Description
Admission Ticket Instructions
Please review the following PRIOR to your simulation experience:
Read the following:
Policies and Procedures of MRMC
CDC.gov
Ready.gov
Next: (click on the below three sites for the next experiences. You may need to copy into your browser or click open hyperlink).
Go to the FEMA.gov website and complete the lessons in the module “IS-100.c: Introduction to the Incident Command”. Please complete the questions throughout the module. Do not take the Final examination.
Go to the FEMA.gov website and complete the lessons in the module “IS-0240.b: Leadership and Influence”. Please complete the questions throughout the module. Do not take the Final examination.
Go to the FEMA.gov website and complete the lessons in the module “IS-0241.b: Decision making and problem solving”. Please complete the questions throughout the module. Do not take the Final examination.
Pre-Scenario Questions:
Please be prepared for your Simulation by completing the following questions and submit to Blackboard:
After reviewing the Incident Command lesson, identify three trends that you noticed between the Policy and Procedure and the lesson.
Consider yourself in an emergency management leadership role. Identify and list two traits of a good leader.
The CDC shares the importance of making a “plan” during a hurricane. Identify and list two key components of making a plan.
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Populations and Global Health Module III Case Study
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JW is a 35-Year-old biracial female and mother of 3 children under the age 10. She was married at the age of 20 and divorced five years ago. JW’s highest level of education is at the 10th grade. She came from a family where both parents are deceased. Her father was Caucasian died from self-inflicted gunshot wound, suffering from unknown mental illness. Her mother was African American and died from stroke secondary to uncontrolled hypertension and diabetes. JW has two sisters and one brother, but they do not have a close family relationship. JW has worked as a preschool teacher assistant. She lived in the rural low-income housing community with her 3 children. She did not have a car and public transportation was limited. People in her community described her as being very active and engaged at church, in her children’s activities, and participated in community activities. It is reported that her behavior changed after her divorce. JW started skipping meals, couldn’t sleep at night and complained of felling fatigued. She started going to a local clinic for symptoms of depression where she was started on Celexa 20 mg and Ambien PRN for sleep. Two (2) years ago while walking home from the community store she was hit by a driver. She sustained multiple injuries requiring medical management of pain. The driver claimed JW wandered into the road. After the accident JW was started on Percocet, Tramadol and Flexeril for pain management. Social state Unemployed – JW Lost her job 9 months ago due to decrease in engagement and increase in absences at work. Staff, at the local clinic, report that JW had shown up three separate occasions with her children tearful and demanding more medication for pain. The clinic stated that JW is currently homeless with her children. She has no permanent address. JW and children spend nights at a shelter, on the streets or with friends. Past Medical history
Diabetes • Depression • Chronic pain (abdominal, leg and back)
Admission History
In the last 18 months the patient had multiple 20 hospitalizations and 75 ED admissions with several health systems same symptoms of abdominal pain, back and leg pain, chronic nausea, numbness, and tingling (unable to walk) and hallucinations. One ED physician accessed the prescription monitoring program (PMP) to run a report. The report showed that in the past year, JW received 37 prescriptions from three sources. She went to 15 different medical providers, and 8 different pharmacies to have medications refilled. All the medications were generic and low cost. Patient denies recreational drug use. However, with each ED visit, urine drug screens were positive for marijuana, cocaine, and opiates. Patient does have serious medical condition (diabetes), mental health issues (i.e., depression) along with chronic pain management issues and a practice of using multiple health care system (i.e., medical providers, and pharmacies) makes her a challenge to manage.
Unformatted Attachment Preview
Module 3 Case Study & Quiz
1.
Question 1
5 Points
After reading this case study, what surprised you about this situation? How did this
case study make you feel? Did you have any unconscious bias towards JW? (Be sure
to answer all three questions.)
2.
Question 2
5 Points
After reading this case study, list at least 10 possible problems that JW is facing?
3.
Question 3
5 Points
This is a two part question:
Part 1: Which of these problems would you choose as your top four (4) nursing
priorities?
Part 2: For each of the four (4) nursing priorities selected, provide the clinical
findings you noticed from the case study that would be significant if you were
providing nursing caring for JW? (Provide your rationale for each nursing priority).
4.
Question 4
5 Points
In this question, you will apply what you have learned. Since implicit bias is an
automatic and unconscious process, people engage in unthinking discrimination and
are not aware of it. Which factors could have an implicit bias on JW as she seeks care
for her many symptoms?
1. Chronic pain
2. Depression
3. Positive drug screen
Module 3 Case Study & Quiz
4. Living in shelters
5. Evidence of domestic violence
5.
Question 5
5 Points
Which answers demonstrate how nurses can show unconscious bias? (Select all
that apply).
1. Learning about unconscious bias.
2. Presenting highly selected facts to push towards a certain outcome.
3. Putting yourself in someone else’s shoes.
4. Consciously changing your implicit bias.
6.
