In week 5, you initiated care for Julia Morales and Lucy Grey who were partners for more than 25 years. Julia died 2 months after that initial visit. Lucy has called 911 “about once a month since Julia died” and was transported by ambulance to the emergency department today. You arrive in the Emergency department to assess Lucys status.
Review the SBAR and the medical record.
Lucy’s SBAR and Medical RecordDownload Lucy’s SBAR and Medical Record
As you walk toward Lucys room, the charge nurse stops you and says, I am glad you are here to see Lucy Grey. She was just here 3 weeks ago, nothing is seriously wrong. She is lonely. Maybe she cant live alone any more. Youve got to talk to her and help her understand that calling 911 is not how to manage her grief. We are too busy.
You enter the room and ask Lucy how she is feeling. Listen to Lucys monologue.
Lucy’s Monologue Download Lucy’s Monologue
Script of Monologue Download Script of Monologue
After you have reviewed Lucy’s chart and listened to her monologue, use the clinical judgment model described in Module 2 to review Lucys current clinical condition.
Complete an initial assessment of Lucys situation, using all sources of information. Recognize and analyze the important cues. Your response should include (but is not limited to)
What are Lucys strengths?
What are your concerns for Lucy?
What is the cause of your concern?
What additional information do you need
What are the priority concerns for Lucy?
Prioritize hypothesis (i.e. urgent, likelihood, risk, difficulty, time, etc.)
Generate solutions:
Consider multiple interventions that can impact goals
Consider what are your options as the RN who is planning Lucys care?
What referrals would you recommend to Lucy and the health care provider?
Record a response that you could share with Lucy. In your response describe your concerns and options for her care.
Take action. (Implement solutions to address highest priority)
For this discussion, similar to Module 1, you will upload a video recording in Canvas, and address the four parts of the assignment listed above.
The recording will be a response that you, the RN caring for Lucy, are sharing with the charge nurse. You will also record an SBAR (situation background assessment recommendations) with recommendations to the RN, who will be taking over of Lucy on the oncoming shift.
Your initial post is due by Thursday at 11:59 pm ET.Your response is due by Sunday at 11:59 pm ET.
Last Completed Projects
| topic title | academic level | Writer | delivered |
|---|