Case

VSim Assignment: Marilyn Hughes (CRN17240)

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Course
Complex Care and Beyond BCLS (CRN17240)

Institution
George Brown College (GBC )

Documentation Assignment 1. Document a comprehensive pain assessment for Marilyn Hughes. 2. Document Marilyn Hughes’ neurovascular assessment Guided Reflection Questions How did the scenario make you feel? How would you recognize that Marilyn Hughes’ condition was deteriorating?

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Uploaded on January 2, 2023
Number of pages 6
Written in 2021/2022
Type Case
Professor(s) J.anderson
Grade A+

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1. Case - Vsim.jennifer hoffman (crn17240)
2. Case - Vsim assignment: marilyn hughes (crn17240)
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VSim Assignment: Marilyn Hughes

Academic Pathway for IENs, George Brown College

CRN-17240-202201 Complex Care and Beyond BCLS

, 2

VSim Marilyn Hughes

Documentation Assignment

1. Document a comprehensive pain assessment for Marilyn Hughes.

 During the first assessment Marilyn graded her pain at an 8/10 saying the pain was in her

left leg, because the dressing was too tight. After completing the interventions, she

graded her pain a 4/10, still in her left leg, but also said that she felt much better now.

2. Document Marilyn Hughes’ neurovascular assessment.

 She said her whole left leg felt numb and was not able to move or feel her toes on her left

side. There was no pulse present on the left foot.

3. Document the changes in Marilyn Hughes vital signs.

 During my initial assessment, Marilyn’s vital signs included a pulse of 105, blood

pressure of 150/90, respirations of 21, SpO2 of 98% and temperature of 99F. After doing

my interventions her vital signs were heart rate 97, blood pressure 144/86, Respirations

19, SpO2 97%, and temperature 99F.

4. Identify and document key nursing diagnoses for Marilyn Hughes.

 Acute pain related to left tibia-fibula fracture as evidenced by self-report of a pain

intensity of 8 using the numeric rating scale.

 Ineffective tissue perfusion related to increased fascia pressure as evidenced by absent

pulse and altered sensation.

5. Referring to your feedback log, document the nursing care you provided and Marilyn

Hughes’ response to this care.

 After pain assessment, I assessed the dressing on her left leg, it was too tight and was

causing pain to patient so then I loosen the dressing and placed patient`s leg at heart level

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