Case 1: Introduction and Instructions
Care of an Older Adult with Impaired Perfusion in a Community Setting
Scenario Introduction
The goal of this virtual case-based scenario is to promote participants’ clinical reasoning and decision-making when providing community-based care for an older adult living with heart disease, atrial fibrillation, and hypertension. Participants will 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 an acute medical setting.
Concepts
- Chronic Disease Management
- Clinical Judgement
- Cognition
- Communication
- Perfusion
- Pharmacology
Context
Community Setting, Healthy Heart Day Program
Level of Participant
Entry-level (year 1 or 2)
Completion Time
Varied, up to 3 hours
- Pre-Learning: Varied depending on the knowledge students have prior to engaging in the scenario. Completing all activities in their entirety may take up to 2 hours.
- Scenario: Allow for about 30 minutes to complete the activity.
- Reflection: Allow for about 30 minutes to complete the activity.
Learning Objectives
By the end of this scenario, participants will be able to do the following in a virtual case-based scenario:
- Perform prioritized focused assessments for a client with heart disease, atrial fibrillation, and hypertension, in a community-based setting, to inform a plan of care that follows BCCNM practice standards.
- Interpret assessment findings related to the concept of perfusion for a client with heart disease and atrial fibrillation to enhance medication safety.
- Communicate effectively with an older adult experiencing anxiety in a community-based setting to enhance a therapeutic relationship.
Instructions
- Complete each section in the order it is presented.
- 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 as many times as you would like.
- After you complete the scenario, work through the post-scenario activities.
- Your role is to assume all aspects of a practicing nurse’s professional behavior as if caring for a client in the clinical setting. However, work within your scope of practice as a student nurse.
- 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.
- These scenarios follow what is known as the Basic Assumption™ of simulation, meaning that it is believed that you are intelligent, capable, and want to do your best to improve your skills.[1]
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