solved

Question
Answered step-by-step
Asked by anikolli

Hello 

I need to answers the questions below based on the scenario.

Please provide 2 peer revied references.

 

Opening Questions
How did the simulated experience of Andrew Davis’ case make you feel?
Talk about what went well in the scenario.
Reflecting on Andrew Davis’ case, were there any actions you would do differently? If so, what were these actions and why?

Scenario Analysis Questions*
PCC       What issues have you identified that could be barriers to a successful treatment for Andrew Davis? How would you address the denial?
PCC/I       Identify a support group that would be beneficial to Andrew Davis related to his position in the community.
PCC/I      Identify support groups that would be beneficial to Andrew Davis’ family.
S/PCC     Andrew Davis is currently in Stage I of alcohol withdrawal. As he moves into Stage II (24 to 72 hours) and then into Stage III (after 72 hours), what behaviors should be assessed for and what safety measures should be initiated?

Concluding Questions
How would you apply the skills and knowledge gained in the Andrew Davis case to an actual patient situation in different acute care units (emergency room, intensive care unit, obstetrics unit, etc.)?

 

 

 

Location: Inpatient alcohol rehabilitation facility – treatment room

Time: 08:00

Report from charge nurse:

Situation: Mr. Davis is a 56-year-old man who voluntarily admitted himself to the alcohol rehabilitation facility yesterday afternoon. He is currently on the acute detoxification unit. Mr. Davis has been on the unit for about 16 hours.

Background: Mr. Davis is a member of the school board and the pastor of a large church. Yesterday he was removed from a school board meeting by security guards after becoming angry and directing racial and ethnic slurs at students and their family members. His wife afterward asked him to move out of their home, and this led to the admission. He has three children: a son who is 25 years old, and two daughters, aged 21 and 17 years. His daughters will not speak to him. His son accompanied him to the rehabilitation facility. Mr. Davis had an open reduction internal fixation surgery to repair a humerus fracture 2 years ago, but otherwise, he has no significant medical history and no known allergies. He reports that his alcohol intake is approximately 1 pint of vodka per day and his last drink was prior to the school board meeting. He denies using recreational drugs and tested negative for opiates and marijuana. He does not smoke.

Assessment: He is currently oriented ×3 and is embarrassed about his behavior at the school board meeting. He went to a 12-step meeting yesterday but left early, saying that he was “not like those people” and felt he wouldn’t benefit from the meeting. He was restless last night and did not sleep much. Morning laboratory tests were also drawn at 06:00, when he woke up. Their results are available in the chart, together with the laboratory results from yesterday afternoon. His behavior is appropriate, and he engages appropriately with staff, although his affect is constricted. His CIWA-Ar score was 1 on admission. At 04:00, it had increased to 7. His last set of vital signs included the following: temperature, 37.2°C (99.0°F); heart rate, 94 beats/min; respiratory rate, 20 breaths/min; blood pressure, 154/90 mmHg; and blood oxygen saturation, 98%.

Recommendation: He is due for reassessment of the CIWA score in our treatment room. He has an order for as-needed diazepam for a CIWA score of 8 or greater, so he may need that soon. He is supposed to go to group therapy today and to an Alcoholics Anonymous meeting. He is going to be evaluated by a psychiatrist later today.

 

Image transcription text

0:00 Patient
V 0:00 You
… Show more

Image transcription text

v 0:58 You
asked the
… Show more

Image transcription text

questions?
1:29 You
… Show more

Image transcription text

2:00 You
asked the
… Show more

Image transcription text

Teguial
basis? The
… Show more

Image transcription text

TOU asked
tie patent.
… Show more

Image transcription text

patient said:
No. 4:04 You
… Show more

Image transcription text

4:46 You
asked the
… Show more

Image transcription text

7:16 You
educated
… Show more

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NUR 4525L

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."