Question 6
5 Points
What factors contribute to JW’s vulnerability in this case? Match the social
determinant of health to JW’s factors or influences.
Prompts
A. Behavioral
B. Sociocultural
C. Environmental
D. Health System
Match with Submitted Answers
1.
2.
3.
4.
Multiple provider visits
Substance Abuse
Hazards of poor living conditions
Health problems
7.
Question 7
5 Points
From JW’s case study, we learned that she needs multiple nursing interventions to
have a positive outcome. Which of the Joint Commission standard would you
advocate for JW’s care. (Select all that apply)
1. Informed consent
2. Effective communication
3. Involvement in care
4. Put her on the “Frequent Flyer” List
8.
Question 8
Module 3 Case Study & Quiz
5 Points
You hear about JW’s case and wonder how many patients may have the same
experience. You decide to look at the health system determinant (also known as
Health Care Access & Quality from Health People 2030) for your community needs
health assessment on the homeless population. What questions would you ask
JW? (Select all that apply)
1. Are you able to communicate with your health care provider?
2. What are your preferred foods for your family?
3. Can you afford the medication needed for pain relief ?
4. Are you able to access the health care you need?
9.
Question 9
5 Points
A nurse working with JW is interested in learning if JW has any any potential
environmental exposures. From the case study we know that JW is homeless. Which
of the following questions should the nurse ask to learn more about JW’s situation
and her exposure to environmental risks? (Select all that apply)
1. “What do you do to for fun?”
2. What year was your residence built?
3. What jobs have you had in the past?
4. “Which shelter(s) do you use?”
10.
Question 10
5 Points
Now that you know JW’s issues, what is the first step of the nursing process to help
JW get the resources she needs?
1. Monitor patient’s satisfaction with the referral.
2. Provide patient’s information to referral agencies or clinicals.
3. Educate JW on multiple resources
4. Assess JW’s referral needs.
Question 12
5 Points
What social issue may be leading to social injustice in JW’s Case study?
5. Ethnicity discrimination
6. Gender discrimination
7. Age discrimination
8. Inequality in health care
Question 16
5 Points
Module 3 Case Study & Quiz
The provision of Culturally and Linguistically Appropriate Services (CLAS) is
important for combating disparities. What are the CLAS standards used in
hospitals? (select all the apply)
9. Attitudes
10. Polices
11. Upstream factors
12. Practices
13. Behaviors
Populations and Global Health Module III Case Study
JW is a 35-Year-old biracial female and mother of 3 children under the age 10. She was married at
the age of 20 and divorced five years ago. JW’s highest level of education is at the 10th grade. She
came from a family where both parents are deceased. Her father was Caucasian died from selfinflicted gunshot wound, suffering from unknown mental illness. Her mother was African American
and died from stroke secondary to uncontrolled hypertension and diabetes. JW has two sisters and
one brother, but they do not have a close family relationship.
JW has worked as a preschool teacher assistant. She lived in the rural low-income housing
community with her 3 children. She did not have a car and public transportation was limited.
People in her community described her as being very active and engaged at church, in her
children’s activities, and participated in community activities. It is reported that her behavior
changed after her divorce. JW started skipping meals, couldn’t sleep at night and complained of
felling fatigued. She started going to a local clinic for symptoms of depression where she was
started on Celexa 20 mg and Ambien PRN for sleep.
Two (2) years ago while walking home from the community store she was hit by a driver. She
sustained multiple injuries requiring medical management of pain. The driver claimed JW
wandered into the road. After the accident JW was started on Percocet, Tramadol and Flexeril for
pain management.
Social state
Unemployed – JW Lost her job 9 months ago due to decrease in engagement and increase in
absences at work. Staff, at the local clinic, report that JW had shown up three separate occasions
with her children tearful and demanding more medication for pain. The clinic stated that JW is
currently homeless with her children. She has no permanent address. JW and children spend nights
at a shelter, on the streets or with friends.
Past Medical history
• Diabetes • Depression • Chronic pain (abdominal, leg and back)
Admission History
Module 3 Case Study & Quiz
In the last 18 months the patient had multiple 20 hospitalizations and 75 ED admissions with
several health systems same symptoms of abdominal pain, back and leg pain, chronic nausea,
numbness, and tingling (unable to walk) and hallucinations. One ED physician accessed the
prescription monitoring program (PMP) to run a report. The report showed that in the past year,
JW received 37 prescriptions from three sources. She went to 15 different medical providers, and 8
different pharmacies to have medications refilled. All the medications were generic and low cost.
Patient denies recreational drug use. However, with each ED visit, urine drug screens were positive
for marijuana, cocaine, and opiates. Patient does have serious medical condition (diabetes), mental
health issues (i.e., depression) along with chronic pain management issues and a practice of using
multiple health care system (i.e., medical providers, and pharmacies) makes her a challenge to
manage.
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