{"id":155,"date":"2021-10-17T00:35:13","date_gmt":"2021-10-17T04:35:13","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/?post_type=chapter&#038;p=155"},"modified":"2021-12-29T21:38:16","modified_gmt":"2021-12-30T02:38:16","slug":"case-2-care-of-an-older-adult-in-an-acute-medical-setting","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/chapter\/case-2-care-of-an-older-adult-in-an-acute-medical-setting\/","title":{"raw":"Case 2: Introduction and Instructions","rendered":"Case 2: Introduction and Instructions"},"content":{"raw":"<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h2 class=\"textbox__title\">Care of an Older Adult with Infection and Impaired Cognition in an Acute Medical Setting<\/h2>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\n<strong>Scenario Introduction<\/strong>\r\n\r\nThe goal of this virtual case-based scenario is to promote participants' clinical reasoning and decision-making when providing nursing care for an older adult with dementia and infection in an acute medical setting. Participants will use a virtual case-based scenario to assess a client, identify priority problems, formulate and implement a nursing plan, and evaluate the plan. The virtual scenario provides entry-level BSN students with an experience of working with a client in a community setting.\r\n\r\n<strong>Concepts<\/strong>\r\n<ul>\r\n \t<li>Chronic Disease Management<\/li>\r\n \t<li>Clinical Judgement<\/li>\r\n \t<li>Cognition<\/li>\r\n \t<li>Communication<\/li>\r\n \t<li>Gas Exchange<\/li>\r\n \t<li>Infection<\/li>\r\n \t<li>Pharmacology<\/li>\r\n \t<li>Safety<\/li>\r\n<\/ul>\r\n<strong>Context:<\/strong> Acute medical unit of a hospital.\r\n\r\n<strong>Level of Participant:<\/strong> Entry-level (year 1 or 2)\r\n\r\n<strong>Completion Time: <\/strong>Varied up to 3.5 hours\r\n<ul>\r\n \t<li><span style=\"text-decoration: underline\">Pre-Learning:<\/span> 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.<\/li>\r\n \t<li><span style=\"text-decoration: underline\">Scenario:<\/span> Allow for about 30 minutes to complete the activity.<\/li>\r\n \t<li><span style=\"text-decoration: underline\">Reflection<\/span>: Allow for about 30 minutes to complete the activity.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<h2 class=\"textbox__title\">Learning Objectives<\/h2>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nBy the end of this scenario, participants will be able to do the following in a virtual case-based scenario:\r\n<ol>\r\n \t<li>Identify and differentiate between the signs and symptoms of delirium, dementia, and depression to provide prioritized nursing care.<\/li>\r\n \t<li>Implement a client-specific nursing plan of care in an acute care setting to safely manage altered cognition and infection-related diagnoses.<\/li>\r\n \t<li>Communicate effectively with an older adult with dementia in an acute care setting to enhance a therapeutic relationship and provide culturally sensitive care.<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h2 class=\"textbox__title\">Instructions<\/h2>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>Complete each section in the order it is presented.<\/li>\r\n \t<li>After completing the pre-brief and pre-learning, you will find a short scenario to work through with decision-making questions. You can go through the scenario <strong>as many times<\/strong> as you would like.<\/li>\r\n \t<li>After you complete the scenario, work through the post-scenario activities.<\/li>\r\n<\/ul>\r\n<ul>\r\n \t<li>Your role is to assume all aspects of a practicing nurse\u2019s professional behavior as if caring for a client in the clinical setting. However, work within your scope of practice as a student nurse.<\/li>\r\n \t<li>Several aspects of the scenario may be limited in realism and when a gap occurs between simulated reality and actual reality, act according to the goals of the learning session.<\/li>\r\n \t<li>These scenarios follow what is known as the <em>Basic Assumption\u00a0<\/em>of simulation meaning that it is believed that you are intelligent, capable, and want to do your best to improve your skills. <em style=\"text-align: initial\">\u00a9 Copyright 2004-2020 Center for Medical Simulation, Boston, Massachusetts, USA. <\/em><a style=\"text-align: initial\" href=\"http:\/\/www.harvardmedsim.org\"><em>www.harvardmedsim.org<\/em><\/a> <a style=\"text-align: initial\" href=\"mailto:info@harvardmedsim.org\"><em>info@harvardmedsim.org<\/em><\/a><em style=\"text-align: initial\"> All Rights Reserved \u2013 Used with permission<\/em><span style=\"text-align: initial\">.