Developing Simulated Learning Experiences

Picture of Crissy Hunter
Failure to Thrive
by Crissy Hunter - Tuesday, January 7, 2014, 1:08 PM
Hey there. Happy New Year! I am looking for a failure to thrive scenario to use with our 2nd semester students.
Any suggestions, thoughts, tips, etc.?
Picture of Diana Breed
Re: Failure to Thrive
by Diana Breed - Wednesday, January 8, 2014, 9:40 AM
Hi Crissy,
I'm not sure if this is what you are looking for, but our FTT was just a "What next game". We use the example of cardiac congenital problem. The entire class plays and we "take care" of the patient together. The rules include - 1. Each person can do one thing before passing the patient on. 2. Each person always has an order for whatever intervention they want.

We start by giving report. This baby is one month old and the a very good baby. Sleeps up to 6 hours at a time, doesn't cry much doesn't require a lot of changing. Mom is bringing the baby into the ER because he doesn't seem to eat.

Then we give the "baby" to the first student and say -- What next?

The student can do one of three things:
1. assessment (for example listen for breath sounds, weigh the baby, do vital signs).
2. Ask mom a question (how much does the baby eat, how many diapers a day etc.)
3. Intervention (put on a cardiac monitor, place an IV etc, attempt to feed)

Debriefing discussions include:
critical history information
assessment findings
additional laboratory findings/expected results
other diagnosis that lead to FTT

Easy to set up and all student participate.