Conference Proceedings - School of Nursing & Midwifery - Trinity ...

School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference
Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007
Conference Proceedings
Appendix 1
Sample Patient Profile and Scenario
You will be role-playing the part of the patient. It is expected that
you are prepared and that you are knowledgeable of your assigned
diagnosis, medications, laboratory tests and associated procedures
when you report to the simulation lab. An assessment of your
knowledge of the clinical information associated with your assigned
scenario will be performed by your instructor or his/her designee
prior to, during, and following the clinical simulation session. Be
prepared. Failure to adequately prepare for or fully
participate in the clinical simulation will result in an
unsatisfactory rating for the clinical experience.
History
You are a 28 year old female patient with end stage AIDS. You
were sent to the Emergency Department from the Infectious
Disease Clinic to be evaluated for fever, severe anemia,
questionable sepsis, and rectal pain secondary to a possible rectovaginal
fistula. You are extremely cachetic and you are in extreme
pain. You have a history of noncompliance with the medical
treatment plan and you often refuse treatment, examinations, and
procedures. You have not had your medications filled because of
limited financial resources. Your family support is limited and many
of your family members are misinformed / uninformed about your
diagnosis and prognosis. After being evaluated in the Emergency
Department, you have been admitted to a busy medical surgical
floor to treat your anemia, rule out sepsis, manage your pain, and
determine if you have a recto-vaginal fistula.
Procedures
You have been scheduled for a colonoscopy and a pelvic exam.
Labs
Your intern has ordered the following labs for you:
� Blood culture
� Arterial Blood Gas
� CBC w/ differential
� Hemoglobin
� Histoplasma antigen
� Potassium
� Respiratory culture
� Type and screen
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