Case 2: Scenario Briefing and Pre-Learning
Work through this chapter to prepare for the virtual case-based scenario. The estimated time for completing these activities varies 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.
- Setting: Acute Medical Unit
- Name: Piara Sandhu
- Age: 74 years old
- Sex: Male
- Allergies: Penicillin
- Medical History: Vascular dementia, rheumatoid arthritis, hypertension
- Social History: Lives in his own home with his 70-year-old wife (Manu).
He was diagnosed with vascular dementia 1.5 years ago and has a 5-year history of hypertension and rheumatoid arthritis. Late yesterday afternoon, he was admitted to an acute care medical unit due to increased confusion and bacterial pneumonia.
It is now 0730 the next morning, and you have been assigned to care for Mr. Sandhu.
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)
- Cognitive Skills
- Vascular dementia, delirium, depression pneumonia, urinary tract infection
- SBAR communication
- Medication administration and pharmacology (antibiotics)
- Oxygen therapy
- Cultural safety
- BCCNM Practice Standards
- Affective Skills
- Therapeutic communication with a client
Self-Assessment
Complete this Case 2 Self-Assessment [Word] 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 Resources and Activities
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.
Watch this video about delirium (5 mins).[1]
Watch this video about a client's experience with delirium (6:49 mins).[2]
Watch this video about vascular dementia.[3]
3. Assessments and Interventions
Read Vital Sign Measurement Across the Lifespan to review normal vital signs applicable to this case.[4]
Read the following resource to review assessments related to this case.[5]
- Neurological Assessment Introduction
- Respiratory Assessment Introduction
- Oxygen Therapy Introduction
- Gastrointestinal and Genitourinary Assessment
Watch this video about breathsounds.[6]
Watch this video about respiratory assessments.[7]
4. Medication in Focus
Prepare for the administ