Marvin Hayes

Marvin Hayes
Guided Reflection Questions
Opening Questions
How did the simulated experience of Marvin Hayes’s case make you feel?
The simulated experience of Mr. Hayes case helps me in understanding effectively the information provided in the lectures. By putting in practice various nursing skills in the simulation, my learning experience in topics such as stoma assessment was more active and enjoyable. Therefore, I was able to virtually perform all the knowledge acquired from the book, power points, and lab in a more generalized standpoint.
Talk about what went well in the scenario.
I engage with my patient care by providing effective education in topics such as stoma care and incentive spirometer. In addition, I perform all required postoperative
Hayes that could have a serious impact on real patient outcomes. If I repeat the scenario I will use clean gloves during the colostomy pouch emptying and stoma care procedures because the patients will run a higher risk for hospital-acquired-infections.
Scenario Analysis Questions
PCC What priority problem(s) did you identify for Marvin Hayes?
The priority problems identified were that Mr. Hayes is a postoperative patient with three small abdominal incisions open to air, a perineal incision and stoma. Mr. Hayes require special nursing considerations and constant assessments (vital sing and HEENT) to prevent any further complications.
PCC What potential problems could arise due to the newly placed colostomy?
The potential problems that the patient with a newly placed colostomy are bleeding, constipation, infections, skin erosion and psychological problems.
PCC Discuss what type of diet would be appropriate for Marvin Hayes.
In the first 6 to 8 weeks after surgery Marvin Hayes should try to avoid foods high in fiber, such as seeds and shells. Also, evade food that cause diarrhea or excessive flatus. For example: alcohol, onions, eggs and vegetables from the cabbage family. Mr. Hayes must drink at least 2 quarts of fluid
Therefore, nurses provide physical and psychological support before and after the surgery. As enforced in the simulation, the patient stoma must be inspected regularly. Color change and excessive bleeding must be communicated to the primary care provider. I will provide effective patient education and encourage the patient to participate in care. In addition, helping the patient to cope with depression by listening, explaining and be available and supportive is very important. Overall, the Mr. Hayes case was a great experience that will help me interact with real