heart I’m here. I feel ok. Identify Cue: don't “I rhythm/rate I can’t believe how patient think she's been (pt is on a my life has taking her tele changed in the past medicine.” monitored couple of weeks Take vital floor) now. Howard died signs a couple of weeks, no months ago. I can’t remember. Once interns Begins Why can’t I takes vitals remember? Things then display assessment have changed. I BP, spO2, don’t like that; I’ve temp always been a strong woman. I feel ok and I take a BP 180/110, lot of pills not P 100, – – sure what they all are you can look R 25 (do – on the kitchen not display, counter or ask my want to check daughter what they accuracy of are. Where is intern’s Phoebe? I haven’t assessment); seen her in 6 years; T - 98.4 no one ever comes to see me.” Heart, lung sounds etc. Murmur Rhonchi 5-10 Complains of Continues Role member minutes headache assessment providing cue: anyone Daughter 7-8 “Has – checked on minutes into Notice Pumpkin lately?" scenario elevated BP
heart rhythm/rate (pt is on a tele monitored floor) Once interns takes vitals then display BP, spO2, temp BP 180/110, P – 100, R – 25 (do not display, want to check accuracy of intern’s assessment); T - 98.4 I’m here. I feel ok. I can’t believe how my life has changed in the past couple of weeks now. Howard died a couple of weeks, no months ago. I can’t remember. Why can’t I remember? Things have changed. I don’t like that; I’ve always been a strong woman. I feel ok and I take a lot of pills – not sure what they all are you can look on the kitchen counter or ask my daughter what they are. Where is Phoebe? I haven’t seen her in 6 years; no one ever comes to see me.” Heart, lung sounds etc. Murmur Rhonchi Identify patient Take vital signs Begins assessment Cue: “I don't think she's been taking her medicine.” 5-10 minutes Complains of headache “Has anyone checked on Pumpkin lately?" Continues assessment Notice elevated BP Role member providing cue: Daughter – 7-8 minutes into scenario
clinical_practicum_paper.docx