Vsim of nursing Pharmacology Toua Xiong 2022 Update

Vsim of nursing Pharmacology Scenario 2: Toua Xiong Guided Reflection Questions Opening Questions How did the simulated experience of Toua Xiong’s case make you feel? - This was my favourite simulation by far, the orders made sense and the whole scenario seemed to flow better than the other ones so far. Talk about what went well in the scenario. - The orders at the beginning of the scenario were very clear and concise that all I had to do was the physical assessment and patient history, so I felt like I actually know what I was doing Reflecting on Toua Xiong’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? - I repeated this scenario twice, the first time I forgot to compare the medication to the mar, so I made sure I did that the second time. The second time I asked more in depth questions when obtaining the history of the patient. Scenario Analysis Questions1 What priority problem(s) did you identify for Toua Xiong? I identified his difficulty for swallowing, pain in his throat and mouth, as well as some chest pain that he was experiencing when completing the history assessment and asking about his pain and pain scale. Upon focused assessment, what was identified to be causing the priority problems listed above? Identify the underlying causes. - The patient was taking an oral inhaled corticosteroid, which was causing the thrush in his mouth, which the provider then ordered nyastatin for. Based on your assessment, what priority teaching does Toua Xiong need? - The patient should engage in teaching on how to properly use his inhaler and the side effects of corticosteroids and what to expect. When he is done inhaling his medication he needs to rinse his mouth with water. Explore community resources for patients with COPD. - I checked out the Trudell Medical website for a list of their online resources for people living with COPD. They recommended The Lung Association which offers resources for smoking cessation, current research and more. Living well with COPD is a self management 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: program which offers videos, news and a website that aims to improve the lives of people living with COPD. Concluding Questions Describe how you would apply the knowledge and skills that you obtained in Toua Xiong’s case to an actual patient care situation. - I know understand how corticosteroids can cause thrush in the mouth. If I come across this in practice I already have an understanding of the adverse effects of corticosterioids and what to look out for.