Gi bleed nursing simulation

Medsurge bluprint PDF. gastrointestinal bleed, what laboratory and diagnostic tests would you anticipate? 11. Review etiology of a gastrointestinal bleed a. Well-structured, high-quality simulations are useful alternatives to prepare students for clinical practice. The nursing diagnosis of GI Bleed should be considered when a patient presents with signs and symptoms indicative of gastrointestinal bleeding. 107 votes, 12 comments. What nursing interventions would be appropriate to address the priority problem? The patient could have a diet change to non-acidic liquids to prevent bleeding as well as pain. Residents from seven adult disciplines participated in this annual program during intern year. With GI bleeding, the patient will experience nutrient malabsorption, deficient fluid volume, anemia, and other GI symptoms. fecal occult stool test Jun 24, 2021 · Student Guidelines Ticket to Enter for Virtual Simulation IHuman - Otto Smithers GI Bleed 1. The healthcare team must wear their detective hat and determine the The first action the nurse should do is insert one of the spikes of the Y-set into the 0. Although the exact incidence is difficult to estimate given the high case-fatality rate, it is estimated to be 0. DirectX: Version 11. , who is a 36-year-old Caucasian single mom. io/freecontentyt If you’re an medical educator or faculty member, visit: http://lectur. Possible psych eval if he has depression. Turn off the 0. flexible sigmoidoscopy - CBC. This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed methods study design. a. Student Learning Objectives: By the end of this simulation, the student will be able to: 1. Need fluids ii. UGIB is classified as any blood loss from a gastrointestinal source above the ligament of Treitz. hypovolemia. B. Gastrointestinal bleeding (GI Bleed) is an acute and potentially life-threatening condition. Real Life scenarios were developed by nurse educators to provide experience with the variety of situations nurses face in real life, without the need for live clinical presence or risk to client safety. 5. History and information. Monitor the patient’s urine output. Med Surg Chapter 26 - Practice questions and answers for the exam. Identify relevant client information that indicated the need to contact the Rapid Response Team. Plug in wireless on/off switch. Participants found this useful, and in addition to expanding on core knowledge, residents learned hospital-specific protocols that could help their confidence and efficiency during busy shifts. Jan 17, 2019 · Table Table3 outlines 3 outlines a number of modifiers that can be used to enhance the difficulty of the gastrointestinal (GI) bleed simulation case. Identify 2 nursing diagnoses: 1 physical and 1 psychosocial. nursing respo nse regar ding an acute GI bleed. Gastrointestinal (GI) bleeding is like a plumbing problem in the body’s digestive system. Educate patient on colostomy care. It has a major impact on health care resources, and the best management requires close cooperation between medical and surgical staff and nurses. infuse 50 mL of 0. Oct 28, 2020 · Methods. 8F), pulse 96/min, RR 22/min, and BP 103/60 mm Hg. Needs education on ETOH abuse/AA/lifestyle modifications. stop the transfusion. The patient can be educated on NSAIDs and bleeding. , & Kamp, F. Include signs, symptoms, and risk factors. Get GI involved for BST to r/o GI bleed. Acute upper GI bleeding is the most common emergency managed by gastroenterologists. The intervention included a simulation covering the care of a sickle cell patient in crisis. First, for upper bleeds, an upper GI series uses a barium contrast to delineate the GI tract. RN Adult Medical Surgical GI Bleed - scorm. As you move through the module, answer the following questions: Recognize Cues (Assessment) a. Apr 7, 2023 · Upper gastrointestinal bleeding (UGIB) is a common problem with an annual incidence of approximately 80 to 150 per 100,000 population, with estimated mortality rates between 2% to 15%. The simulated GI bleeder is ready for use. This can cause hemorrhagic shock. Simulation I-SBAR CHAMBERLAIN COLLEGE OF NURSING I Introduce yourself S Situation B Background Your Name: Your AI Homework Help . Assess and care for colostomy 3. Vane 3. It covers topics such as simulation performance, diagnosis considerations, and communication with family members. pdf. , due to mesenteric ischemia or infectious colitis) can be misleading. This Simulated Patient Encounter maps to Scenario MED 29 – Taylor Westfield – Gastrointestinal Bleed on the Elsevier Evolve Platform. The patient deteriorates into hypovolemic shock requiring medical management, massive transfusion, intubation for airway protection, and insertion of a Blakemore tube. The Glasgow-Blatchford score. 