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Discover virtual simulation today - try vSim for free! PCC/T&C Discuss the education you would provide to Marvin Hayes and his family. WOCnurse,Physicaltherapist,Speechpathologist. This is a Premium document. Document your findings related to the focused assessment regarding Mr. Hayes's stoma to Mr. Hayes, as well as his response to the teaching. Agoodsealisimportanttoprotectthesurroundingskin. status, peristomal skin, abdominal and perineal incisions. normal limit; minor pain present, 1 out of 10. (Select all that apply. Describe the role of fungi in lichens and mycorrhizae. 7.2A Which patients have an increased risk for developing colorectal cancer? advised against. ago). Risk for constipation r/t inactivity AEB bed rest due to pain and healing. Type 2 diabetes Terms of Use Marvin Hayes is a 43-year-old white male who has rectal cancer. (2019). Retrieved from Concluding Questions Describe how you would apply the knowledge and skills that you acquired in Marvin Hayes's case to future cases. Until now, this nascent field did not have a unifying conceptual approach, let alone a text. (Select all that apply. water. - I know that what I eat has a large impact on my bowel function. Food and diets beneficial and non beneficial to Exam (elaborations) - Marvin hayes documentation assignments Show more $10.49 Theptwas new colostomy (3 days ago). A postoperative patient is receiving enoxaparin sodium therapy. Which assessment data would the nurse report immediately to the patient's health care provider? Assessment findings r/t GI function revealed normal bowel sounds present in Assist with developing positive coping strategies. R: Continue to monitor for signs of infection. (b) With what speed did she reach the platform? Presented with weight loss, fatigue, and bloody stool. information on colostomy care and resources. What instructions should the nurse provide to a patient concerning how often the colostomy pouch should be emptied? Questions. a. Assessing the stoma - Characteristics of the fecal matter. having a stoma. a. Sterile gloves the teaching and was encouraged to get accustomed with new colostomy a. Background: Mr. Hayes experienced weight loss, increasing fatigue, and narrowing stools with blood, which . Guided Reflection. and ability to advance current diet post-surgery. than 0 cm. The nurse is preparing to complete an abdominal assessment. The dressing is clean and dry, skin is pink, no excessive moister noted. (Select all that apply. This is a Premium document. Quiz. - I know that what I eat has a large impact on my bowel function. Jessica Bridges NUR104 Clinicals Marvin Hayes Documentation Assignments 1. His symptoms include mental confusion, ataxia, stupor, and hypotension. Stooloutputwasliquidandbrown. 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The nurse is assessing bowel sounds. Request more information Overview Images Specifications Patient is 3 days post op from a peritoneal resection and colostomy. (Select all that apply.) infectionatstomaandincisionsites. - Patient's response to the process Received patient in bed alert and oriented x3. The Hayes underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy 4 days ago for rectal cancer.Hayes has been diagnosed with rectal carcinoma and is recovering from surgery. Describe how you would apply the knowledge and skills that you acquired in Marvin Hayess case to him. Pt participated during Which of the following anions might the solution contain? Hayes had a sigmoid colostomy procedure done. Thecolostomywasdeeppink,moistand Name: Caleigh Paup NUR : Pre-Sim Assignment - Marvin Hayes Scenario Background Situation: Mr. Hayes is a 43-year-old white male who underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy 3 days ago for rectal cancer. colostomy appliance showed that the ostomy pouch was half full of brown liquid stool. status, peristomal skin, abdominal and perineal incisions. a focused assessment is needed to pay attention specifically to what I am to focus on. Sitting at the patient's side, the nurse should look across the abdomen at a level slightly higher than the patient's abdomen and inspect the area between the lower ribs and the pubic bone. No sign of tenderness, guarding or distention. - Incisional site pain Positioned patient to lying flat RESPONSE: Patient was cooperative with no Fundamentals: Marvin Hayes 4.6 (12 reviews) Term 1 / 10 Which patients have an increased risk for developing colorectal cancer? Marvin Hayes should avoid foods heavy in fibers, like seeds and shells, during the first six to eight weeks after therapy. - Having a colostomy is a small price to pay for being healthy. PTwaseducatedonincentivespirometertohelpwithhisbreathingRESPONSE:Patient pink, moist and protruding 1. g. Including the client in changing the bag, While preparing to change Mr. Hayes's ostomy appliance, the nurse collects a pouching system, disposable cleansing wipes, and a small plastic trash bag. expected because patient has a full liquid diet. Background: Mr. Hayes experienced weight loss, increasing fatigue, and narrowing stools with . Scenario Analysis Questions* Situation-thepatientrecentlywasdxwithrectalcancerandhasanewcolostomy(3days no signs of infection or drainage at the perineal incision. Nosignofdistensionorobstruction. progresstoasolidfooddietgradually. Introduce foods gradually. Additionally, she has. leakageontheperistomalskin,whichindicatesaneedforthoroughcleaningwithsoapand Happiness - Copy - this is 302 psychology paper notes, research n, 8. NOTES vsim health assessment case marvin hayes documentation assignments document your focused abdominal assessment of mr. hayes using the sbar format. Nosignof What instructions should the nurse provide to a patient concerning how often the colostomy pouch should be emptied? b) The goal is frequent assessment of the surgical incision site. Marvin Hayes Bowel Elimination Colostomy Care_6 items (concept map worksheet, documentation assignments, pre sim assignments, post sim assignment, vsim, guided reflection questions) Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Marvin Hayes VSIM/Ma. No signs of drainage, infection. Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal. soundspresentinallfourquadrants. The colostomy was deep Emphasisonpouchremovalthatdoesnotcauseskinstripping Document all patient education regarding colostomy care, diet, and safety issues provided (Select all that apply.) Referring to your feedback log, document all nursing care provided and Mr. Hayes's Exam (elaborations) - Marvin hayes guided reflection questions _fundamentals case. Introducefoodsgradually. b. Situation: Marvin Hayes is a 43-year-old White male who underwent a laparoscopic abdominal perineal resection with a permanent sigmoid colostomy yesterday for rectal cancer. Pt - Incision is slightly edematous. How many bowel sounds per minute would the nurse expect to hear in a healthy patient? 233 Comments Please sign inor registerto post comments. 'It is important to empty the colostomy bag when it is one-third full.' foods that are: high in fiber; cause flatus and diarrhea, simple carbohydrates. D. 120.0A. d. 'For the first 6 to 8 weeks, Marvin should avoid foods high in fiber.' to Mr. Hayes, as well as his response to the teaching. - Encourage the patient to take part in the care process. 2K(s)+2H2O(l)2KOH(aq)+H2(g)2 \mathrm { K } ( s ) + 2 \mathrm { H } _ { 2 } \mathrm { O } ( l ) \longrightarrow 2 \mathrm { KOH } ( a q ) + \mathrm { H } _ { 2 } ( \mathrm { g } )2K(s)+2H2O(l)2KOH(aq)+H2(g). VSIM-Marvin Hayes Term 1 / 8 The nurse is preparing to complete an abdominal assessment. Riskforconstipationr/tinactivityAEBbedrestduetopainandhealing. Answer: I will use the knowledge and skills that I acquired in Marvin Hayes case in other cases when To avoid gas, he must avoid using a straw. - Redness surrounding the incision B: Patient experienced weight loss, an increase of fatigue, and changes in his bowel movements w/s, stool. stools that showed no sign of hemorrhage. 2quartsofwaterwere (Select all that apply. f. Shielding client from visualizing the stoma Condition of peristomal skin Inspected and Auscultation abdomen RESPONSE: the patient showed no What information should the nurse include in the documentation associated with the changing of a patient's colostomy pouch? status, peristomal skin, abdominal and perineal incisions. Medical Terminology: Learning Through Practice. c. 'If the colostomy bag fills with gas, I can use a needle to pop a hole in it.' instead of 2-5 attempts. From vSim for Nursing | Fundamentals. complaints. Why are Brnsted's definitions more useful in describing acid-base properties? is clean and dry. e. Stoma that is pale pink InspectedandAuscultationabdomenRESPONSE:thepatientshowednosignof A patient is placed on omeprazole 20 mg daily. vSim for Nursing Health Assessment Includes 10 virtual patient simulation scenarios and other curricular content based on the National League for Nursing (NLN) Health Assessment Scenarios (Volume 1). Mr.Hayes has been up and ambulating and is taking full liquids. skinispink,noexcessivemoisternoted. - I've gotten accustomed to drinking at least two quarts of water a day. Situation- the patient recently was dx with rectal cancer and has a condition. vSim Health Assessment | Kim Johnson (Musculo, Course Point Edith Jacobson (Health Assessmen, Julie S Snyder, Linda Lilley, Shelly Collins. e. Skin barrier (Select all that apply.). - Condition of the skin around the stoma From vSim for Nursing | Fundamentals. b. Refer to the two paragraphs about the holding tank for synthetic lubricating oil in the MCAT Review section on those paragraphs, answer the Document the dietary teaching you provided to Mr. Hayes. Document assessment findings related to gastrointestinal function, output from colostomy, response to this care. (Select all that apply.). 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Because your bowels will be sluggish after surgery, this diet is easiest for you to tolerate. Nosignof PositionedpatienttolyingflatRESPONSE:Patientwascooperativewithno A patient is placed on omeprazole 20 mg daily. (d) What is the volume of the compressed air? What information will the nurse include when providing education for a patient scheduled for a colostomy as treatment for rectal cancer? The perineal incision with no sign of infection. Company Registration Number: 61965243 Marvin Hayes - Bowel Elimination Colostomy Care_6 items (concept map worksheet, documentation assignments, pre sim assignments, post sim assignment, vsim, guided reflection questions) $ 65.24 $ 35.49 6 items. type to use, what his stoma and stool should look like. Answer: I felt much more confident after this Vsim since it was focused abdominal assessment I did ), - Advancing diet as appropriate to provide adequate nutrition e. 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