Sherman “Red” Yoder, Part 1 & 2 (answered)

Guided Reflection Questions

Opening Questions

How did the simulated experience of Red Yoder’s case make you feel?

The home assessment was a new simulation for me. In this scenario the regular head to toe assessment

wasn’t necessary, but it never hurts to get a full picture of the patient. This simulation provided

extensive practice with asking questions and gaining a health picture for this patient. I thought that it

was difficult to ask the questions without the form in from of me to go by.

What nursing actions did you feel were appropriate within this scenario?

This simulation provided extensive practice with asking questions and gaining a health picture for this

patient. The nurse needed to assess the patient, identify concerns and plan care for the patient.

Discussing Red’s understanding of his diagnosis of diabetes and the necessity to stick to the correct

insulin routine, diet and exercise and discussing his sleep and alcohol use patterns were all appropriate.

Assessing his foot ulcer and evaluating Red’s ability to care for the wound and the availability of family

support was also important.

Scenario Analysis Questions*

EBP What are the priority nursing actions for Red Yoder based on physical findings and social

and family interaction?

Educating Red on how alcohol use can affect diabetes outcomes is important. Addressing

adherence to a diabetic diet and staying hydrated was important and was also acknowledging

and addressing his daughter’s concerns regarding Red’s care in this aspect, as she is the one who

brings his groceries. It is important for diabetics with wounds to stay hydrated and eat nutritious

foods to promote healing and fight infection. Correct Insulin administration and scheduling is

important to maintain blood sugars in diabetics.

EBP What potential problems can you identify for Red Yoder?

The patient could potentially have his foot amputated if his wound isn’t maintained and assessed

for proper healing. He could get also develop a bone infection or other systemic infection causing the

need for prolonged hospitalization.

S/QI For the following Safety/Quality Improvement measures, what nursing actions should be

taken during Red Yoder’s case?

Safety/Quality Improvement Measures Nursing Actions

Assessment of patient’s ability to self-administer

his insulin

Teach and then have Red demonstrate proper

administration of insulin

Assessment of patient’s ability to monitor blood

glucose

Demonstrate the correct process and then have

Red re-teach back to the nurse.

Safety issues related to needle disposal Teach the patient about the importance and

possibly provide the patient with an

appropriate

receptacle.

PCC/I What appropriate assessments were made to help you decide what interventions Red

Yoder needed?

Skin assessment

Health and education assessment- Diet, wound care, diabetes knowledge

Sleep Routine

Alcohol Usage

Wound assessment

Vitals assessment

T&C Why is it important to include Red Yoder’s family as members of his health care team?

It is difficult for Red to assess the bottoms of his feet on his own, he is going to need some

support from his family. His family also provides support with groceries and getting to his doctor

appointments, so making sure they understand the plan of care with give Red more

accountability in his health routine.

Concluding Questions

Reflecting on Red Yoder’s case, were there any actions you would do differently? If so, what were these

actions, and why would you do them differently?

I completed the simulation twice. During the first simulation I was confused as to where I find the

answers to the alcohol and sleep assessments, so I completed the questions based on what little

information I had of Red. I then realized there were options to have the conversation with the patient

in the communication controls. Secondly, I realized there were multiple ways to ask the same question,

and some were better than others. If I completed it again, I would pay closer attention to the way

questions were asked.

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