Actor and Mannequin Simulation
Discharge Teaching on Cast Care
Discharge Teaching on Fracture/Cast Care and Pain Management with an Indigenous Client: Effective and Ineffective Communication.
This actor simulation is about discharge teaching regarding fracture and cast care, pain management, potential complications, and crutch walking to a client who identifies as Indigenous and has a hearing impairment. One simulation demonstrates effective communication during discharge teaching and the other simulation demonstrates ineffective communication during discharge teaching. We have provided a video that demonstrates effective discharge teaching (video 1) and a video that demonstrates ineffective discharge teaching (video 2).
The scenario takes place in the medical surgical unit. Mr. Tehya is in bed, in a High Fowler’s position, has a plaster cast on their left leg to immobilize their ankle fracture. Pain is currently well managed with Acetaminophen, Ibuprofen, and Tylenol no. 3. The physician, however, is not willing to give a prescription for Tylenol no. 3 for the client to use at home. Mobility has been assessed by a physiotherapist who provided two axillary crutches that are present at the bedside. Mr. Tehya is calm, pleasant, but appears sad and is hard of hearing in both ears. The client is aware that they are going to be discharged home and are waiting to receive further discharge instructions from the nurse.
Learning Outcomes:
- Establish a trusting therapeutic relationship with a client.
- Apply the principles, components and concepts related to client discharge.
- Apply therapeutic communication skills to effectively deliver discharge teaching to the client.
- Integrate knowledge of fracture/cast care and pain management into the discharge planning and teaching process with the client.
For a full description of the instructor and student guide for effective discharge teaching simulation and video (2022):
- Instructor Guide For Effective Discharge Teaching Simulation.
- Student Guide For Effective Discharge Teaching Simulation.
Video 1: Effective discharge teaching
For a full description of the instructor and student guide for ineffective discharge teaching simulation and video (2022):
- Instructor Guide For Ineffective Discharge Teaching Simulation.
- Student Guide For Ineffective Discharge Teaching Simulation.
Video 2: Ineffective discharge teaching
For more information on this actor simulation, please contact:
Dr. Kateryna Metersky, PhD, RN, Assistant Professor
Daphne Cockwell School of Nursing, Toronto Metropolitan University
Email: kateryna.metersky@torontomu.ca
Funding for this project was provided by the Daphne Cockwell School of Nursing-FDC Simulation Grant
