Explain Aboriginal and Torres Strait Islander People and Elliot Case Study - Nursing Assignment Help

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Assignment Task

 

 

 

Task 

 

Elliot, a 67-year-old Aboriginal man, came in yesterday with chest pain. ECG revealed acute ST-segment elevation (in leads V2-V6) myocardial infarction (STEMI). Elliot was transferred from the emergency department to Cath lab for an urgent angiogram and percutaneous coronary intervention (PCI) as he was at risk of cardiogenic shock.

Day 1 post PCI, Elliot has an elevated Troponin (53 ng/L as of 0600 today). He feels tired today and is sitting out of bed as he states that it improves his breathing. Elliot has had a restless night, and at 0200hrs, began to desaturate (Sp02 92% RA). Subsequently. he was commenced on oxygen at 61/min via Hudson mask. He removed the oxygen in the morning as he found the mask uncomfortable. His medical past history includes Hyperlipidemia, T2DM, and he smokes one packet of cigarettes in two days. He weighs 130kg, and his height is 140cm. After your iti,,ial safety check, you take
his vital signs.

Elliot's BP is 100/60 (the last reading was 115/70).
His heart rate is 74 (slightly raised since the last reading when his heart rate was 64).
Temperature 37.5. (from 36.8)
His respiratory rate has increased to 24 breaths per minute (from 18 breaths per minute).

You were caught up with the other two patients and did not get a chance to check up on Elliot. It is 1000hrs now, and you heard a METCaII being announced for Elliot's room. As you entered his room, you noticed that he was confused, cyanotic,and looked lethargic. His BP is 86/50, and his HR is irregular and tachycardic. As the MET arrived, Elliot became unconscious, and you started cardiac compressions.

Complete the Part A and Part B requirements below.
Submit your work before the due date by following the submission instructions.


Assessment 2: Part A 

It appears there is some confusion around Assessment 2-Part A questions one and two.
No introduction, body, or conclusion is required.
You can number your answers as 1, 2, and 3 or use subheadings such as Contributing factors, Four Nursing Strategies, and Validated risk assessment tools. It You need to use as many resources as necessary to support your argument.

1) Read Recognisin need to be within ten years and Responding to Acute Deterioration Standard and other evidence-based resources (peer-reviewed articles) on deteriorating patients identify the contributing factors. and develop knowledge on why patients deteriorate in a hospital setting, Upon understanding why patients deteriorate, now look at the case scenario and

2) You developed knowledge on why patients deteriorate and identified the contributing factors in question one. Now read the case scenario,
 current condition, and identify d discuss for nursing strategies to be implemented during his hospital stay to prevent further complications.look at Elliot's 3) Identify two validated risk assessment tools that recognise patient deterioration wsth effectiveness with supporting evidence.escalation processes embedded and discuss/critique the evidence 


Assessment 2: Part A Individual Written Assignment

a.Refer to the NSQHS second edition for Recognising and resources/Standards to identify and explain the contributing,ponding to Acute Deterioration Standard and other evidence-based factors for Elliot's deteriorating condition.

b.Using the NSQHS second edition for Recognising and Responding to Acute Deterioration Standard and other evidence-based resources/Standards, identify and discuss four evidence-based prevention nursing strategies that can be implemented for Elliot during his hospital stay to prevent further complications. 
Identify two different validated risk assessment tools that recognise patient deterioration with clear escalation processes embedded and discuss/critique the effectiveness with supporting evidence.

 

Assessment 2: Part B Group presentation

Explain why we have a specific National Safety and Quality Health Service Standard for Aboriginal and Torres Strait Islander people and how can we manage Elliot's care in the community informed by these Standards? (12 minutes presentation) 
a) Provide a brief description of what Aboriginal and Torres Strait Islander Standard is and entails.
b)Explain why we have a specific standard for Aboriginal and Torres Strait Islander People.

 

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