consider the following case. use the sbar communication tool on page 24 to record information about this person, and then write out what you would report in the space titled “report.”
eileen is a 98 - year - old woman living in her home. she has chronic obstructive pulmonary disease. she receives oxygen through a nasal canula and receives opioids daily to manage her breathlessness.
you visit to provide personal care and help her with breakfast.
this morning when you arrived to help her get out of bed, she was frowning and moaning, and she shook her head and said, “no, not today. i’m staying in bed!” you responded, “you are not your usual self. what is happening?” she replied, “my tummy is hurting. i don’t want to get up.” she suddenly pressed her hands to her midsection, called out in pain, groaned loudly, and rolled onto her side. you asked if a pillow behind her back and between her legs would help make her a bit more comfortable, and when she agreed, you positioned the pillows. eileen gave you permission to ask her some more questions and talk with the nurse.
she said that the pain in her tummy started this morning. you asked her to point to where it hurts, and she rubbed her hand up and down and back and forth over her abdomen. you asked her to describe the pain, and she replied, “the spasms come and go.” you asked her to rate her pain on a scale of 0 to 10, with 10 being the most severe pain that she can imagine and 0 being no pain. she said that when it is bad it is an 8 out of 10, and when it is not bad her abdomen is just tender. she was not able to say how often the pain comes and goes. she thought it may be caused by eating too much dinner. she also did not remember when she had her last bowel movement. she was short of breath as she responded to the questions. you asked how you can best help, and she said she doesn’t know, but that she needs something done because the pain is awful. you told her that you will get her some water and will phone the nurse to let her know about the pain, and to ask if she can see eileen today.
report

work in small groups. each small group practices using one tool and takes notes about the experience of using the tool, being the person who the tool is gathering information about, and the questions that arose while using the tool. the group then reports back on their findings to the larger group.

Question

consider the following case. use the sbar communication tool on page 24 to record information about this person, and then write out what you would report in the space titled “report.”
eileen is a 98 - year - old woman living in her home. she has chronic obstructive pulmonary disease. she receives oxygen through a nasal canula and receives opioids daily to manage her breathlessness.
you visit to provide personal care and help her with breakfast.
this morning when you arrived to help her get out of bed, she was frowning and moaning, and she shook her head and said, “no, not today. i’m staying in bed!” you responded, “you are not your usual self. what is happening?” she replied, “my tummy is hurting. i don’t want to get up.” she suddenly pressed her hands to her midsection, called out in pain, groaned loudly, and rolled onto her side. you asked if a pillow behind her back and between her legs would help make her a bit more comfortable, and when she agreed, you positioned the pillows. eileen gave you permission to ask her some more questions and talk with the nurse.
she said that the pain in her tummy started this morning. you asked her to point to where it hurts, and she rubbed her hand up and down and back and forth over her abdomen. you asked her to describe the pain, and she replied, “the spasms come and go.” you asked her to rate her pain on a scale of 0 to 10, with 10 being the most severe pain that she can imagine and 0 being no pain. she said that when it is bad it is an 8 out of 10, and when it is not bad her abdomen is just tender. she was not able to say how often the pain comes and goes. she thought it may be caused by eating too much dinner. she also did not remember when she had her last bowel movement. she was short of breath as she responded to the questions. you asked how you can best help, and she said she doesn’t know, but that she needs something done because the pain is awful. you told her that you will get her some water and will phone the nurse to let her know about the pain, and to ask if she can see eileen today.
report

work in small groups. each small group practices using one tool and takes notes about the experience of using the tool, being the person who the tool is gathering information about, and the questions that arose while using the tool. the group then reports back on their findings to the larger group.

Accepted Answer

# Brief Explanations:
Using the SBAR (Situation - Background - Assessment - Recommendation) format:
**Situation**: Eileen, a 98 - year - old at home, refused to get out of bed this morning due to tummy pain.
**Background**: She has chronic obstructive pulmonary disease, receives oxygen via nasal cannula and daily opioids for breathlessness.
**Assessment**: Tummy pain started this morning, spasms come and go, pain is rated 8/10 at worst, tender when not bad. She doesn't remember last bowel movement and is short of breath.
**Recommendation**: Offer water and call the nurse to see if they can visit Eileen today.

# Answer:
Situation: This morning, 98 - year - old Eileen, who usually accepts personal care and breakfast help, refused to get out of bed due to tummy pain.
Background: Eileen has chronic obstructive pulmonary disease, is on nasal cannula oxygen and daily opioids for breathlessness.
Assessment: Tummy pain began this morning. Spasms are intermittent. Pain is 8/10 at its worst and abdomen is tender otherwise. Cannot recall last bowel movement and is short - of - breath while answering questions.
Recommendation: Provide water and contact the nurse to inquire about a possible visit for Eileen today.

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