Josephine Morrow
Guided Reflection Questions
Opening Questions
How did the simulated experience of Josephine Morrow’s case make you feel?
The simulated experience of J. M case make me feel confident in my nursing skills. In addition, the simulation reinforced the knowledge obtained in lectures and readings about skin care and documentation in a more productive way.
Talk about what went well in the scenario.
At the beginning of the simulated experience of J.M case I introduced myself and identified the patient. I proceeded by checking allergies and vital sings. Then, I educated the patients about wound care and irrigated the wound. Also, I elevated the patient’s legs to improve venous return.
Reflecting on Josephine Morrow’s case, were there …show more content…
PCC Identify in Josephine Morrow’s health history any factors that predisposed her to having chronic venous insufficiency.
Mrs. Morrow has a past medical history of chronic obstructive pulmonary disease (COPD), chronic venous insufficiency, and deep vein thrombosis (DVT).
PCC/S Discuss the assessment findings and diagnostic studies that correlate with chronic venous insufficiency and venous stasis ulceration. Provide the reasons behind these findings.
Chronic venous insufficiency is a medical condition that typically affects the legs in which the veins cannot pump enough blood back to the heart. The condition impairs vein function causing significant symptoms, such as swelling and ulcer formation. On the other hand, venous ulcers are painful wounds due to improper functioning of venous valves, usually of the legs. In addition, Doppler ultrasonography is used to diagnose these two conditions. Abnormal results such as unchanged and reversed flow velocity venous signals can be found.
S What is the rationale for the daily dose of …show more content…
In addition, aspirin combined with compression therapy has been shown to increase ulcer healing time and reduce ulcer size (Hovens et al.,2006).
EBP/I What is the rationale for compression therapy?
The most important aspect of venous ulcer treatment is prevention with adequate compression therapy. By applying pressure, compression stockings increase the velocity of blood flow in the superficial and deep veins and improve venous valve function in the legs, promoting venous return to the heart. As a result, clot formation is less likely.
EBP/I What is the rationale for performing a Braden scale assessment on Josephine Morrow?
Branden scale is used to manage the care of the patient Morrow who already has impaired skin integrity by identifying the risks in areas such as: mental status, continence, mobility, activity and nutrition.
T&C What other interprofessional team members should be involved in Josephine Morrow’s