Clinical Reflections paper

Few Highlights to Clarify on assignment

Please contact me with any other concern(s).

For this assignment, the first YouTube video title “Care Plan Meeting” and “The Monologue of Ertha Williams” below, were used for the care conference aspect. So basically, you decide which scenario to use in answering the questions. Or you could pick points from the two scenarios help with answering. The second video is just to help with more understanding on Care Plan.

The Monologue of Ertha Williams

We were assigned to a role to play during the mock care conference we had on Zoom. The various roles were, charge nurse, social worker, dietary, PT, doctor, activity director, Ertha, family member, (Ertha’s daughter in-law).

http://www.nln.org/docs/default-source/professional-development-programs/ace-series/ertha_williams.mp3?sfvrsn=4

Here is more background information about Ertha.

Ertha describes her journey over the past year. She talks about Henry's hospitalization and says she doesn't know what she will do if she ever loses her Henry. She relates that she has some good days and some bad days, and gets very anxious and cries when she recognizes she is confused and realizes that she has forgotten some important life events. Ertha tries to describe what it's like to know she is getting confused and forgetful and how it feels to be so dependent on others. She is hoping the doctor can give her some medicine to help her get better. She says she likes the new apartment and she gets to go in the van a few days a week to a nice center where they have a lot of activities.

Simulation Scenario 1

The staff at the assisted living facility has noticed that Henry covers for Ertha a lot. Henry admits to the staff that his concerns about Ertha are increasing. He says that recently he has had trouble convincing Ertha to bathe and change her clothes and he doesn't sleep well because he hears Ertha up at night wandering in the apartment. He has put chairs in front of the door and uses the chain lock so Ertha doesn't get out. Ertha's physician prescribed a sleeping pill, Ambien, but it hasn't helped. Henry has been giving her Benadryl during the day when she is "anxious."

Simulation Scenario 2

It is six months later; Henry passed away three months ago. Ertha is more confused, cries frequently, and looks everywhere for Henry. She is not eating well and has lost weight. The nurse at the assisted living facility does not feel she meets their guidelines any longer and will need a higher level of care. She asks Ertha's daughter-in-law, Betty, to come in to discuss a move to a long-term care, skilled nursing facility. During the scenario Betty reports that Ertha calls her frequently every day, forgetting that she has called earlier.

Simulation Scenario 3

It is four months after Ertha's transfer to the long-term care facility. She is even more confused, going into other patient's rooms looking for Henry and stealing items. She recently began striking out at other residents, and staff finds food stashed under her mattress. She has been taking two antidepressant medications, an anti-anxiety agent and Aricept for the past four months but there has been no improvement

For the Evidence-base practice portion, she wants article less than 5 years old. Addressing “continuity of care” example using the first YouTube video on Fall and fall prevention could be a good one.

Informatics-should be on technology nursing homes use to communicate and manage patient care and so on.

THANKS FOR YOUR HELPING!!