Planning care after a fall with a granddaughter present
NZ nursing OSCE practice station
Care planning · 2 min to read · 8 min to perform
Ngaire Hutchinson, aged 84, was admitted two days ago after a fall at home.
Ngaire HutchinsonHello, dear. They keep telling me I'm staying in. I want to go home to my garden.
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Open the full station (charts, voice, result letter) →The task
You are the nurse on a medical ward for older people. Ngaire Hutchinson, aged 84, was admitted two days ago after a fall at home. Her granddaughter Jade is with her. Introduce yourself, confirm her identity and plan her nursing care with her and Jade, including safety, skin, nutrition, mobility, medicines and what matters to her for going home. Ask what she wants and who she would like involved in decisions. Record her goals and the care plan on the form provided. A health care assistant is nearby.
What this station tests
- Ask the older person what matters to them before turning to whānau.
- Ask permission before sharing information, including with family.
- A postural drop in blood pressure with a new medicine needs prescriber review.
- Non-blanching redness is early pressure injury. Act at once and offload.
- Write care plan interventions that are specific and measurable.
Sources for the clinical content
- Health Quality & Safety Commission: reducing harm from falls
- ACC: preventing pressure injuries
- Health and Disability Commissioner: Code of Health and Disability Services Consumers' Rights
An original practice scenario with invented patients. Not an exam question.