Patient with stage four mesothelioma lung cancer that is being cared for in the home environment. Designed to challenge the year 4 student with doing an assessment and critically thinking next steps when caring for a patient who becomes hemodynamically unstable. Communication is paramount, with physician, EMS, and family. The patient is sent to the hospital and arrives obtunded. He goes into cardiac arrest, resuscitation is attempted but unsuccessful. The year 4 students are faced with a grieving family and preparing the body after death.
The assessment findings of the terminally ill patient
To develop an appropriate plan of care.
Using therapeutic techniques, with the terminally ill patient and their family
To reduce anxiety surrounding the diagnosis and support the grieving process.
On a plan of care with members of the interdisciplinary team, for a terminally ill patient experiencing a change in health status
To develop a safe and appropriate plan of care.
Safe practices when administering medication to the terminally ill patient experiencing a change in health status
To minimize the risk for error and attempt to stabilize their condition.
Personal feelings regarding end-of- life care
To reflect on own actions and responses when providing care for the terminally-ill patient.
Simulation Modality:Manikin-based, Role-playing, Standardized/simulated patients or real patients
Bornais J, Rickeard D. End-of-life: Home to Hospital. Simulation resource published by Simulation Canada; 2015. Available from https://simulationcanada.ca/scenario/end-of-life-home-to-hospital-3/.Copy Citation
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Undergraduate / post-secondary
Fields / Disciplines:
Emergency / trauma
Palliative & end-of-life care