Table 1 Scenarios and objectives of the simulations in clinical practice with simulation as partial replacement
Scenarios: | Situation presented for the students: | Objectives presented for the students: |
|---|---|---|
1.Nursing home patient with chronic pulmonary disease deterioration | Nursing home patient, female, 75 years old, sufferers from chronicle obstructive pulmonary disease (COPD), uses salbutamol 2 mg × 4 administered by inhalation. The patient is anxious. Her skin is warm and sweaty. | Perform relevant clinical observations and measure vital signs Identify the patient’s problems, needs and possible complications Make clinical decisions, prioritize actions based on vital sign assessments, knowledge and trained skills Evaluate effect of actions Contact, inform and collaborate with physician |
2. Nursing home patient dementia, developing delirium caused by urinary retention | Nursing home patient, male, 89 years old with a mild degree of dementia, and a chronic urinary retention. Permanent catheter, and a urine sample for bacteriological cultivation are ordinated. The patient’s behaviour has changed, with a deteriorating confusion. The patient has been given Stesolid 2 mg without effect. | |
3. Administration of medications to nursing home patient with left ventricular heart failure | Nursing home patient, male, 75 years old, sufferers from a left ventricular heart failure. The patient uses heart medications, and is scheduled for his intramuscular injection with B12 depot 1 mg. The patient is not cooperating, seems to struggle with his breath while lying down. He does not want his medication. |