Case 3: Scenario Briefing and Pre-Learning
Work through this chapter to prepare for the virtual case-based scenario. The estimated time for completing these activities is varied depending on the knowledge students have prior to engaging in the scenario. Completing all activities in their entirety may take up to 2.5 hours.
Scenario Briefing
Use the following client information to guide your preparation.
Image by StockSnap from Pixabay.
SETTING: Community – Client’s Home
NAME: Taylor Tanaka
AGE: 24 Years Old
SEX: Female
MEDICAL HISTORY: Traumatic Brain Injury, Type 2 Diabetes
CURRENT MEDICATIONS: Metformin, Oxycodone, Lorazepam
SOCIAL HISTORY: Taylor has lived in the basement suite of her parent’s home for the last year.
Taylor Tanaka is a 24-year-old who identifies as female. Taylor sustained a traumatic brain injury (TBI) 2.5 years ago after being in a car accident. Prior to the accident, Taylor was an avid runner and was on the track team at her university. She was unable to continue with her studies in the business program and has been living in her parent’s basement suite for the past year.
Since the accident, she has become irritable, labile, has difficulty sleeping and motivating herself. She complains of chronic headaches that make it difficult to concentrate. She has gained 60 pounds in the last year and now weighs 205 lbs and is 5’6”. For the last 6 months, her primary care provider has been monitoring her blood glucose levels and has diagnosed her with Type 2 diabetes.
You have been asked to conduct a home visit with Taylor to provide client education on managing Type 2 diabetes.
Prerequisite Knowledge
For this case, it is anticipated that you would have basic competence in the following areas:
Psychomotor Skills
- Basic vital signs assessment (adult)
- Basic head-to-toe assessment (adult)
- Naloxone administration in the community (SAVEME steps per the Towards The Heart recommendations listed below)
Cognitive Skills
- Traumatic brain injury, Type 2 diabetes, altered mood, substance use disorder
- Medication administration and pharmacology (metformin, lorazepam, oxycodone, naloxone)
- SBAR communication
- Community Nursing
- Cultural safety
- BCCNM Practice Standards
Affective Skills
- Therapeutic communication with a client
Self-Assessment
Complete this self-assessment of your competence in the learning objectives for this case. At the end of the scenario, you can return to this rubric to identify any changes.
Pre-Learning Readings and Resources
Complete the following 5 activities (including associated readings, videos, and guiding questions) in order to fully engage in the scenario. You will be prompted to document your activities with an option to export your documentation to save for your own records.
1. Clinical Decision-Making
2. Diagnosis in Focus
Knowledge of the client’s current medical diagnoses and history is a key component of patient care. Use the following resources to prepare to provide care for the client. In the documentation activity, articulate your knowledge based on the client introduction provided.
Explore this site to read about traumatic brain injury[1]
Watch this video about diabetes.[2]
Diabetes Mellitus (Type 1 & Type 2) for Nursing & NCLEX by Simple Nursing is licensed under a Standard YouTube license.
Explore the British Columbia Center on Substance Use to review substance use and mental health to review substance use and mental health. [3]
3. Assessments and Interventions
Read Vital Sign Measurement Across the Lifespan to review normal vital signs applicable to this case.[4]
It is recommended that you complete this 15-25 min online lesson provided by Toward the Heart on how to respond to an overdose.[5]
4. Medication in Focus
Prepare for the administration of medications included in the virtual case scenario by reviewing the following resources.
Read about safe medication administration. [6]
Prepare to administer the following medications.
5. Therapeutic Boundaries in Nursing Care
Practice Quiz
NCLEX Moment
Complete the following questions related to your pre-learning for the scenario. The questions are written in NCLEX formatting as an added form of review.
- Brain Injury Canada. (2021). Brain Injury Canada- Supporting the Brain Injury Community. https://braininjurycanada.ca/en/node/3 ↵
- Diabetes Mellitus (Type 1 & Type 2) for Nursing & NCLEX. (2019, August 21). [Video]. YouTube. https://www.youtube.com/watch?v=Y53V7IBn_zM ↵
- British Columbia Center on Substance Use. (2021). Opioid use disorder. https://www.bccsu.ca/opioid-use-disorder/ ↵
- Lapum, J., Verkuyl, M., Garcia, W., Oona St-Amant, Tan A. (n.d.). Vital Sign Measurement Across the Lifespan – 2nd Canadian Edition. https://opentextbc.ca/vitalsignmeasurement/ ↵
- Toward the Heart (2021). Quick Learn Naloxone Administration. https://towardtheheart.com/naloxone-course ↵
- Ernstmeyer, K., & Christman, E. (Eds.). (2021). Open RN Nursing Skills by Chippewa Valley Technical College is licensed under CC BY 4.0. ↵
- OpenMD.com (2021). Nitrofurantoin. https://reference.medscape.com ↵
- The Centre for Addiction and Mental Health (2021). Straight Talk-Oxycodone. https://www.camh.ca/en/health-info/guides-and-publications/straight-talk-oxycodone ↵
- OpenMD.com (2021). Nitrofurantoin. https://reference.medscape.com ↵
