NSG3RDP Recognising And Responding To The Deteriorating Patient Assignment-La Trobe University Australia.

Assessment activity 1 – 2000 words (35% of overall subject mark)
Due date: TBC
Subject Intended Learning Outcomes
1.Explain common pathophysiology, as it relates to assessment data and pharmacology, that can result in deterioration of an individual’s condition in order to develop appropriate interventions.
2.Apply the clinical reasoning cycle to provide person-centred care for individuals experiencing a deterioration in health in order to provide safe nursing care.
3.Develop an awareness of and contribute to the risk management strategies of a healthcare agency, in order to implement incident reporting procedures and apply risk management procedures.
NSG3RDP Recognising And Responding To The Deteriorating Patient Assignment-La Trobe University Australia

NSG3RDP Recognising And Responding To The Deteriorating Patient Assignment-La Trobe University Australia

Context
Serious adverse events, such as unexpected death, intensive care admission and cardiac arrest, are often preceded by observable physiological, clinical abnormalities and deterioration. Other serious events, such as suicide and aggression, are also often preceded by observed or reported changes in a
person’s behaviour or mood that can indicate deterioration in their mental state. Early identification of deterioration may improve outcomes and decrease interventions required to stabilise patients whose condition deteriorates in a health service organisation.

The warning signs of clinical deterioration are not always identified or responded to appropriately.The organisational and workforce factors that contribute to a failure to recognise and respond to a deteriorating patient are complex and overlapping (Australian Commission on Quality and Safety in Health Care, 2017)

Task
In this assessment you are required to further explore the trauma case study introduced in topic two and three of your LMS and workshop materials for NSG3RDP/RDM.

You will be provided with an ISBAR handover and a National Observation Chart (NOC) for Joanna Cleese. (These documents will be attached at the end of this instruction sheet)

Using the provided information and current academic literature please provide a response to the following three questions

NSG3RDP Recognising And Responding To The Deteriorating Patient Assignment-La Trobe University Australia

NSG3RDP Recognising And Responding To The Deteriorating Patient Assignment-La Trobe University Australia

Instructions
Please answer the following questions as instructed
Question 1
The condition of your patient Joanna Cleese described in the ISBAR handover, appears to be changing.

Using the information that you have identified from the NOC and the IS BAR case study handover:

1.Discuss the possible causes of Joanna’s changing condition, supporting your response with contemporary literature and the associated significant cues, signs and symptoms listed in the case study.
2.Explain what possible further deterioration could occur for this patient, with a detailed evidenced -based response.
(Please support your justification and rationales with quality peer-reviewed literature).

Question 2
There are many tools that can be utilised when assessing a patient. When assessing a deteriorating patient accurate assessment is essential. Compare and contrast the following methods of patient assessment and their appropriate applications for the deteriorating patient.

  1. Primary (ABCDE)
  2. Head to toe assessment
    (Please support your discussion with evidenced based literature).

Question 3
A change in a patient’s heart rate, blood pressure, temperature and respiratory rate can all be an indication of clinical deterioration. It has been suggested that a changing respiratory rate is the earliest indication of clinical deterioration and yet it is often not measured correctly, or not measured at all. Using evidence-based literature to support your
arguments:

1.Discuss why a changing respiratory rate is an important indicator of clinical deterioration.
2.Explain how the respiratory rate can be measured reliably and accurately.

**Discussions are to be supported with relevant and contemporary literature.
**References: Reference list and appendices are excluded from the word count.
**References to be no older than ten years
**10% word limit allowed.

NSG3RDP Recognising And Responding To The Deteriorating Patient Assignment-La Trobe University Australia

NSG3RDP Recognising And Responding To The Deteriorating Patient Assignment-La Trobe University Australia

Late submission
There are policies and procedures to guarantee fair, consistent and transparent treatment of late submission of assessment tasks provide equity around extensions to submission dates and penalties associated with not submitting assessment by the due date and time.5% of the total possible marks will be deducted each day (or partial day) delayed submission, for a maximum of up to five (5) working days after the due date. Assessment tasks will not be accepted after the following occurrences:

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