a. Brief discussion of the pathophysiology of the illness or injury that demonstrates understanding of the medical management of the illness or injury
b. Relevance of labs and diagnostic test results, medications, and treatments ordered for both patients to clearly demonstrate your understanding of the test results and why the medications and treatments were ordered – related to the identified disease process.
c. Your assessment data gathered on the day of care
2) Describe the priority of care decisions you made with rationale for which patient you saw first and what you did first for that patient and why. Generally accepted prioritization rationales include: Actual before Potential, Unstable before Stable, Unexpected before Expected, and Physiological before Psychosocial. If both patients have Physiological needs, then apply ABCs prioritization (Airway, Breathing, Circulation) to determine priority.
3) For the priority patient only:
a. Discuss the priority nursing diagnosis (priority problem)
b. Identify a priority patient goal and nursing activities to achieve the goal that directly relate to the identified priority nursing diagnosis and are supported with evidenced based practice rationales (you should use resources to support this section and cite the sources used)
c. Describe to whom and what care was delegated.
d. Describe collaborative interactions with other members of the healthcare team -with whom, what, and why.
4) For either patient, but only for one of them:
a. Identify a potential (or actual if there was one) legal/ethical issue and how you resolved it if actual or how you would prevent it if potential. HIPPA and advanced directives may not be used.
b. Describe a patient safety need (other than fall precautions) or other issue based on one of the cases that you could use to develop a staff education presentation. Include a brief discussion of what you would teach the staff about preventing the issue that is supported by evidence-based practice. Fall precautions may not be used.
Sample Solution