{"id":178,"date":"2021-11-05T15:30:29","date_gmt":"2021-11-05T19:30:29","guid":{"rendered":"https:\/\/pressbooks.library.ryerson.ca\/opennursing\/?post_type=chapter&#038;p=178"},"modified":"2024-01-23T19:34:08","modified_gmt":"2024-01-24T00:34:08","slug":"older-adult-with-infection-complications","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/chapter\/older-adult-with-infection-complications\/","title":{"raw":"Older Adult with Infection","rendered":"Older Adult with Infection"},"content":{"raw":"This actor\/high-fidelity mannequin simulation is a created as a two-part scenario of a deteriorating older adult patient.\r\n\r\nPart 1: Older adult patient, wheelchair bound with a T10 Spinal Cord Injury. Self-catheterizes at home. Came in with slight confusion, lethargy. Patient is deteriorating, showing signs of infection. There is a change in vital signs, febrile, with a decrease in blood pressure and increase in heart rate. Students should identify the potential cues that might lead up to infection (urinary catheters, etc). Call for help, and understand rationale behind treatment intervention\r\n\r\nPart 2: Patient continues to deteriorate and students are to identify cues that might indicate septic shock. Patient experiences a cardiac arrest, and students are to call for help and begin CPR. The scenario is an interprofessional one, involving a physician (actor)\r\n\r\n<strong>Learning outcomes<\/strong>\r\n\r\nStudents should be able:\r\n<ul>\r\n \t<li>Perform a comprehensive assessment and interpret findings.<\/li>\r\n \t<li>Identify signs and symptoms of abnormal findings, indicative of deterioration in client\u2019s condition.<\/li>\r\n \t<li>Identify what is of immediate concern and link findings to client\u2019s condition.<\/li>\r\n \t<li>Prioritize interventions and assessment outcomes.<\/li>\r\n \t<li>Know when to call for help.<\/li>\r\n \t<li>Initiate and perform resuscitation measures such as fluid resuscitation and chest compression effectively and identify signs that the client is improving, declining or unchanged.<\/li>\r\n<\/ul>\r\n<strong>Supporting Documents<\/strong>\r\n<ul>\r\n \t<li><a href=\"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-content\/uploads\/sites\/280\/2024\/01\/Student-Learner-Copy-Part-1-2024.pdf\" target=\"_blank\" rel=\"noopener\">Student \/ Learner Copy Part 1 <\/a><\/li>\r\n \t<li><a href=\"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-content\/uploads\/sites\/280\/2024\/01\/Student-Learner-Copy-Part-2-2024.pdf\" target=\"_blank\" rel=\"noopener\">Student \/ Learner Copy Part 2<\/a><\/li>\r\n<\/ul>\r\nFor more information on this actor simulation, please contact:\r\n\r\nMerveille Ndondo, RN, Professional Practice and Simulation Coordinator\r\n\r\nDaphne Cockwell School of Nursing, Toronto Metropolitan University\r\n\r\nEmail: <a href=\"mailto:mndondo@ryerson.ca\" target=\"_blank\" rel=\"noopener\">mndondo@torontomu.ca<\/a>\r\n\r\n<span>Funding for this project was provided by the Daphne Cockwell School of Nursing-FDC Simulation Grant<\/span>","rendered":"<p>This actor\/high-fidelity mannequin simulation is a created as a two-part scenario of a deteriorating older adult patient.<\/p>\n<p>Part 1: Older adult patient, wheelchair bound with a T10 Spinal Cord Injury. Self-catheterizes at home. Came in with slight confusion, lethargy. Patient is deteriorating, showing signs of infection. There is a change in vital signs, febrile, with a decrease in blood pressure and increase in heart rate. Students should identify the potential cues that might lead up to infection (urinary catheters, etc). Call for help, and understand rationale behind treatment intervention<\/p>\n<p>Part 2: Patient continues to deteriorate and students are to identify cues that might indicate septic shock. Patient experiences a cardiac arrest, and students are to call for help and begin CPR. The scenario is an interprofessional one, involving a physician (actor)<\/p>\n<p><strong>Learning outcomes<\/strong><\/p>\n<p>Students should be able:<\/p>\n<ul>\n<li>Perform a comprehensive assessment and interpret findings.<\/li>\n<li>Identify signs and symptoms of abnormal findings, indicative of deterioration in client\u2019s condition.<\/li>\n<li>Identify what is of immediate concern and link findings to client\u2019s condition.<\/li>\n<li>Prioritize interventions and assessment outcomes.<\/li>\n<li>Know when to call for help.<\/li>\n<li>Initiate and perform resuscitation measures such as fluid resuscitation and chest compression effectively and identify signs that the client is improving, declining or unchanged.<\/li>\n<\/ul>\n<p><strong>Supporting Documents<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-content\/uploads\/sites\/280\/2024\/01\/Student-Learner-Copy-Part-1-2024.pdf\" target=\"_blank\" rel=\"noopener\">Student \/ Learner Copy Part 1 <\/a><\/li>\n<li><a href=\"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-content\/uploads\/sites\/280\/2024\/01\/Student-Learner-Copy-Part-2-2024.pdf\" target=\"_blank\" rel=\"noopener\">Student \/ Learner Copy Part 2<\/a><\/li>\n<\/ul>\n<p>For more information on this actor simulation, please contact:<\/p>\n<p>Merveille Ndondo, RN, Professional Practice and Simulation Coordinator<\/p>\n<p>Daphne Cockwell School of Nursing, Toronto Metropolitan University<\/p>\n<p>Email: <a href=\"mailto:mndondo@ryerson.ca\" target=\"_blank\" rel=\"noopener\">mndondo@torontomu.ca<\/a><\/p>\n<p><span>Funding for this project was provided by the Daphne Cockwell School of Nursing-FDC Simulation Grant<\/span><\/p>\n","protected":false},"author":34,"menu_order":7,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-178","chapter","type-chapter","status-publish","hentry"],"part":146,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/pressbooks\/v2\/chapters\/178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/wp\/v2\/users\/34"}],"version-history":[{"count":10,"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/pressbooks\/v2\/chapters\/178\/revisions"}],"predecessor-version":[{"id":438,"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/pressbooks\/v2\/chapters\/178\/revisions\/438"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/pressbooks\/v2\/parts\/146"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/pressbooks\/v2\/chapters\/178\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/wp\/v2\/media?parent=178"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/pressbooks\/v2\/chapter-type?post=178"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/wp\/v2\/contributor?post=178"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/opennursing\/wp-json\/wp\/v2\/license?post=178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}