Allen is not a good cooknYou did not answer the patient nYou used the

Allen is not a good cooknyou did not answer the

This preview shows page 5 - 6 out of 6 pages.

answer the patient. \nYou used the therapeutic technique of not answering the patient.14:07You called the provider.15:04You dimmed the lights.15:35You assessed the cast.You got 100%4.Document all interventions associated with the management of Mrs. Cole’s environment. Include her responses to the attempts to decrease environmental stimuli.The lights were dimmed which reduced the overall environmental stimuli. She responded positively towards this intervention.5.Document all interventions associated with boundary and limit setting directed toward managing Mrs. Cole’s manic behavior. Reminded Sharon Cole that she must keep her hospital gown on, treat hospital staff appropriately, and must remain in bed in order to protect herself from harm due to her manic state and surgically recovering fractured ankle. From vSim for Nursing | Mental Health. © Wolters Kluwer.
6.Document your handoff report in the SBAR format to communicate Mrs. Cole’s future needs.Situation:Sharon Cole is a 31 year old female, who is diagnosed with bipolar disorder. She is postop following a surgical repair of a right ankle fracture. Sharon is in a manic state and reports no pain. The patient has stopped her medication at home and has not been eating or sleeping well for the last few weeks.Background:Sharon Cole was brought by EMT following a 911 call made after falling off of a stage while experiencing a manic episode. Sharon Cole has stopped taking her medication, Lithium 600 mg twice a day, and her husband reports she has not been eating or sleeping well the last two weeks. Sharon’s vital signs are stable, they are as follows: Temperature 99 F, 91 beats/min, 19 respirations/min, BP 133/75 mmHg, Sp0299%, IV site was normal with no signs of redness, swelling, infiltration or phlebitis. Assessment:Sharon is experiencing a manic episode related to her stopping her medication. Sharon is unstable currently and seems to think the hospital staff is holding her against her will. Her thoughts are racing, unfocused,and grandiose. Sharon was educated that she is post-operative for a right ankle fracture.Recommendation:Sharon should not be left unsupervised. A request for a 1:1 would be appropriate. Lorazepamhas been administered and should be assessed again in 30 minutes. From vSim for Nursing | Mental Health. © Wolters Kluwer.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture