Assignment:
Instructions
Learning Outcomes
•Demonstrate understanding of infection prevention and healing as it relates to skin integrity
•Explain how mobility, hygiene, nutrition, and elimination affect the health status of individuals
•Demonstrate knowledge of common diagnostic tests and assessment tools as they relate to the nursing process
•Explain how lifespan considerations relate to the nursing process and nursing practice
•Demonstrate understanding of safe practice and accountability while caring for simulated patients
Learning Objectives
•Please view learning objectives from module
Miss T is with type uncontrolled diabetes who is has been previously seen in the community by home care. Today she is being admitted to your unit with a large wound on her foot that is not healing. The physicians are worried her wound will infect the bone and lead to amputation if it worsens. She has also been coughing up blood tinged sputum for the last month. She reports being tired and waking drenched in sweat with fevers every few days. The attending physicians orders Miss T to be on isolation for suspected tuberculous and daily dressing changes. You enter Miss T's room to change her dressing in your PPE. Miss T reports being very fatigued and you asses that she cannot safely get out of bed to transfer. You decide to leave Miss T in bed to change her dressing, and deliver her medications. Miss T asks you why you are checking her medication three times and states "they are the same as yesterday". Finally Miss T asks if you could cut her toe nails before exiting the room as she is unable to do so herself.
What type of ulcer does Miss T have on her foot and what could have caused it? Support your response with current literature.
Describe the phases of wound healing. Support your response with current literature.
Describe how you would assess the wound once the old dressing has been removed. Support your response with current literature.
Identify the reason and most likely type of isolation being followed for this individual. Support your answers with current literature.
Identify the correct order of doffing (taking off) the PPE required for when existing this individuals room.
Explore the Resident Assessment Instrument - Minimum data set (RAI MDS) a tool which is commonly used to express the patient population being seen by home care and in long term care facilities.
What assessment fields will changes based on Miss T's change in health status?
Identify four potential complications of immobility related to Miss T. Support each complication with current literature.
Identify four nursing consideration while bathing Miss T. Support your actions using current literature.
Discuss the importance of three medication checks. Support your response using current literature.
Discuss how you would response to Miss T's request to cut her toenails.
Please discuss your answer and provide rationale and evidence