NSG3RDM - Recognising and Responding to the Deteriorating Patient - Nursing Assignment Help

Assignment Task :

Learning Outcomes  (NSG3RDM )
1. Explain common pathophysiology, as it relates to assessment data and pharmacology, which can result in the deterioration of an individual's condition in order to develop appropriate interventions. 
2. Apply the clinical reasoning cycle to provide person-centered 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. 
 

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 behavior or mood that can indicate deterioration in their mental state. Early identification of deterioration may improve outcomes and decrease interventions required to stabilize patients whose condition deteriorates in a health service organization. 
The warning signs of clinical deterioration are not always identified or responded to appropriately. The organizational and workforce factors that contribute to a failure to recognize and respond to a deteriorating patient are complex and overlapping (Australian Commission on Quality and Safety in Health Care, 2017) 
NSG3RDP/NSG3RDM Semester One 2020 

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 
 

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. (Please refer to the attached documentation) Using the information that you have identified from the NOC and the ISBAR 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 utilized 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 evidence-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. 

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