Henry Williams, Part 1Guided Reflection Questions Opening Questions

Henry Williams, Part 1 Guided Reflection Questions Opening Questions How did the simulated experience of Henry Williams’s case make you feel? This scenario was quite frustrating in the sense that it did not allow for you to ask more questions about Henry and his wife’s situation that is causing him anxiety. It was interesting to use the SPICES tool and realize the type of questions that I should be asking for this assessment. What nursing actions did you feel were appropriate within this scenario? I think education and support towards Henrys family was vital in this case because his wife seemed very confused on what was happening, and Henry seemed upset that he kept having to answer his wife. Also, since this patient is older, the SPICES assessment is important to use to understand other factors that relate to the patient’s condition and means to getting better. Scenario Analysis Questions* EBP What priority problem did you identify for Henry Williams? Henry still smoking was a priority in this problem because his lungs cannot support that decision with his COPD. EBP What is the rationale for recognizing Henry Williams’s shortness of breath and for initiating actions in a timely manner? Henry should be treated in a timely manner because of his increased risk of sudden death, he already has COPD and hypertension and his pO2 saturations are below 90% which means he is in need of oxygen supplementation. A timely matter for interventions allows for best chance of recovery and decreased chance of a fatal event like sudden death from a cardiac incident. EBP What is the rationale for recognizing Henry Williams’s anxiety and concern for his wife and for initiating actions in a timely manner? Recognizing Henrys anxiety and concern allows for the opportunity for lowering those levels of stress and anxiety levels. When these concerns are addressed it allows for Henry to begin to worry about himself and his health to get better. If Henry realizes his wife will be taken care of, this takes less stress and decreases chance of coronary events happening. This will allow for higher chance of improvement in health. PCC What teaching strategies and information should be included during Henry Williams’s visit to the clinic?