1

Case Scenario Assignment

Sheridan College Institute of Technology and Advanced Learning

NURS11325 Lab 1

February 14th, 2023

Case Scenario #1

1. How will you communicate with Mrs. Smith?

2

As a nurse, I will reorient Mrs. Smith about the time and the activity. For instance, I could tell

Mrs. Smith that the time is 12 PM and it is lunchtime. I will notice the patient's facial

expression and body language while I am speaking. I will keep eye contact, speak slowly, and

clearly, and use simple sentences while I communicate with her (Kourkouta &

Papathanasiou, 2014). I also carefully listen to her making no interruptions. I will ask simple

questions and that will make her understand she has eaten nothing in a while. Questions like,

what did you eat or when did you eat? Sometimes, it can help her get to the conclusion that

she hadn't eaten so far. However, if Mrs. Smith still insists that she has already eaten and

becomes agitated, will come back after some time to check on her to see if Mrs. Smith is

ready to eat or not.

2. What would be your next step as a nurse?

I will never force Mrs. Smith to do what she does not want to do, but I will leave a small

snack or light food in front of her because there is a high chance for her to eat food when she

saw it. At the end of my shift, I will document whether she had food or not and things I felt

differently about her.

Case Scenario #2

1. I will not approach him from behind because it might startle him. Instead, I will go in front

of his sight and greet him, telling him I’m here to do his care. I ask him for permission to

turn off the TV to reduce distractions and to do his personal care. I will speak clearly, keep

eye contact, and give time for Mr. Johnson to read my lip and to understand correctly, or I

will use a notepad to communicate with him if he can read.

2. Consideration:

-Evaluate the right and supportive assistive device he needed (Wayne, 2022).

-Assess the risk-falling assessment for safer patient handling.

- Check on his previous knee surgery to see how it impacts his ability to walk.
 3

Effective Strategies:

- Give training to the patient to teach him how to use assistive devices such as a walker,

wheelchair, or cane properly according to his need. The assistive aids prevent falls, enhance

mobility, and promote safety.

-Fall risk assessment provides reliable and valid causes of falls and identifies factors which

help to prevent falls (Lord et al., 2001). For instance, making sure of he is wearing a non-

slippery, the right size and comfy shoes.

- Execute active or passive assistive range of motion (ROM) exercises with the help of a

physiotherapist. Exercise will help to improve muscle strength and decrease stiffness.

Case Scenario #3

Patients with Pneumonia who also contracted C. difficile will be in droplet precaution with

contact precaution. This is a highly contagious disease that can be transmitted via

direct/indirect contact and droplet. The proper use of personal protective equipment will help

to avoid the transmission of disease. The procedure for donning and doffing will be as

follow:

Donning

1. Perform hand hygiene (For about 15 seconds using soap or 15 seconds using alcohol-based

hand rub). 2. Put on gown. 3. Put on a mask (I will wear a mask when within 2 meters of a

patient). 4. Put on eye protection. 5. Put on gloves.

Doffing

1. Remove gloves. 2. Remove gown. 3. Perform hand hygiene. 4. Remove eye protection. 5.

Remove mask. 6. Perform hand hygiene. Disposable items will discard after use and reusable

items will clean with Virox. The patient will be placed in a private room or cohort patients.
 4

References

1. Wayne, G. (2022). Impaired Physical Mobility – Nursing Diagnosis & Care Plan.

Nurseslabs. https://nurseslabs.com/impaired-physical-mobility/

2. Kourkouta, L., & Papathanasiou, I. (2014). Communication in Nursing Practice. Materia

Socio Medica, 26(1), 65–67. NCBI.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3990376/

3. Lord, S. R., Sherrington, C., & Menz, H. B. (2001). Falls in older people: risk factors and

strategies for prevention. Cambridge University Press.