Patient Care Rounds Pressure Injury Results: Isabella Fischer

Patient Care Rounds Pressure Injury Results: Isabella Fischer

Hi, Ms. Fischer. My name is David. I am your nurse today.

Greet

Hi.

You washed your hands.

Exam Action

You checked the patient’s armband.

Exam Action

Can you confirm your name please?

Question

Isabella Fischer

How are you today?

Question

I’m not too bad. I went to a wedding last week. . . the change of scenery was so nice. I’m tired, though.

Sounds like you enjoyed the wedding.

Empathize

That’s nice.

How long have you been feeling tired? (No matching questions found.)

Question

No matching questions found.

What made you feel tired? (Clarified to What do you think is giving you this low energy?.)

Question

Well, I went to a destination wedding a week ago, which was lovely, and a change of pace. Travelling takes it out of you at this age, though . . . (Clarified to why I am tired.)

I understand. Sorry you are feeling tired.

Empathize

Thanks, you’re a sweetie.

What medications do you take?

Question…

Education & Empathy:

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

• Opportunities marked as Not Encountered are opportunities that were not elicited in the interview
• Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made
• Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient

SBAR

Prompt	Learner Response	Model Response
Prompt: Hi. I’m ready to take over care of this patient. Could you tell me what the situation is?	User Response Hi, my name is Felicia. I am caring for Ms. Hi, this is (your name). I am caring for Ms. Fischer, a 70 year old female. She has a pressure injury to her sacrum due to decreased mobility and feeling fatigue.	Model Note Fischer, a resident at Gardenia Villages Room 305, a 70 year old female with a pressure injury on her sacrum due to decreased mobility and some fatigue.

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