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  • Josephine Morrow: Guided Reflection Questions

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    Elliana Ramirez
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    Josephine Morrow is an 80-year-old patient with a history of chronic venous insufficiency, deep vein thrombosis, COPD, impaired mobility, obesity, and an unhealthy diet who presented with a venous stasis ulcer on her right medial malleolus. The nurse identified priorities of addressing Mrs. Morrow's ulcer, mobility issues, diet, and education. Daily aspirin was prescribed to promote circulation and prevent clotting. Compression therapy and elevation were used to aid blood flow and reduce swelling. A Braden scale assessment determined Mrs. Morrow was at mild risk of further wounds. A dietician, physical therapist, and specialists would aid her care.

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    vitural simualtion

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    Josephine Morrow GR

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    Josephine Morrow is an 80-year-old patient with a history of chronic venous insufficiency, deep vein thrombosis, COPD, impaired mobility, obesity, and an unhealthy diet who presented with a venous stasis ulcer on her right medial malleolus. The nurse identified priorities of addressing Mrs. Morrow's ulcer, mobility issues, diet, and education. Daily aspirin was prescribed to promote circulation and prevent clotting. Compression therapy and elevation were used to aid blood flow and reduce swelling. A Braden scale assessment determined Mrs. Morrow was at mild risk of further wounds. A dietician, physical therapist, and specialists would aid her care.

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    © All Rights Reserved
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    3K views3 pages

    Josephine Morrow: Guided Reflection Questions

    Uploaded by

    Elliana Ramirez
    Josephine Morrow is an 80-year-old patient with a history of chronic venous insufficiency, deep vein thrombosis, COPD, impaired mobility, obesity, and an unhealthy diet who presented with a venous stasis ulcer on her right medial malleolus. The nurse identified priorities of addressing Mrs. Morrow's ulcer, mobility issues, diet, and education. Daily aspirin was prescribed to promote circulation and prevent clotting. Compression therapy and elevation were used to aid blood flow and reduce swelling. A Braden scale assessment determined Mrs. Morrow was at mild risk of further wounds. A dietician, physical therapist, and specialists would aid her care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    Josephine Morrow

    Guided Reflection Questions


    Opening Questions
    How did the simulated experience of Josephine Morrow’s case make you feel?

    I like how I was able to practice on how to take care of a patient with a venous stasis ulcer. What
    I was supposed to be assessing on the patient and what to educate Mrs. Morrow on.

    Talk about what went well in the scenario.

    The part that went well in the scenario was that I knew to elevate the patient’s legs and apply
    compression socks to help Mrs. Morrow’s venous return.

    Reflecting on Josephine Morrow’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?

    The only action I would do differently is to know exactly what information to educate my patient
    on to assist with wound healing and to help Mrs. Morrow understand the importance of a good
    nutritional diet full of protein to help with wound healing.

    Scenario Analysis Questions

    S What priority problem(s) did you identify for Josephine Morrow?

    The priority problem that I identified was that Mrs. Morrow has a past medical history
    of chronic venous insufficiency, deep vein thrombosis (DVT), and COPD. Mrs. Morrow has
    impaired mobility, she was on an unhealthy diet, she is obesity and her age (80 years old) which
    are all factors that affect the healing process.

    PCC Identify in Josephine Morrow’s health history any factors that predisposed her to having chronic
    venous insufficiency.

    DVT, COPD, impaired mobility, obesity, older age (80 years old), and unhealthy diet.

    PCC/S Discuss the assessment findings and diagnostic studies that correlate with chronic venous
    insufficiency and venous stasis ulceration. Provide the reasons behind these findings.

    
    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:
    http://qsen.org/
    Brown
    pigmentation on both lower legs
    with an +2 edema.
    Brown
    pigmentation on both lower legs
    with an +2 edema.
    Brown
    pigmentation on both lower legs
    with an +2 edema.
    Brown
    pigmentation on both lower legs
    with an +2 edema.
    Mrs. Marrow had a venous stasis ulcer to her right medial malleolus. She brown
    hyperpigmentation on both lower legs with +2 edema. Lab results showed that she had
    abnormal pre-albumin, albumin and HCO3 levels.

    S What is the rationale for the daily dose of ASA?

    ASA promotes circulation by reducing inflammation, stopping blood clot formation, and
    from blood cells from clumping together.

    EBP/I What is the rationale for compression therapy?


    Compression therapy aids the flow of blood in veins to help blood to move in the right
    direction, prevent blood clots, and reduce the symptoms of venous disease.

    EBP/I What is the rationale for performing a Braden scale assessment on Josephine Morrow?

    Preforming a Braden scale assessment on Mrs. Morrow would help determine how the
    healing processes would look like for the patient. Be more active in preventing ulcers due to her
    mild risk score of 16. Preventing from making her wound potentially worse due to her score.

    T&C What other interprofessional team members should be involved in Josephine Morrow’s care?

    Dietician, physical therapist, cardiac specialist, and respiratory specialist.

    Concluding Questions

    Describe how you would apply the knowledge and skills that you acquired in Josephine Morrow’s case
    to an actual patient care situation.

    I would be able to know the education that I need to teach my patient to have a more successful
    outcome of recovery. I would know what lab results affect the patient from recovering in a timely
    manner. I would know the risk factors of patient’s medical history or the score on the Braden scale that
    would cause healing to take longer. I know what to look for when assessing a wound or dressing and to
    irrigate the wound before assessing. I know to elevate my patient’s feet and use compression socks to
    effectively help with venous return, swelling, and to prevent blood clots. I know to give pain medicine
    before changing a dressing so the patient will not experience pain during procedure. Allowing me to give
    my patient the proper care they need to have their venous stasis ulcer heal with minimal or no
    complications.

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