8C (101. active learning template: system disorder shaynell mesadieu student gastrointestinal bleeding. A variety of high-fidelity simulation Jan 10, 2019 · Acute upper gastrointestinal (GI) bleeding is a common medical emergency with an estimated incidence of 134 per 100 000 population ( Button et al, 2011 ). SLS for RN Bundle. monitor I&O, assess VS, administer fluids and meds, teach deep breathing, endoscopy. How would you modify interventions if Janet Lieberman does not meet expected Improving clinical skills when caring for GI bleed patients is really an important part in nursing because it is happening frequently and the nurse will see different types of patients with different cultural background and the nurse must be aware of those differences and provide the proper care considering their diet and cultural considerations. GI Bleed Nursing Care Plan. Subjective Data: The patient reports fatigue; Objective Data: The patient appears pale and lethargic; Low hemoglobin and hematocrit; Hypotension; Stool sample positive for occult blood May 18, 2023 · NURSING 400. GI Bleed 2/3/2022 7:26:03 PM 1 hr 2 min Strong. Vomiting blood i. gastrointestinal bleed 3. Storage: 12 GB available space. It can manifest as hematemesis (bright red emesis or coffee-ground emesis), hematochezia, or melena. Some examples of simulation scenarios include asthma attacks in pediatric patients, GI bleed, labor and delivery complications, cardiac arrest and newborn hypoxia. The medical simulation scenarios are in the following categories – Emergency, Trauma, ALS, Paramedic The setting was the simulation lab at a local college of nursing in Houston, Texas. The optimal management of acute GIB requires a timely overview of vital signs and clinical presentation to stabilize the patient if necessary and set up the most adequate Sep 26, 2022 · Aortoenteric fistula is a rare cause of massive upper gastrointestinal bleeding with a high degree of mortality. Module Report. This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed methods study Get higher grades by finding the best SIM LAB ADMISSION TICKET |Patient Name: Randal Bellemy SIM Visit: #2 Scenario: Gi Bleed Allergies: PCN notes available, written by your fellow students at Denver School Of Nursing. Item. Please refer to Gastrointestinal Bleeding - Lower GIT for lower GIT causes. Treatment: cauterize c. Imagine the GI tract as a series of pipes (esophagus, stomach, small and large intestines, ending at the rectum) that food travels through. Priority Problem Nursing Diagnosis (NANDA approved) Deficient fluid volume R/T (Pathophysiology of diagnosis, cannot be medical diagnosis) Gastrointestinal bleeding AEB (of diagnosis) Refers to the problem/risk, NOT the R/T. A 58-year-old male known for alcoholism presents to the emergency department with an active, massive upper GI bleed due to esophageal varices. Hypovolemic shock i. 007 per million [ 1 ]. Identify key assessments of bleeding dyscrasias. Deficient Fluid Volume r/t blood loss secondary to gastrointestinal bleed. GI bleed Nursing Diagnosis & Care Plan. VS: temp 38. colonoscopy - CT scan. Patients with a score of 0 can be treated out of hospital, as they generally have a very low associated mortality rate. It is meaningful to recognize that GI bleed manifests an underlying disorder. May 3, 2021 · This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner's clinical judgment model using a mixed methods study design. JACKSON STATE COMMUNITY COLLEGE Department of Nursing NUR 214 Adult Health I Adult Simulation 59 year-old Hispanic male. Assess signs and symptoms related to acute gastrointestinal (GI) bleed. #1 Sample Nursing Care Plan for Upper GI Bleed – Fluid volume deficit Nursing Assessment. Learners were grouped into mixed discipline cohorts. Design a plan of care incorporating patient safety consistent with assessment. It is essential to assess the individual thoroughly and gather relevant subjective and objective data to support the diagnosis. pdf from NURS 4630 at Wayland Baptist University, Amarillo. 