<\/span><\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>","rendered":"<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Care of an Older Adult with Infection and Impaired Cognition in an Acute Medical Setting<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<p><strong>Scenario Introduction<\/strong><\/p>\n<p>The goal of this virtual case-based scenario is to promote participants&#8217; clinical reasoning and decision-making when providing nursing care for an older adult with dementia and infection in an acute medical setting. Participants will use a virtual case-based scenario to assess a client, identify priority problems, formulate and implement a nursing plan, and evaluate the plan. The virtual scenario provides entry-level BSN students with an experience of working with a client in a community setting.<\/p>\n<p><strong>Concepts<\/strong><\/p>\n<ul>\n<li>Chronic Disease Management<\/li>\n<li>Clinical Judgement<\/li>\n<li>Cognition<\/li>\n<li>Communication<\/li>\n<li>Gas Exchange<\/li>\n<li>Infection<\/li>\n<li>Pharmacology<\/li>\n<li>Safety<\/li>\n<\/ul>\n<p><strong>Context:<\/strong> Acute medical unit of a hospital.<\/p>\n<p><strong>Level of Participant:<\/strong> Entry-level (year 1 or 2)<\/p>\n<p><strong>Completion Time: <\/strong>Varied up to 3.5 hours<\/p>\n<ul>\n<li><span style=\"text-decoration: underline\">Pre-Learning:<\/span> 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.<\/li>\n<li><span style=\"text-decoration: underline\">Scenario:<\/span> Allow for about 30 minutes to complete the activity.<\/li>\n<li><span style=\"text-decoration: underline\">Reflection<\/span>: Allow for about 30 minutes to complete the activity.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Learning Objectives<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<p>By the end of this scenario, participants will be able to do the following in a virtual case-based scenario:<\/p>\n<ol>\n<li>Identify and differentiate between the signs and symptoms of delirium, dementia, and depression to provide prioritized nursing care.<\/li>\n<li>Implement a client-specific nursing plan of care in an acute care setting to safely manage altered cognition and infection-related diagnoses.<\/li>\n<li>Communicate effectively with an older adult with dementia in an acute care setting to enhance a therapeutic relationship and provide culturally sensitive care.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h2 class=\"textbox__title\">Instructions<\/h2>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>Complete each section in the order it is presented.<\/li>\n<li>After completing the pre-brief and pre-learning, you will find a short scenario to work through with decision-making questions. You can go through the scenario <strong>as many times<\/strong> as you would like.<\/li>\n<li>After you complete the scenario, work through the post-scenario activities.<\/li>\n<\/ul>\n<ul>\n<li>Your role is to assume all aspects of a practicing nurse\u2019s professional behavior as if caring for a client in the clinical setting. However, work within your scope of practice as a student nurse.<\/li>\n<li>Several aspects of the scenario may be limited in realism and when a gap occurs between simulated reality and actual reality, act according to the goals of the learning session.<\/li>\n<li>These scenarios follow what is known as the <em>Basic Assumption\u00a0<\/em>of simulation meaning that it is believed that you are intelligent, capable, and want to do your best to improve your skills. <em style=\"text-align: initial\">\u00a9 Copyright 2004-2020 Center for Medical Simulation, Boston, Massachusetts, USA. <\/em><a style=\"text-align: initial\" href=\"http:\/\/www.harvardmedsim.org\"><em>www.harvardmedsim.org<\/em><\/a> <a style=\"text-align: initial\" href=\"mailto:info@harvardmedsim.org\"><em>info@harvardmedsim.org<\/em><\/a><em style=\"text-align: initial\"> All Rights Reserved \u2013 Used with permission<\/em><span style=\"text-align: initial\">.<\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"author":1267,"menu_order":1,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[48],"contributor":[],"license":[],"class_list":["post-155","chapter","type-chapter","status-publish","hentry","chapter-type-numberless"],"part":42,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/155","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/wp\/v2\/users\/1267"}],"version-history":[{"count":12,"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/155\/revisions"}],"predecessor-version":[{"id":495,"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/155\/revisions\/495"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/parts\/42"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapters\/155\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/wp\/v2\/media?parent=155"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/pressbooks\/v2\/chapter-type?post=155"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/wp\/v2\/contributor?post=155"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingcasestudies\/wp-json\/wp\/v2\/license?post=155"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}