Mencionar los hallazgos clínicos que sean un

Mencionar los hallazgos clínicos que sean un factor para trabajar un plan de cuidado durante el examen físico del sistema musculoesquelético y genitourinario desde una perspectiva multicultural e individual: 1. ________________________________________________________________________ 2. ________________________________________________________________________ 3. ________________________________________________________________________ 4. ________________________________________________________________________ 5. ________________________________________________________________________ Escenario SBAR Report: Situation: Vernon Russell, a 55-year-old male with a history of hypertension, coronary artery disease, and diabetes type 2, was admitted to the hospital with a stroke with mild left hemiplegia 2 weeks ago. He is currently in the transitional care unit and has been stable. The patient had a Morse Fall Scale score of 40 on admission. Background: The patient has smoked over a pack per day for the past 35 years and does not exercise. Assessment: The patient’s vital signs are stable, and he can ambulate with his walker and the help of one person. His neurological checks are stable, and he continues to have mild left hemiplegia. His hand grasps are almost equal but a little weaker on the left side. His pupils are equal and react to light. His swallow reflex is intact. The musculoskeletal assessment needs to be completed. The patient had passive range-of-motion exercises, and his response to the activity was documented. Recommendation: Please complete the musculoskeletal assessment. Please also assist him in performing active range-of-motion exercises, and assess his understanding of, and reinforce the principles of, ROM. Please educate him about fall and safety precautions related to his Morse Fall Scale score and encourage him to participate in progressive mobilization. How did you feel throughout the simulation experience? What do you think went well? Reflecting on Vernon Russell’s case, were there any actions you performed differently when repeating the scenario, or that you would do differently if you were to repeat it? If so, how did/would your patient care change and what differences, if any, did you or would you expect in Vernon Russell’s outcomes? Scenario Analysis Questions* PCC What cues did you recognize when you received the initial SBAR report that prompted you to investigate further? EBP/S When analyzing the relevant initial cues, what priority problem(s) did you identify for Vernon Russell? EBP What priority assessment needs did you identify for Vernon Russell? EBP Describe findings that might concern you regarding Vernon Russell’s safety, fall risk, and musculoskeletal assessments. S Describe the safety measures that should be incorporated in Vernon Russell’s care. T&C Based on assessment findings and Vernon Russell’s history, what additional resources may be beneficial for this patient? PCC What risk factors does Vernon Russell have (modifiable and nonmodifiable) that indicate the risk for reoccurrence of a stroke? PCC What patient education should be initiated due to the identified modifiable risk factors? Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Vernon Russell’s case to an actual patient care situation. What opportunities for improvement should you address? SCIENCE HEALTH

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