9% sodium chloride solution, and start slowly infusing the solution into the client's IV. This includes examples of historical and physical exam findings that challenge the learner to think beyond standard therapies and interventions. Gastrointestinal bleeding (GIB) is a very common condition at all ages, with high rates of morbidity and mortality, especially in case of acute presentation. Lieberman was complaining of being lightheaded and dizzy and the questions were asking what the nurse’s priority is after noticing the patient is pale. 4. pdf from ADULT HEAL NR324 at Chamberlain College of Nursing. Aorto-enteric fistulas may develop due to a multitude of 4. decrease the rate of transfusion and reassess vs in 15 min. Assess student prioritization, implementing actions, and clinical reasoning with GI Bleed Scenario Learning Outcomes: 1. She was admitted after her scheduled doctor’s appointment for Jan 17, 2019 · This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed Nursing Care Medications Client Education. Real Life Scenario GI Bleed Module Assignment Part One. 🙄. Answer the following questions at your table: a. However, nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are May 17, 2012 · More Free Nursing Simulation Scenarios. GI Bleed. Malaena: black, tarry stools caused by the presence of digested blood. Attach the power cord of the aquarium pump to the wireless on/off switch. Sponsored by the Ontario Regional Blood Coordinating Network, MHP Education Working Group and MHP Steering Committee Members: Jordan Tarshis, Katerina Pavens May 3, 2021 · Assisting patients with upper gastrointestinal bleeding is a crucial role for nurses, and as future nurses, students should demonstrate sound clinical judgment. These are downloadable text documents outlining details of a simulation scenario – everything from patient simulator settings to debriefing notes. Briefly describe GI bleed utilizing the ATI Active Learning Template- System Disorder 1. Research. Free scenarios currently for simulation in healthcare currently include: GI Bleed or “Blood & Guts”. Typical clinical features of upper gastrointestinal bleeding include: Haematemesis: typically ‘coffee-ground’ in appearance due to the presence of partially digested blood. Jun 29, 2018 · We developed a novel simulation case of a lower GI bleed secondary to intentional rodenticide ingestion for added complexity. Admitting Diagnosis: cellulitis of left lower leg Concurrent Illnesses: hypertension and adult onset diabetes or type 2 diabetes mellitus and COPD Social History: Lives alone, minimum wage job with no health care benefits Signs and Symptoms or Clinical Manifestations Hard to Learn about GI bleeding in our concept map lesson: Exploration of causes, symptoms, diagnosis, & treatments for gastrointestinal bleeding Jul 19, 2022 · Aorto-enteric fistula is a catastrophic condition that develops when a part of the aortic wall erodes into the adjacent gastrointestinal tract. assessment and vital signs. Prompt medical intervention is crucial in managing this condition. Real Life RN Medical Surgical 3. This document provides guided reflection questions for a medical-surgical/critical care case. Test: Endoscopy 1. What signs and symptoms would a patient display with a GI bleed? b. This is assessment data Typical symptoms of a GI bleed, such as coffee ground emesis and dark tarry stools. ATI Active Learning Template Morphine copy; MI - SBAR - MI - SBAR; May 3, 2021 · However, nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are limited. View iSBAR_GI_bleed. Jehovah’s Witness; Talk to them about the need for it; Ask if take blood products – do not assume b. The simulator provides multiple training opportunities, starting with constructive endoscopy skill tasks, through true-to Aug 18, 2021 · When someone is having red blood in their bowel movement, sometimes doing an EGD first makes the most sense! Jun 10, 2024 · For example, healthcare simulation may be used for undergraduate medical and nursing schools, internships, residencies and ongoing training for qualified practitioners. Since many variables are considered, a systematic approach is necessary to make an accurate diagnosis and promote appropriate View Homework Help - GI bleed simulation. Memory: 8 GB RAM. Rasmussen Mar 15, 2023 · View GI Bleed ISBAR. nasogastric lavage. May 3, 2021 · This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed Dec 3, 2014 · The GI Mentor is an evidence-based simulation platform for training of gastrointestinal upper and lower endoscopic procedures. GI bleeding can be acute or chronic, and it is usually caused by peptic ulcer disease, gastritis, esophagitis, diverticulitis, or inflammatory bowel disease. I m p l e m e n t orders for the patient with an acute GI bleed 2. Yes, stuck in the OR without a working charge. was born prematurely at 32 weeks gestation to S. Mar 18, 2024 · Clinical features of upper gastrointestinal bleeding. Target Fundamentals group: or early med-surg nursing students for recognizingchange in status, implementing immediate actions to protect airway and maintain circulation and notifying higher level of care using SBAR communication. A validated assessment tool, Lasater clinical judgment Rubric, may be used to evaluate the AACN concept of clinical judgment with simulation. Students develop an emotional connection to each situation and each live-actor client, who look and sound like they’re All KeithRN Clinical Reasoning Case Studies (CRCS) have been completely revised with new scenarios, clinical data, and a unique interactive format that simulates clinical realities with patient data that unfolds – just like clinical practice. See where the GI bleed is 2. The level of bleeding can range from mild to severe and can be life-threatening. Note the presence of orthostasis. It offers a comprehensive library of modules with more than 120 tasks and virtual patient cases. Student will identify patient data to support the need for an immediate. com Apr 14, 2023 · differential diagnosis of GI bleed: GI hemorrhage is usually easy to diagnose, but consider: Posterior epistaxis can cause patients to swallow blood, mimicking an upper GI bleed. Abstract. Michael Manfredi reviews how to assess a patient with gastrointestinal bleeding, including how to identify different etiologies, and revie Considerations. Begin to infuse the packed RBCs. GI Bleed; Related documents. Discuss the pathophysiology of this disease process/condition. Mar 12, 2021 · In this video, Dr. endoscopy - angiography. In addition, these bleeds may be diagnosed with the use of a CT scan with contrast, an MRI, upper endoscopy, or even a colonoscopy. A high-fidelity patient simulation was conducted among 80 undergraduate nursing students divided into a simulated control group Jun 29, 2004 · Appropriate primary care referrals may be required to provide adequate support. The Board does not warrant the accuracy of every item of information provided N4455 Nursing Leadership and Management. Place disposable underpads under the patient to retain the simulated blood that exits the manikin. Identify signs of decreased circulating volume in a patient with GI bleed. Frank blood in his urine and no fucking urology consult. 9% sodium chloride solution bag, prime the tubing with the 0. simulation 29 GI Bleed. Postpartum hemorrhage: A novel approach to large classroom simulation and debriefing. The blood often appears in stool or vomit but isn't always visible, though it may cause the stool to look black or tarry. You can browse through the list below to learn more or login to our Feb 3, 2023 · American College of Gastroenterology-Canadian Association of Gastroenterology Clinical Practice Guideline: Management of Anticoagulants and Antiplatelets During Acute Gastrointestinal Bleeding and the Periendoscopic Period - Guideline. Simulation Scenario Library. Contents: Gastrointestinal bleeding can be a symptom of many disorders of the GI tract. 2. 3. Not having effective tissue perfusion Nursing simulation scenarios allow students to provide real patient care. 5/18/2023. The curriculum included 12 total clinical scenarios. It occurs above the ligament of Treitz, the boundary between the duodenum and the jejunum. Primary causes arise via the native aorta, while secondary causes result from previous surgical interventions on the aorta when, most commonly, a synthetic graft material erodes into CAPSTONE: Transition to Professional Nursing (NURS 4350) 13 Documents. Correlate medication history with possible risk factors. Methods: The methodology included a pre- and post-conference of student performance in the management of sickle cell patients in the simulation lab and clinical setting. Abdominal pain: typically epigastric in nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are limited. This novel approach to simulation and debriefing can be used with any number of clinical situations and may be an essential first step toward cultivating clinical reasoning in the large classroom. Simulation I-SBAR CHAMBERLAIN COLLEGE OF NURSING I Introduce yourself S Situation B Background A Assessment Your Name: A collection of healthcare and medical simulation scenarios for you to use or modify. All of these tests have their own guidelines to A. National guidelines have been produced by the National Institute for Health and Care Excellence Avoid kinks or twists in the tubing that would inhibit the flow of simulated blood to the esophagus. “It’s