Pretend Patient

  1. We need to make a pretend patient for a class. It can be over any adult patient we want or one we make up. Basically we would talk about the patient and see what course of treatment we would do. I was thinking about doing herpes encephalitis. Any other suggestions for diseases or conditions?
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    About green34

    Joined: Jun '13; Posts: 451; Likes: 97


  3. by   DalekRN
    Do something that interests you, what's your area of interest?
  4. by   green34
    Wounds. But it is supposed to be a critical care scenario. So I am basically looking up other conditions that could be interesting to do. It's not really a presentation but a mock scenario. The class is heavily involved with human patient simulators, but due to the wide variety we're not using the human patient scenarios for our own scenarios.
  5. by   vanilla bean
    Would it be possible to combine your area of interest with a critical care scenario? Something like a necrotizing fasciitis, compartment syndrome (postop w/open wounds), or an infected/non healing sternotomy? There are lots of wounds to manage in critical care patients.
  6. by   green34
    Well, we did a compartment syndrome scenario and I think we're duing a burn this week in lab. Necrotizing fascitis might be interesting. I really don't want to do a wound-based scenario.

    Like maybe I am looking for interesting stories where you think the person is going to die.

    One I can think of is one where a patient had a GI bleed. She was stable when she came in but vomited once and started crashing fast.
  7. by   ßåߥ
    If you wanted to do wanted to do encephalitis due to herpes, there is a great case study on "patient H&M". Since they have to take out parts of the brain and hippocampus, it could work out for a scenario because you would also have to plan for other healthcare professional assistance such as various types of therapy while also monitoring and assessing the patient after surgery.
  8. by   KelRN215
    Guillain Barre Syndrome can be an interesting one. Someone comes in with a little bit of weakness/numbness in their feet and before you know it, they're intubated in the ICU and can't move anything.
  9. by   nurseprnRN
    We don't see it nearly as often as we used to, thank god, but how about something that gives you flash pulmonary failure, like pneumocystis or coccidiomycosis?
  10. by   green34
    Thanks! I'll look up the conditions.

    Just to be safe, there is more than just naming a condition here. I have to come up with a scenario, pathophysiology, possible treatments/orders, lab values, possible outcomes dependent on what treatments were done, etc.
  11. by   Christy1019
    What if you had an unstable septic patient and the sepsis source of infection was from a wound? A LOT of critical care is dealing with septic patients, you could talk about titrating multiple drips, multiple antibiotics, resulting organ failure etc...
  12. by   Cohiba
    Ebola or organophosphate poisoning are "interesting"... The organophosphates could come from a pesticide exposure and not necessarily a nerve gas attack if farm chemicals are around where you're at--they're far more common than you might think, even in non-farming communities if there are roads/rail lines anywhere near your location.
  13. by   calivianya
    Sounds like a fun project.

    I had a patient once who broke some bones and then had a massive MI in surgery to fix the bones. His kidneys failed due to low cardiac output and he went into ARDS as well. He was on a CRRT machine and an oscillator, and we had a lot of trouble maintaining his BP and O2 despite bumping his FiO2 on the vent up to 100% and titrating his vasoactive drips up. He was a really busy patient. It's really something what a fall and a few broken bones can do to you!
  14. by   phlebo2rn
    I was 19 when I had DVT/PE. I love talking about it so that's what I would use! Nobody suspected a freshman in college would have that diagnosis and it was very scary for me.