From: Construction and practice of a comprehensive nursing skills course with simulation in an RN-BSN program in China: a quasi-experimental study
Xing Chen, male, 72 years old, widowed, living with his daughter. He is admitted to the hospital with due to thirst, excessive drinking for more than 2 years and diagnosed with type 2 diabetes. The symptoms are ignored and not treated before. He doesn’t know much about the disease and is very anxious.
Glargine insulin 10 U H qn.
Metformin 0.5 g po tid.
Pancreatic kininogenase 40 U IM qd.
∙ Fundamental nursing: administer intramuscular and subcutaneous injections and dispense oral medications.
∙ Medical nursing & Psychological nursing: explain the effects of medications to patients; comfort the patient’s emotions.
The 5th day of admission, at 8 p.m., the patient developed dizziness, oppression in chest, and sweating. The patient is very scared.
∙ Medical nursing: recognize the symptoms of hypoglycemia.
∙ Health evaluation: measure blood sugar and vital signs.
∙ Psychological nursing: comfort the patient’s fear.
Blood glucose is 3.4 mmol/L; T36.4 °C; P94; R22; BP115/75 mmHg.
∙ Fundamental nursing: prepare glucose solution for patients to correct hypoglycemia.
∙ Health education & Nursing interpersonal communication: symptoms, causes, preventions and emergency treatment of hypoglycemia.
∙ Fundamental nursing: retest blood glucose after 15 min.
Patient is gradually taking diabetes seriously, but is still unclear about how to manage diet and exercise, and feel anxious and confused.
∙ Psychological nursing: reassure and communicate with anxious patient.
∙ Health education & Medical nursing & Communication: teach the patient to manage diet and exercise.
The patient is ready to be discharged from the hospital tomorrow with medical prescription: Glargine insulin 12 U H qn; However, patient and his daughter don’t know how to inject insulin at home.
∙ Fundamental nursing & Health education & Communication: teach the patient and his daughter methods and precautions for insulin injections at home.