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NSG3RDP Semester One 2022 SCHOOL OF NURSING & MIDWIFERY NSG3RDP– Recognising and Responding to the Deteriorating Patient Assessment activity 1 - 2000 words (35% of overall subject mark) Due date: May 10th 2022 Subject Intended Learning Outcomes (SILOS) 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. 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) NSG3RDP Semester One 2022 Task In this assessment you are required to further explore the trauma case study introduced in topic two 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 (750 words) 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 (750 words) 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 (500 words) 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. NSG3RDP Semester One 2022 **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. Resources Australian Commission on Quality and Safety in Health Care. (2017). National Quality and Safety Health Care Standards Edition Two. Retrieved from https://www.safetyandquality.gov.au/wp-content/uploads/2017/11/National-Safety-and- Quality-Health-Service-Standards-second-edition.pdf GENERAL ASSESSMENT REQUIREMENTS SUBMITTING WRITTEN WORK WITH TURNITIN Turnitin is a web-based text-matching software system used at La Trobe University to assist you in writing your assignments and checking for similarity with existing published work. Please remember to allow adequate time to submit your assignment to Turnitin. It is your responsibility to have your assignment submitted by the assessment due date. Not receiving an originality report is not an acceptable reason for requesting an assignment extension unless it is a required part of the assessment. POLICIES, PROCEDURES AND GUIDELINES The University has a comprehensive policy framework to which both staff and students must adhere. You should familiarise yourself with those policies, procedures and guidelines likely to affect you especially the following: • Academic Integrity • Academic Progress Review • Assessment Policy • Adjustments to Assessment, including extensions to submission dates and Special Consideration • Validation and Moderation, including applications for review and re-mark ADJUSTMENTS FOR ASSESSMENT You may be affected by a range of adverse circumstances while you are preparing for or undertaking an assessment task. There are avenues for adjustments to your assessment depending on the circumstances you face. For more detailed information refer to the Assessment Procedure – Adjustments. REQUEST AN EXTENSION OF TIME TO SUBMIT AN ASSIGNMENT TASK Where you know in advance that you will not be able to submit an assessment task by the due date due to adverse circumstances that have affected you during the preparation of the task, you will need to request an extension of time to submit. This must be done at least three days prior to the due date. http://www.safetyandquality.gov.au/wp-content/uploads/2017/11/National-Safety-and- https://policies.latrobe.edu.au/document/view.php?id=221 https://policies.latrobe.edu.au/document/view.php?id=220 https://policies.latrobe.edu.au/document/view.php?id=216 https://policies.latrobe.edu.au/document/view.php?id=216 https://policies.latrobe.edu.au/document/view.php?id=380 https://policies.latrobe.edu.au/document/view.php?id=140 https://policies.latrobe.edu.au/document/view.php?id=380 https://policies.latrobe.edu.au/document/view.php?id=380 https://www.latrobe.edu.au/students/admin/forms/request-an-extension https://www.latrobe.edu.au/students/admin/forms/request-an-extension NSG3RDP Semester One 2022 Penalties normally apply if you submit an assessment after the due date. Poor time management is not an acceptable reason for an extension. To apply, go to https://www.latrobe.edu.au/students/admin/forms/request-an-extension/request SPECIAL CONSIDERATION If you have experienced serious short term, adverse and unforeseen circumstances that substantially affect your ability to complete an assessment task to the best of your potential, you may be eligible to apply for Special Consideration. To do this or find more information, go to http://www.latrobe.edu.au/special-consideration https://www.latrobe.edu.au/students/admin/forms/request-an-extension/request http://www.latrobe.edu.au/special-consideration NSG3RDP Semester One 2022 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. https://intranet.latrobe.edu.au/teaching-and-learning/teaching-support-and-tools/assessment-policy NSG3RDP Semester One 2021 School of Nursing & Midwifery: NSG3RDP/NSG3RDM Assessment One CRITERIA Excellent (> 80 %) Very good (70% - 79%) Good (60% - 69%) Fair (50% - 59%) Poor (<50%) mark="" question="" one="" discusses="" the="" possible="" causes="" of="" joanna’s="" changing="" condition="" explains="" what="" possible="" further="" deterioration="" could="" occur="" use="" of="" literature="" to="" support="" discussion="" (35%="" of="" total="" mark)="" 28="" +="" marks="" clearly="" and="" consistently="" discuss="" possible="" causes="" of="" the="" joanna’s="" changing="" condition="" clearly="" and="" consistently="" explains="" what="" possible="" further="" deterioration="" could="" occur="" demonstrated="" an="" excellent="" understanding="" of="" links="" between="" the="" necessary="" concepts.="" demonstrated="" clear="" and="" consistent="" evidence="" of="" critical="" appraisal="" of="" reference="" material="" evidence="" of="" synthesis="" of="" information="" and="" logical="" development="" of="" arguments="" 24="" -="" 27="" marks="" clearly="" and="" mostly="" consistently="" discuss="" possible="" causes="" of="" the="" joanna’s="" changing="" condition="" clearly="" and="" mostly="" consistently="" explains="" what="" possible="" further="" deterioration="" could="" occur="" demonstrated="" a="" very="" good="" understanding="" of="" links="" between="" the="" necessary="" concepts.="" demonstrated="" some="" evidence="" of="" critical="" appraisal="" of="" reference="" material="" some="" evidence="" of="" synthesis="" of="" information="" and="" logical="" development="" of="" arguments="" literature="" predominantly="" used="" effectively="" to="" support="" key="" ideas="" 21="" -="" 23="" marks="" good="" but="" inconsistent="" attempt="" to="" consistently="" discuss="" possible="" causes="" of="" the="" joanna’s="" changing="" condition="" good="" but="" inconsistent="" attempt="" to="" consistently="" explain="" what="" possible="" further="" deterioration="" could="" occur="" demonstrated="" good="" understanding="" of="" links="" between="" the="" necessary="" concepts.