Treats patient with dignity and respects her independence. Utilizes therapeutic communication to provide education and address patient concerns. Physiologic State T = 98.4 F (36.9 C) Mrs. Rae states, "I really can take care of BP = 96/72 myself pretty well. I'm strong and able to get P = 82 around. I don't want to bother you. You have RR = 18 plenty to do already." O2 Sat = 97% (room air) Situation/Transition Until a fall prevention plan is developed and implemented, Mrs. Rae continues to insist that she is able to get out of bed and ambulate independently. 10-15 minutes Recommended time to advance to Phase III: Expected Student Performance Provides incontinence care. Develops fall prevention plan with patient. Initiates fall prevention measures. Develops pressure ulcer prevention plan with patient. Initiates pressure ulcer prevention measures. Physiologic If fall and pressure ulcer prevention measures (including incontinence care) are initiated: T = 98.2 F (36.8 C) Mrs. Rae states, "Thank you for watching BP = 94/72 out for me. I suppose everyone needs a little = 82 help sometimes." P RR = 16 O2 Sat = 98% (room air) If pressure ulcer prevention measures (including incontinence care) are NOT initiated: T = 98.4 F (36.9 C) Mrs. Rae states, "My bottom is sore. I hope BP = 96/78 that being wet has not caused a rash down P = 88 there."
Treats patient with dignity and respects her independence. Utilizes therapeutic communication to provide education and address patient concerns. Physiologic State T = 98.4 F (36.9 C) BP = 96/72 P = 82 RR = 18 O2 Sat = 97% (room air) Mrs. Rae states, "I really can take care of myself pretty well. I'm strong and able to get around. I don't want to bother you. You have plenty to do already." Situation/Transition Until a fall prevention plan is developed and implemented, Mrs. Rae continues to insist that she is able to get out of bed and ambulate independently. Recommended time to advance to Phase III: 10-15 minutes Expected Student Performance Provides incontinence care. Develops fall prevention plan with patient. Initiates fall prevention measures. Develops pressure ulcer prevention plan with patient. Initiates pressure ulcer prevention measures. Physiologic If fall and pressure ulcer prevention measures (including incontinence care) are initiated: T = 98.2 F (36.8 C) BP = 94/72 P = 82 RR = 16 O2 Sat = 98% (room air) Mrs. Rae states, "Thank you for watching out for me. I suppose everyone needs a little help sometimes." If pressure ulcer prevention measures (including incontinence care) are NOT initiated: T = 98.4 F (36.9 C) BP = 96/78 P = 88 Mrs. Rae states, "My bottom is sore. I hope that being wet has not caused a rash down there."
nr-205_week-3_sls_perry-potter-case-5_fall_skin_instructorguide.docx