Marshall: Care Simulation for a Homeless Diabetic Client (Pre-Sim Guide) with Complete
Solutions
