Task description:For this essay you are required to select ONE (1) case scenario related to the clinical deterioration of a patient:
Option 1: Acute Kidney Injury
Option 2: Cardiogenic Shock
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The assessment tasks requires you to:
1. Review The National Safety and Quality Health (NSQH) Standards; Recognising and Responding to Acute Deterioration. Recognising clinical deterioration is consider as a critical component to providing quality clinical care. The NSQH identifies eight factors that contribute to a failure to recognise and responding to clinical deterioration, and these include:
- Not monitoring physiological observations consistently, or not understanding changes in physiological observations
- Knowledge deficit of signs and symptoms that could signal deterioration
- Limited of awareness of the potential for a person’s mental state to deteriorate
- Knowledge deficit of delirium, and the benefits of early recognition and treatment
- Knowledge deficit of formal systems for responding to deterioration
- Knowledge deficit of skills to manage patients who are deteriorating
- Failure to communicate clinical concerns, including in handover situations
- Attributing physical or mental symptoms to an existing condition, such as dementia or a mental health condition.
Identify one (1) factor that is relevant to your chosen case study and;
1a. Using evidence beyond the NSQH standard, discuss why failure to recognise and respond to clinical deterioration occurs, along with identifying contributing factors within the clinical environment that may lead to or result in failure to recognise or respond to clinical deterioration.
1b. Identify an evidence-based approach that would aid in reducing incidences of failure to recognise and respond to clinical deterioration for future delivery of clinical care.
2.From the chosen case study identify and discuss two (2) signs or symptoms of clinical deterioration associated with the pathophysiology of the patients’ presenting problem.
3.Following on from your discussion, and related to the patients deterioration, identify one (1) priority problem associated with the patient’s clinical presentation, and through the application of contemporary research provide a justification as to why the problem is a clinical priority within the case.
4.Discuss two (2) evidence based clinical interventions to address the priority problem and how to evaluate the efficacy of these interventions.
What you need to do:
In order to undertake this essay, you will need to research the topic
using current and relevant peer reviewed literature, in conjunction with
reviewing:
- The lecture, tutorial and support materials associated with the relevant topic located on blackboard.
- Review the Quality Commission on Safety and Quality in Health Care; Standard: Recognising and Responding to Acute Deterioration
- Your knowledge and understanding related to:
1.The physiology and pathophysiology of the primary diagnosis and associated clinical data identified within the chosen case study;
2.The physiological assessments relevant to the features within the case study.
This assessment task is an individual assessment item and should be reflective of your own independent work.
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Length:1700 words +/-10% (word length includes in-text referencing and excludes your reference list and annotations).
Presentation requirements:
This assessment task must:
- Be a formal written academic essay containing an introduction,body and conclusion, addressing the task, its specified requirements and adhering to the prescribed word limit.
- Use QUT Cite Write APA referencing for citing academic literature
- Assessment cover page should include, student name, ID number, tutorial day and time, tutorial leaders name, case study title, and word count (actual).
- Be submitted in electronic form via Turnitin as a word document only. Submission made in any other form will not be accepted and a zero grade will be awarded.
- A minimum of 15 relevant references to be cited from valid, contemporary journal articles only, no older than 7 years.
- Include a footer on each page with your name, student number, unit code and page number.
- 3 cm margins on all sides, double-spaced text
- Use font, such as Times New Roman, Arial or Calibri; font size 12
- Cite Write APA 7th Edition style referencing
Learning outcomes assessed:
1.Consolidate knowledge of key NMBA Registered Nurse Standards for Practice, National Safety and Quality Health Services Standards, and National Health Priorities to enable effective decision planning and action in a range of complex clinical situations across the lifespan.
2.Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decision making associated with planning and action.
3.Demonstrate structured decision making and clinical reasoning to review a range of health situations, synthesise evidence and data, determine priorities and formulate plans of care and interventions in line with time frames and agreed goals.
What you need to submit:
One (1) word document that contains the following items:
1.A cover page with the items outlined in the presentation requirements provided. Must be submitted in electronic form via Turnitin by the assigned date. Emailed submission will not be accepted.
Resources needed to complete task:
- Case studies and clinical documents available on blackboard
- Documents such as additional readings available on your blackboard site.
- Access to the prescribed texts for this unit as outlined in the unit details
Assignment Hints
This assignment requires you to critically consider the signs and symptoms associated with clinical deterioration in relation to the patient’s primary clinical diagnosis, with consideration to:
- The change in health status associated with the primary clinical diagnosis;
- How the patients clinical history may impact on assessment data and core interventions;
- The identified clinical priority which should clearly emerge from your discussion of the patient’s health history and should be a clear and evident clinical priority.
- The application of clinical data and research to identify two (2) core interventions and assessments that address the stated clinical priority.
- Demonstrating your clinical reasoning within the selected case study.
- Demonstrating your understanding and application of evidence-based care i.e. the research you have selected to support your discussion and key points regarding clinical interventions and assessment outcomes.
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Additional information:
- There MUST be two (2) clinical interventions discussed to address the priority problem.
- Of the two interventions, a MAXIMUM of one (1) intervention can be solely related to a pharmacological agent. The second intervention may be nurse initiated and led or a collaborative intervention.
- All interventions should consider the nursing role within the provision of the intervention.