Badia was rated as high-risk from the Healthy Babies community health nurse for multiple reasons, including her young age, lack of family support, pre-mature birth with low birth weight, single mother, and chain cigarette smoker. Badia has agreed to have a nurse visit her in her apartment for an initial assessment.
Learning Objectives:
Perform a psychosocial and environmental assessment with a high risk postpartum patient, to identify knowledge base, knowledge gap, community resources, and areas of health teaching
Demonstrate knowledge of medications and administration, to identify side effects and or risk factors
Assess a new born baby to identify risk factors associated with mother’s smoking (Ex. Respiratory issues, SIDS, premature birth)
Demonstrate therapeutic communication through professional and culturally sensitive care
Demonstrate cultural sensitivity to identify barriers that the patient may be facing
Simulation Modality:
Role-playingEvalution/Validation:
This scenario was created by a fouth year student to address a gap in the current curriculum. Instructors and students of previous years were requesting a simulated home visit that was not focused on the elderly. The scenario that was developed focuses on a high-risk teen who has just delivered a low birthweight baby. There are many mental health and environmental factors. It was first piloted in Dec 2014 with 6 senior nursing students. During this pilot the teen was a practicing Muslim that had recently been shunned by her family and was living on her own. We had a nursing student who was Muslim play the role for this. The scenario went well. The feedback from the participants was that we were trying to cover too many topics (environmental, high risk newborn, new medications, cultutral considerations). Upon further refelection we felt that having the teen mom as Muslim would only work if the student or standardized patient doing the role play would only work if they had enough cultural information. For sustainability purposes we decided to drop the cultural component and the approch the cultural perspective of the objectives through the use of teen culture. The addition of the Muslim component is a way to increase the complexity of this scenario.
Citation:
Howgego T, Taplay K. Community Home Visit with Postpartum Patient. Simulation resource published by Simulation Canada; 2015. Available from https://simulationcanada.ca/scenario/community-home-visit-with-postpartum-patient/.
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License:
The information about this resource and any downloadable files are shared under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Target Learners
Interprofessional:
No
Profession:
Nursing
Levels:
Undergraduate / post-secondary
Fields / Disciplines:
Obstetrics & maternal-child
Primary care / community care / family practice