CNCL 700Sherman Red Yoder - All Parts./ attempted score A+
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Module
CNCL 700
Institution
CNCL 700
Sherman “Red” Yoder – Part A Part 1: Plan of Care Concept Map (adapted from vSim template) Simulation Patient Overview • Client summary: presentation, medical history and background, physical assessment findings, medications, diagnostics • brief summary of pathophysiology and rationale fo...
cncl 700sherman red yoder all parts attempted score a
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SHERMAN “RED” YODER – PART A
Part 1: Plan of Care Concept Map (adapted from vSim template)
Simulation Patient Overview
• Client summary: presentation, medical history and background, physical
assessment findings, medications, diagnostics
• brief summary of pathophysiology and rationale for clinical manifestations
Red is an 80-year-old male who lives alone, 20 miles from the nearest city. The patient has previously
been diagnosed with type 2 diabetes (six months ago) and has recently began taking insulin. The nurse
came to Reds’ house to assess and evaluate a wound that was caused by wearing shoes that were too
tight. The toe was injured about three weeks ago. It is plausible that Red has developed peripheral
neuropathy which is typically caused by diabetes. This causes loss of sensation and numbness to the
extremities. In Reds’ case, he might have not felt in the injury on his toe and that is why he did not
address it immediately. Red also lives alone so there was no was else in the household to bring his
attention to the injured toe.
The Assessment
Anticipated Physical Assessment Findings Anticipated Diagnostic Tests
• cues indicating need for immediate
concern and rationale
Peripheral neuropathy – numbness and loss of Abnormal Values
sensation in the feet Part A: No diagnostic tests
Right toe wound
Additional tests to consider – monitoring of blood
glucose x 4 times a day.
Plan
Anticipated Care Priorities Anticipated Nursing Interventions
, Educate patient on: the importance of monitoring
his blood glucose after meals, and adhering to the
Monitor blood glucose levels and adhere to
sliding scale dosage, daily inspection of feet with
medication.
help of mirrors and family, how to apply wound
dressings on his right toe to prevent further
complications, information on diet and nutrition.
Wound dressing.
Feet inspection.
Great importance must be placed on footcare.
, Diet and nutrition information.
Sleep education.
Assess independence in ADLs.
ISBAR Worksheet (adapted from vSim)
ISBAR Student Notes
Introduction Hello, my name is Ronit Patel. I am student RN
• Your name, position (Nursing student), with a home health agency. I will be giving you
unit you are working on a report on Red Yoder.
• What is the purpose of this communication?
Situation Red Yoder is an 80-year-old male that is
being seen at home for a right toe wound.
• What is happening at the moment?
• Patient’s name, age, specific reason
for visit/admission
Background The patient was diagnosed with type two diabetes
six months ago. He has recently began taking
• What are the issues that led up to
insulin. Red suffered an injury to his toe three
this situation? weeks ago. Up till now, he has been wearing
• Patient’s primary diagnosis, date tight shoes which progressively made his injury
of admission, current orders worse. No current orders.
Assessment The issue with the patient is the lack of
knowledge regarding the disease, as well as non-
• What do you believe the problem is?
adherence to treatment.
• Current pertinent assessment data using
head to toe or focused assessment approach,
• Pertinent diagnostics
• Vital signs
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