Mr Shephard Case Simulation

Throughout the simulation scenario, Mr Shephard had presented problems which needed to be attended to. In this scenario, Mr Shephard was complaining of hunger, although unable to feed him, the main issue that had to be prioritised in order to care for Mr Shephard was his neurological state, his Glaucoma scale had declined as noted in the handover. Mr Shephard condition prior to today have also led him to show confusion and disorientation towards the nurses. In the handover, it was noted that Mr Shephard’s GCS was 13. The GCS is determined by assessing three aspects: eye opening (four levels), verbal response (five levels) and motor response (six levels). Examination included the following: Baseline observations - BP, PR, temperature, capillary blood glucose and oxygen saturation. …show more content…
Further on to a primary survey of skin and mucous membranes, Assessing the responsiveness and GCS along with respiratory, abdominal, cardiovascular and neurological examination. Throughout the simulation Mr Shephard had complaints about his hunger, which couldn’t be dealt with straight away as a swallow test had to be done and a speech pathologist was needed to determine where to feed him there or using a tube. As a nurse with Mr Shephard it had to be explained to him that he was unable to eat due to such reasons caused by his stroke and left sided weakness which affected his body. Abnormal assessment data identified throughout the simulation led us to undertake further assessments. These abnormal assessment data included Mr Shephard’s confusion and disorientation to time and place, his Glasgow Coma Scale total was