WHO TEMPLATE FOR SIMULATION SCENARIO-

Scenario 1- Identification of the symptoms and Home care

management of Patient with Attempted suicide.

Course B.Sc Nursing III year- Community Mental Health Nursing

Topic-Identification of the symptoms and Home care management of

Patient with Attempted suicide

Learning objectives

1 To educate the family members on home care management of patient

with attempted suicide.

Setting the scene

Candidate Husband &wife, neighbours, Community Health Nursing team and

role(s): Psychiatrist

Clinical setting: Community - Village

Brief to Ms. Sindhu (18 years old )appeared for a NEET Exam has attempted suicide
candidate: and her parents seeking help from a community health nursing team to help
him to mange her at home.

Scenario (Summary of scenario progression)

description
In a village students who came for community training saw a family in panic

condition where Ms. Sindhu (18 years old) who appeared for a NEET exam

recently to aspire MBBS found in a pool of blood. When enquired she came

to know that she cut her hand with a sharp blade in an intention to die as she

was depressed, she felt it is not worth living after she failed to score good
 marks in the NEET exam. It is also noticed that her parents were very strict

and kept insisting her to clear the NEET exam. Ms. Sindhu and her parents

were not prepared to accept any failure. Therefore Ms. Sindhu has taken

extreme steps as her parents were frustrated and scolded her badly which

made her to think of committing suicide. The nursing student provides first

aid, calls to an ambulance and shifts the patient to a nearby hospital for

further care. The nursing students explain how to take care of their daughter

at home to prevent suicide and further suicidal attempts consoled her parents.

She also referred the victim to the psychiatrist. The teacher also counsels the

parents and the victim, gradually convincing them that, NEET is NOT

everything in life. The teacher also explains and provides information about

various other courses and successful personalities in other fields.

Facilitator – Arrange for Simulation Session, Observe Simulation Session

Staff required and Debrief
to run scenario
Co – Facilitator – Arrange for simulation session, Observe sessions and
debrief.

Environment Village

Hospital : Table & chair

Equipments: Cot with mattress, pillow and bed sheets.
B.P apparatus & stethoscope
Injection tray
I.V stand
Home : Table & Chair, Mat, broken items like Tv remote, flower pots, chairs
etc

Drugs : Antipsychotic drugs

Role information
Guidance for
standardized For patient :
patient
 You will be playing the role as the patient with Sucidal idea. You
must exhibit the symptoms of like feeling intolerable emotional pain
 being preoccupied with violence, dying, or death
  having mood shifts, either happy or sad
 talking about revenge, guilt, or shame
 experiencing agitation or a heightened state of anxiety
 experiencing changes in personality, routine, or sleep patterns
 increasing the use of drugs or alcohol
 engaging in risky behavior, such as driving carelessly or taking drugs
 getting their affairs in order and giving things away
 getting hold of a gun or substances that could end a life
 experiencing depression, panic attacks, or impaired concentration
 isolating themselves
 talking about being a burden to others
 experiencing psychomotor agitation, such as pacing or wringing the
hands
 saying goodbye to others as though it were the last time
 experiencing a loss of enjoyment in previously pleasurable activities,
such as eating, exercise, social interaction, or sex
 expressing severe remorse and self-criticism
 talking about suicide or dying
 expressing regret about being alive or ever having been born

If your fellow students in the roles of the Community Health Nursing teacher
or students ask you any questions should try to answer as you think a patient
with suicidal attempt would be answering in real life

Triggers and responses : NIL

Past medical history: No remarkable medical history.

Exit strategy – As the patient is cured and becomes normal the scenario ends.
Exit strategies Or

If candidate unsure of steps to follow – facilitator will step in.

Debriefing How did you feel while caring for Ms. Sindhu?
points

Who can give a brief summary of what happened in the simulation?