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Being in a leader’s role in this simulation, I realized it’s my responsibility to manage what’s occurring in the room during the visit. It’s very easy to become distracted by family members disagreeing or patient the wanting to discuss different topics other than their health. The two weaknesses that I identify after the simulation was wanting to address too many issues at once. I should have address three topics that were most likely to cause immediate harm to the patient. My second weakness is following up questions. There were some answers the patient gave I wanted to follow up on, however, I was trying to complete the requirement for the simulation. Those two areas I will work on improving during my nursing career. Being in the family member role was interesting, currently, my family is struggling with POA-HC for my father. I have no desire to be his health care agent, my father wants my youngest sister who lives in Dallas as his agent, and my oldest sister in Birmingham doesn’t want our youngest sister as his agent. However, my oldest sister doesn’t want to be his agent either but wants me to his agent because I’m a nurse, so it only makes sense. I could relate to the sisters not liking each other because my sisters don’t like each and I’m stuck in the middle putting out fires. My father is having a major surgery in May so I’m dreading when these two come together. The biggest challenge for me is walking into a patient’s situation that’s in a complete chaos that took years to create. With unrealistic expectations of the patient and myself that we can solve everything in a short amount of time. This is a journey of learning and growing for the patient as well as for myself. 

The most important key point I learned from the simulation was the need to identify what role the family wants to have in the patient’s care. So many times, we assume family members want to take on the responsibility of caregiver but really, they may not want to or be able to for whatever reason. They may feel obligated because this is their husband, wife, or parent but they may still be employed or have their own health issues which may prevent them from being a caregiver. If this is the situation, we can obtain the patient the appropriate level of care, so we can keep them safe in their home.

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