Bibi Adams – Collaborative Discussion Questions

I agree Daniel, I would do the same.

I will focus on my patients first , his vital signs needs to be monitored especially BP , whilst doing that I will keep a close eye on catheter to see how much is draining per hour and that will give me an idea if the catheter is draining well enough or he’s retaining . I will also discuss with him the plan for the next 24hrs , also keep him informed about his health and what’s going on but reassure him based on what I know and the plan for the next stage … I will ask for a consent from Bibi if he’s ok with me contacting his wife .

I also agree with the comments made, assesing the patient and considering pain nausea and other complications that could arrise. check catheter and once his condition is established and maintained its important then to explain and reassure, check in on mental health, needs of him and his family and with consent contact his wife.

I would focus on assessing the patient first and include checking the catheter in this.

I agreed with Zara also, will consider gaining more information about his condition before feeding back to him and family. As it looks like he might need further tests – blood, scan to roll out the possibility of enlargement of the prostate…

1, Focus on assessing patient first: I agree with what Hannah, Forlefac and Zara have said about priortising patients condition first, unless it was a complete emergency I would not contact the family first and even then I would ask the patient if he wanted his next of kin informed. Nikki raised some important observations that I agree I would also undertake, to gather as much information as the patients state as possible.

2, I agree with Dan that after assessing I would concentrate on the catheter, its drainage to ensure patient hydration. And to check the catheter is patent however like Alex and Jo said this could be a part of the assessment process. I would document this in the patient’s notes and also on the fluid balance chart.

3, Give him information about what will happen in his 24hour stay in hospital, again I agree with Zara, it seems the logical step to make after the first two assessments, that way the patient can be kept informed, which would aid in the shared decision making processes, maintain automny and justice.

4, Call his wife to inform her of Bibi’s admission. again I agree with Alex, Jo, Dan, Zara and Nikki, the last process would be to inform the family members/next of kin. Like how Dan stated I would gain consent from the patient prior to doing this. I think that leaving this as the last step, you as a nurse have a clear picture of the plan of actions for the patients care. So when the wife does eventually visit both the patient and the family can be informed about the next processess.

I agree with Dans’s point about creating a care plan that’s specific to the patients needs, building it around his needs.

I agree with Zara. Firstly I will focus on assessing the patient, then I will check the catheter and make sure it is draining well. The next step would inform hwhat will happen in his 24 hours stay in hospital. In the end, I will call his wife to inform her of Bibi’s admission.

would check that the catheter is draining well first, to ensure the patient is draining well. after that i will start an assessment and depending on the result, define an action plan.

I agree with Zara, his BP is quite low which raises some concerns but may be due to the 5 litres of fluid that has been aspirated. I would focus on getting his BP up so he is stable, check catheter and use a fluid balance chart to monitor intake and output, discuss with him if it was ok to inform his wife of what is happening.