Fever x 24 hours in a Patient Living in Long-Term Care
Activity
Clinical Skills Sessions
Clinical Skills Sessions
You are on a rural family medicine clerkship rotation. In addition to working in a family medicine clinic, your preceptor works in the ER, assists in the OR and has patients in the community’s Long-Term Care Facility (LTC). LTC can collect
bloodwork to be sent offsite and can check urine dipsticks at the bedside. Imaging tests would require transfer of the patient
offsite. Your preceptor’s clinic receives a message from the community LTC facility. The RN working on the LTC unit, Nate, shares that a patient under the care of your preceptor, Morgan Wright, has a new onset of fever x 24 hours, where the RN is concerned about the patient’s health. Your preceptor is busy with a patient in the clinic and asks you to take the call to complete an initial assessment, with a low threshold to call for help if you are concerned.
Curriculum Block
Transition to Clerkship / Week 3
- Indicates most relevant
Objectives
Activity Objectives
- Learn and practice the SBAR (Situation, Background, Assessment, Recommendation) tool for verbal handover of patient care.
- Learn and to practice the SOAP (Subjective, Objective, Assessment, Plan) tool for written handover of patient care.
- Review a differential diagnosis for fever.
- Practice a focused assessment of a patient over the telephone in coordination with a bedside nurse.
- Review non-verbal signs of pain for patients unable to communicate verbally (e.g. for patients with dementia).
- Review common medications used for control of symptoms in end-of-life care
- Practice holding a goals of care discussion with a substitute decision-maker for an incapable patient using the Serious Illness Conversation Guide framework.
Tags
CanMEDS Roles
Communicator
Curriculum Block
Transition to Clerkship
Week 3
Curriculum Week
Transition to Clerkship
Week 3
Discipline
Family medicine
Geriatrics
Infectious Diseases
Palliative care
General MCC Objectives
Communication Skills
MCC Presentations
Fever and Hyperthermia
Major/Mild Neurocognitive Disorders (Dementia)
McMaster Professional Competency
Clinical Skills
MeSH
Clinical Competence [I02.399.630.210]
Dementia [C10.228.140.380]
Fever [C23.888.119.344]
Frail Elderly [M01.060.116.100.540]
Long-Term Care [N02.421.585.476]
Medical History Taking [E01.370.510]
Palliative Care [E02.760.666]
Palliative Care [N02.421.585.666]
Patient Care Planning [N04.590.233.624]