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Gerontology Case Henry Williams Part1 GRQ
Course: Basic Adult Health Care
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University: Keiser University
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Henry Williams, Part 1
Guided Reflection Questions
Opening Questions
How did the simulated experience of Henry Williams’s case make you feel?
I’ve learned more about medications for COPD and the priority of administering them. I also felt sad that
chronic diseases such as these can make people fall into depression they would likely otherwise not
experience.
What nursing actions did you feel were appropriate within this scenario?
I believe that I performed all orders in a reasonable time and provided further therapeutic
communication to determine how severe his depression was and if he has any suicide ideation.
Scenario Analysis Questions*
EBP What priority problem did you identify for Henry Williams?
Exacerbated COPD with SOB, barrel chest, labored breathing, and accessory muscle use. He also has
history of type 2 diabetes which is not well managed and depression with former suicide attempt.
EBP What is the rationale for recognizing Henry Williams’s shortness of breath and for initiating
actions in a timely manner?
Using the ABC’s of care, airway and breathing are the first two priorities for this patient. I would first
administer O2 at 2 liters via nasal cannula and if SpO2 does not increase, I switched to non-rebreather
mask at 4 liters. It is important to administer the Solumedrol IV stat to act quickly in the patient’s blood
stream followed by the order of albuterol.
EBP What is the rationale for recognizing Henry Williams’s anxiety and concern for his wife and for
initiating actions in a timely manner?
In this simulation, I did not have an experience or a story line for his wife. I would imagine this would be
regarding his health and depression. I would want to be sympathetic and provide education to the wife
as to what we are doing for him.
PCC What teaching strategies and information should be included during Henry Williams’s visit to the
clinic?
Provide education about his existing conditions, how to prevent exacerbation, and when to see a
physician. I also want to discuss medication compliance and refer him for mental health evaluation.
PCC/I What appropriate assessments were made to help you decide what interventions Henry
Williams needed?
From vSim for Nursing | Gerontology. © Wolters Kluwer Health.