NRS312: Deteriorating Patient Scenario - Pathophysiological Changes - Essay Writing Nursing Assignment Help

Assignment Task:

Task

Review the scenario provided on the NRS312 Interact 2 site (‘Mr John Kendrick’) and respond to questions based on the recognition, escalation and management of clinical deterioration in the body of an academic paper.

Utilise the resources provided for this assessment (in the ‘Assessment Materials’ page on the NRS312 Subject I2 site) and the relevant learning modules to support your understanding of the recognition, escalation and management of clinical deterioration in this scenario. Incorporating further peer-reviewed journal articles and textbooks to support your rationale will improve your grade.

Question 1. Recognise: 800 words

Describe the pathophysiological changes in the respiratory and circulatory systems in this scenario and explain how these changes are linked to the clinical manifestations evident in the patient’s initial presentation (within the first hour of presenting to the Emergency Department).

In your response:

• Describe the changes that have occurred as a result of the injuries sustained on the normal functioning of the respiratory and circulatory systems respectively

• Identify specific clinical manifestations (signs and symptoms) and explain how these manifestations have occurred as a result of the alterations to normal functioning that you have described.

Question 2. Escalate: 400 words

Critically analyse the escalation of deterioration with ISBAR in the scenario and evaluate the use of graded assertiveness in this scenario

In your response:

• Critically analyse the strengths and weaknesses of the way the ISBAR clinical handover has been structured, and the content in each section of the ISBAR.

• Propose at least one way that the communication could be improved in the scenario and provide a rationale for your proposal.

• Evaluate the way the nurse has used graded assertiveness in the situation, using the following and/or other peer-reviewed resources:

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