Jules Morales

Patient History

100

What was Jules diagnosed with?

Non-small cell lung cancer

200

How long ago did Jules quit smoking?

20 years ago

300

What 2 meds has Jules been using to manage their pain?

Morphine drops and Fentanyl patches

400

How long has Jules and Charlie been together and where did they meet?

*Benign Improv

500

For Part 2, how long has the home hospice aide, Samantha been helping out with Jules' care?

1 week

I've Got Questions

100

What is Jules DOB?

01/02/1965

200

For Part 2, would Charlie like the participants to send a chaplain?

No chaplain. They are not religious but not sure what else to do but pray.

300

For Part 1, when was the last time they changed the Fentanyl patch?

Maybe 4 days or so.

400

For Part 2, What kind of support are the participants likely to provide?

Comfort, emotional, and spiritual support

500

Is there anyone else that would like to be present with Charlie at Jules end of life?

Yes, Nora would like to be there.

Bonus Round

100

For Part 1, which med will participants likely address during the visit?

The Fentanyl patch

200

For part 2, Jules has been ________ and ________ for the past 3 days.

Bedridden and Nonverbal

300

Does Jules die during Part 2?

No and the sim will end with the hospice nurse coming in to get an SBAR from the home health nurses. 

400

For Part 2, what is Charlie conflicted about with Neil and Nora?

Charlie isn’t sure how to be respectful of their wishes while remaining true to Jules. The rest of the family is very religious, and Neil would like to bring a priest in to give last rites and have the funeral at his church. Jules left that church and they both aren't religious.

500

What does SPICES stand for?

Sleep disorders, Problems eating, Incontinence, Confusion, Evidence of falls, Skin breakdown.