Present the patient to the panel and at the conclusion of the presentation identify the key issues/ care concerns within the case scenario – this should take no more than 10 minutes
Use SBAR
Situation
Background
Assessment:
Air
Breathing:
Circulation
Disability
Exposure
Recommendation (what is wrong, staff ignore, medication not given (may be 10-15 things wrong)
Main discuss 3 themes (Diabetes, Wound management and Mental capacity
Diabitese : what is wrong with patient? Think A & P, Insulin, what is wrong with insulin (PRN not given), management,think M. capacity (able to diet)
You will be expected to be able to discuss rationale for the nursing care
You will be expected to demonstrate knowledge and understanding of the medical care being provided and how this impacts the nursing care
You will be expected demonstrate an understanding of the anatomy/ physiology relating to the patient’s condition and be able to present/ discuss this with the panel on the level of a registered practitioner
In relation to the key issues, you identify you should be able to discuss how these would be addressed and within this how the relevant guidelines/ legislation etc might impact care provision and your role within that care provision.
You will be expected to be able to identify and discuss apparent omissions in care.
In relation to all of the above you will be expected to discuss the patients care moving beyond the few days in the scenario.
You are expected to demonstrate knowledge of the medications within the scenario – but should assume that the prescribed medication regimen is broadly correct and avoid becoming sidetracked by discussions as the appropriateness or otherwise of the prescribing decisions
Wound Management: why wound happened (explain Venus ulcer), how its affected, causes of wound. A& P of Venus Ulcer. Prevent wound (how) just dressings only (no compression) as it infected. Refer to… specialist He got problem of NEWS like temp and RR high so Think SEPSIS refer to Specialist.
Follow bullet points and made clear knowledge of the theme (no need full discussion or ref)
Mental Capacity: 4 stages of capacity MCA & Dols (define) which could help and how?
(Why thinks capacity?) How it helps to patient?
Who can assess? What can a Nursing associate do?
Follow bullet point to explain theme
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