all in the Head” Meti-meningitis/seizure. F. Patients can Aug 29, 2018 · Sign up here and try our FREE content: http://lectur. Perform a blood transfusion following nursing protocol 4. READ Podcast. morgan burke GI bleed. Gastrointestinal (GI) bleeding occurs when there is bleeding in any part of the digestive system, including the esophagus, stomach, small or large intestine. Fistulization can occur either primarily or secondarily, with secondary causes being more common. Troyan, P. Could also be used for Pre-licensure senior nursing students, new graduates, staff nurses. Check out our gi bleed simulation selection for the very best in unique or custom, handmade pieces from our digital shops. Abraham, MD, MSc (Epi), FACG. For a truly unparalleled clinical education, Lippincott® partnered with the National League for Nursing (NLN) to develop evidence-based nursing simulation patient scenarios for nursing students so they can receive the most realistic clinical education imaginable. Graphics: Nvidia GeForce GTX 3060. Full Article and more nur Lesson Objective for Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed. GI bleeding happens when there’s a There are various tests that can be used to diagnose GI disorders. 1. In the rare event of a life-threatening upper GIT bleed urgent IV access (large bore) and resuscitation is paramount (refer to Serious illness – ED Guideline). Nursing Diagnosis: Imbalanced Nutrition: Less Than Body Requirements Dec 22, 2020 · Gastrointestinal GI Bleed Nursing Interventions and Nursing Review In this tutorial for nursing students we will cover GI Bleeding. Provide 1 Becoming a member provides a great opportunity to network and share resources with other nurse educators and allied health professionals using simulation across Canada and internationally. Jan 7, 2023 · Citation 2, Citation 4–6 However, there are limited studies on nursing education through ward-round training. Emily Eley April 15, 2020 ATI Real Life RN Medical Surgical GI Bleed During the simulation, I experienced my “Aha” moment was when Ms. Simulation Pre-Work: Upper GI bleed NUR 304: Health & Wellness II Shift Report: Caron Eastlund, 66-year-old female a direct admission Q&A High-Risk Newborns Baby K. a symptom of a disorder in your digestive tract. Attach the packed RBCs bag to the Y-set tubing. It also references the QSEN competencies. Taylor Westfield is a 32-year-old Caucasian female with a history of warfarin therapy due to a mechanical heart valve. Technical Report Context The simulation was designed for the training of emergency medicine residents. 12/2021. Focused post-op assessment 2. Background 2 . Scenarios are developed by faculty at Kansas schools of nursing for use by nursing and allied health programs. (2020, November). Stable hemoglobin and hematocrit levels. The incidence of AUGIB is 37–172/10,000 adults, with a crude overall in-hospital mortality of 10%. Students develop an emotional connection to each situation and each live-actor client, who look and sound like they’re ATI Real-Life: GI Bleed. Module Report Tutorial: Real Life RN Medical Surgical 2. The Kansas State Board of Nursing has a free library of simulation scenarios designed by nursing faculty for nursing and allied health programs. C. N. docx from NURSING 210 at City Colleges of Chicago, Malcolm X. Nurse Esther notes Ms. Document Education Priorities/Discharge Planning in DocuCare OS: Windows 10. Hypotensive, tachycardic iii. Student will choose the priority nursing intervention for a patient. symptom of disorder in GI - hematemesis + melana. docx. 50% (2) View full document. pdf from NURS 410 at Central New Mexico Community College. g. Support. io/medytb2u T The purpose of the California Simulation Alliance (CSA) is to become a cohesive voice for simulation in healthcare education in the state, to provide for inter-organizational research on simulation, to disseminate information to stakeholders, to create a common language for simulation, and to provide simulation educational courses. Each case study uses a consistent framework of open-ended questions with rationale so students can Introduction. Citation 7–10. Name and describe a possible test, lab, or diagnostic study that may be ordered for a patient with this condition. 