Scenario Detail
Knee Replacement (Home Care)
Developed by: MGH Institute of Health Professions, Partners Home Care
Overview
A) Wound Assessment
This case presents a patient who was recently discharged to her home after a total knee replacement. Her hospital course was complicated by a wound infection requiring IV antibiotics for 3 days. The patient was changed to oral antibiotics in preparation for hospital discharge. The student will be expected to conduct a focused home visit by demonstrating a basic patient assessment, perform a wound assessment and care.
B) Medication Reconciliation
This case presents a patient who was recently discharged to her home after a total knee replacement. Her hospital course was complicated by a wound infection requiring IV antibiotics for 3 days. The patient was changed to oral antibiotics in preparation for hospital discharge. The student will be expected to conduct a focused home visit by demonstrating a basic patient assessment, perform a medication reconciliation and respond appropriately.
C) Comprehensive Home Assessment
This scenario presents an elderly woman who is 7 days postoperative from a total knee replacement. Her post surgical course was complicated by a wound infection, requiring IV antibiotics for 3 days and then changed to oral antibiotics in preparation for hospital discharge. The student will be expected to conduct a home admission which incorporates a patient assessment for wound, pain and cardiopulmonary status; home safety assessment; medication reconciliation; perform point-of-care PT/INR testing, and respond appropriately to test results.
Description
Learning Objectives
A) Wound Assessment:
- Perform general and focused assessment competently and safely
- Deliver prioritized care that is patient centered
- Encourages patient self care when appropriate
- Evaluate pain management and develop appropriate intervention
- Develop plan of self improvement based on reflective debriefing
B) Medication Reconciliation:
- Perform general and focused assessment competently and safely
- Deliver prioritized care that is patient centered
- Encourages patient self care when appropriate
- Evaluate pain management and develop appropriate intervention
- Develop plan of self improvement based on reflective debriefing
C) Wound Assessment:
- Perform comprehensive patient assessment competently and safely
- Analyze and interpret physical findings and diagnostic results and intervene appropriately
- Evaluate pain management and develop appropriate intervention
- Determine the functional capacity of an older adult in the home and apply appropriate interventions
- Evaluate home safety risks and appropriately intervene and/or deliver teaching
- Demonstrate effective communication and teaching strategies for the older adult
- Deliver prioritized patient-centered care in a home setting
- Critically reflect performance and develop a self-improvement plan
- Patient-Centered Care
- Teamwork and Collaboration
- Systems-Based Practice
- Communication
- Safety
Available Materials
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- Simulation File (.sce) (98 downloads)
- Scenario Planning Worksheet Core Module: Postoperative Total Knee Replacement: Medication Reconciliation (.pdf)
- Scenario Planning Worksheet Core Module: Postoperative Total Knee Replacement: Wound Management (.pdf)
- Scenario Planning Worksheet Complex Module: Postoperative Total Knee Replacement: Comprehensive Home Care (.pdf)
- Supporting Documents (.doc)
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