Red’s introductory monologue can be used in a variety of ways. Here are a few to consider:
large class discussion
small group discussion during class or clinical
reflective journaling assignment
web-based assignment: listen to the audio or read the script, then discuss and summarize the group’s conclusions.
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What are Red’s strengths?
What are your concerns for this patient?
What is the cause of your concern?
What information do you need?
What are you going to do about it?
What is Red experiencing?
These questions were adapted from the following publication: Benner, P., Sutphen, M.,
Leonard, V., Day, L., & Shulman, L. (2010). Paradigm case: Lisa Day, classroom and clinical instructor. In Educating nurses: A call for radical transformation (p. 133). San Francisco: JosseyBass.
Possible answers to questions:
1. What are Red’s strengths?
Red has his son and daughter-in-law who live nearby and are active in his life.
He has a close group of friends at the VFW and he has ties to his church.
He is cognitively and physically active.
2. What are your concerns for this patient?
Red’s sore on his big toe is concerning, along with the fact that he has had this for three weeks without telling anyone.
Several times he speaks of items he eats or drinks that are a concern due to high calorie and fat content (cake, bacon, beer, donuts).
He also has a daily intake of alcohol and uses Benadryl to help sleep.
Red made two statements about his son (“Jon got real mad,” “Jon gets so irritated”) that bear further assessment to rule out mistreatment.
Does Red have adequate finances?
3. What is the cause of your concern?
Red is trying to manage his wound on his own without consulting his family or doctor.
He is experiencing sleep disturbance.
Family dynamics may be the source of anxiety for Red.
He also mentioned a concern about his VA benefits paying for the cost of the home care nurse.
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