0 Module: GI Bleed Individual Name: GI Bleed simulation a. atitesting. List the sequence of techniques for the standard approach to assessing the abdomen in order. What factors increase this patient's risk for GI Bleed? The patient's risk for gi Jul 13, 2021 · Massive Upper GI Bleed. Prioritize nursing care of a patient with an acute GI bleed 3. Aug 4, 2022 · Gastrointestinal bleeding occurs due to various gastrointestinal disorders, including peptic ulcer disease, gastric cancer, and inflammatory bowel disease. Make sure you hide in the bathroom while you code maroon. What diagnostic procedures might be used for a patient with gastrointestinal bleeding and what are the nurse's responsibilities before and after the procedure? 12. Mar 30, 2022 · View 2 GI Bleed Careplan. 25. Acute upper gastrointestinal bleeding (AUGIB) is one of the most common emergency visits in China. Establish a therapeutic relationship using primary nurse model. Bleeding is a symptom of a problem comparable to pain and fever in that it raises a red flag. Processor: Intel Core i7-2300 | AMD FX-4350. SIM #4: Inflammation (GI Bleed) Prep Work Student Simulation Preparation: GI Student Learning Objectives: 1. Kayla Peters GI bleed. Sep 16, 2023 · The purpose of this article is to describe simulation as a strategy for teaching and mapping the AACN Essentials domain of Person-Centered Care and the concept of clinical judgment with prelicensure nursing students. 6. , Bertulfo, T. The following is a list of simulation scenarios that CAN-Sim makes available to members. Implement appropriate interventions to improve perfusion in a patient with GI bleed. 9% sodium chloride solution. View Assignment - GI bleed simulation questions . View simulation 29 GI Bleed. A. Most causes of upper GIT bleeding in children are self-limiting conditions. Experience SimX's GI Bleed VR scenario to diagnose, manage urgent care, and perform critical interventions in a simulated emergency department setting. GI Bleed or “Blood & Guts”. Body Function Strong Satisfactory Dec 28, 2023 · The patient is admitted to the hospital with an Upper GI Bleed. Evaluate Outcomes (Evaluation) a. Bloody diarrhea (e. Nursing Care Medications Client Education. 9% sodium chloride solution and then restart the transfusion at a slower rate. ATI learning template BNP (Natriuretic Peptide) ATI learning template for Gastrointestinal bleeding. docx from NURSING 102 at Economy and Technical High School - ISAT. GI Bleed Pathophysiology. Bleeding can often arise from the upper GI tract or the lower part of the GI tract. Took this from u/monsunis2 on r/hmmm. Feb 2, 2016 · The Glasgow- Blatchford score is a tool to identify which patients with gastrointestinal bleeding can be managed out of hospital and which need to be treated in a hospital setting. What collaborative management should the nurse anticipate for a patient with an acute NextGen vSim for Nursing equips instructors with student performance data such as scenario results and scores, decisions made by the student, and SBAR communication, to gain the actionable insights needed to help students maximize their learning opportunities. doc from NR 446 at Chamberlain University College of Nursing. Risk of hypovolemic i. Assess for signs and symptoms of sepsis 4. Simulation Objectives. Monitor vital signs frequently. Name: Date: Content Outcome: Practice the role of the professional nurse in promoting quality of care across the patient care experience. The scenario library is a free service intended to provide useful information for nursing programs in the State of Kansas. Recognize and manage a deteriorating hemodynamically unstable patient with a suspected upper gastrointestinal bleed The report will follow the Context-Inputs-Process-Product model to present the data compiled [9]. increase the rate of the infusion so all the blood will transfuse in the next 15 min. 723K subscribers in the nursing community. Lear ning Objectives: Student will utilize principles of nursing informatics to document a physical. Tutorial: Module: Reasoning Scenario Details GI Bleed - Use on 2/3/2022 7:00:50 PM Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation below for additional details. Lieberman is restless, her face is flushed, and reports having a headache. GI bleed can cause symptoms of low blood pressure or orthostatic blood pressure due to low blood volume. Each cohort attended three distinct 4-hour simulation-based sessions, each consisting of four scenarios followed by postevent debriefing. March 2022. Simulation: Valerie Jones Please complete the following assignments: Prior to scenario: 1. D. Table 1. He takes ibuprofen at home so he needs education about that and why he needs to stop taking it to prevent Gi bleeds in the future. Evaluate the patient’s response to nursing intervention 9 Rev. PresidentPelican3286. Neena S. mw jl ee jb of vl fq jq cg wj