="" demonstrated="" inconsistent="" evidence="" of="" critical="" appraisal="" of="" reference="" material="" inconsistent="" evidence="" of="" synthesis="" of="" information="" and="" logical="" development="" of="" arguments="" literature="" inconsistently="" used="" to="" support="" key="" ideas="" 18="" -="" 20="" marks="" fragmented="" and="" inconsistent="" attempt="" to="" discuss="" possible="" causes="" of="" the="" joanna’s="" changing="" condition="" fragmented="" and="" inconsistent="" attempt="" to="" explain="" what="" possible="" further="" deterioration="" could="" occur="" demonstrated="" limited="" understanding="" of="" links="" between="" the="" necessary="" concepts.="" demonstrated="" limited="" evidence="" of="" critical="" appraisal="" of="" reference="" material="" limited="" evidence="" of="" synthesis="" of="" information="" and="" logical="" development="" of="" arguments="" literature="" poorly="" used="" to="" support="" key="" ideas=""><17 marks demonstrated lack of understanding of possible causes of the joanna’s changing condition demonstrated lack of understanding of what possible further deterioration could occur demonstrated lack of understanding of links between the necessary concepts. no evidence of critical appraisal of reference material no evidence of synthesis of information and logical development of arguments overreliance on direct quotes key ideas not supported by the literature /35 nsg3rdp semester one 2021 question two compares and contrasts 1. primary (abcde) 2. head to toe assessment use of literature to support discussion (35% of total mark) 28 + marks clearly and consistently compared the two methods of assessment demonstrated an excellent understanding of links between the necessary concepts. demonstrated clear and consistent evidence of critical appraisal of marks="" demonstrated="" lack="" of="" understanding="" of="" possible="" causes="" of="" the="" joanna’s="" changing="" condition="" demonstrated="" lack="" of="" understanding="" of="" what="" possible="" further="" deterioration="" could="" occur="" demonstrated="" lack="" of="" understanding="" of="" links="" between="" the="" necessary="" concepts.="" no="" evidence="" of="" critical="" appraisal="" of="" reference="" material="" no="" evidence="" of="" synthesis="" of="" information="" and="" logical="" development="" of="" arguments="" overreliance="" on="" direct="" quotes="" key="" ideas="" not="" supported="" by="" the="" literature="" 35="" nsg3rdp="" semester="" one="" 2021="" question="" two="" compares="" and="" contrasts="" 1.="" primary="" (abcde)="" 2.="" head="" to="" toe="" assessment="" use="" of="" literature="" to="" support="" discussion="" (35%="" of="" total="" mark)="" 28="" +="" marks="" clearly="" and="" consistently="" compared="" the="" two="" methods="" of="" assessment="" demonstrated="" an="" excellent="" understanding="" of="" links="" between="" the="" necessary="" concepts.="" demonstrated="" clear="" and="" consistent="" evidence="" of="" critical="" appraisal="">
Answered 1 days AfterMay 15, 2022

Answer To: has to be APA 7 referencingOnly question one and two to be answered

P answered on May 16 2022
82 Votes
Person-centered care to analyze Thoracic trauma
1. Explain the 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.
The trauma in United states is one of the leading causes for increased number of deat
hs (25 % of the deaths) (Jones, 1980). The most common trauma reported was the blunt or thoracic trauma that is associated with the bone injuries especially chest injuries. Thoracic trauma is one of the reasons for causing the chest injuries that left un treated results in the death of the patient (Reid et.al., 2013). The etiology of the thoracic trauma is associated with the hemothorax, failed chest, pneumothorax and in some of the patients will have simultaneous hemothorax and the pneumothorax and the reason are the bone injuries (Pearson et.al., 2017). The bone injuries are mostly associated with either the ribs damage or the clavicle damage and in some cases the intra-abdominal injuries were observed. The symptoms observed in these patients are pain, breathing difficulties, hypoxemia, pneumonia etc (Wu et.al., 2015). The Diagnosis of the thoracic traumas due to bone injuries can be diagnosed by using the X-ray and other radiographic imaging like CT scan, aortic imaging and physical clinical observation of the patients.
Pathophysiology:
The pathophysiology of the thoracic trauma may result in the morbidity or mortality of the chest trauma that is because of direct damage to the lungs or because of altered respiration mechanism of breathing (Dogrul et.al., 2020). The bone injuries may cause the pulmonary contusion or tracheobronchial leading to the hemothorax, pneumothorax or failed chest. The circulation process will get impaired because of the internal bleeding, decreased venomous and direct cardiac arrest because of damages of the myocardium. The imagining studies will help to analyze the internal damages with the significant chest trauma, ultrasonography to analyze the heart, CT scan to check the damages of the Aortic injury etc (Whizar-Lugo et.al., 2015) The blunt thoracic trauma results in the damages to the chest (ribs fracture), pulmonary damages etc. sometime myocardial injuries were also reported and the effect of the damage may depend on how the injuries has happed i.e. by accident of falls from the heights etc. This is one of the emergency conditions which requires a in detailed examination to analyze the internal injuries of the patients as in some cases these are not noticeable.
Case-study analysis:
In the current case study, the Joanna Cleese a 55-year got admitted to the emergency department with a sudden fall from the 2-meter height. The injuries reported for her after the admission into the hospital after preforming the initial assessments of the X-ray analysis of the chest, abdomen, pelvis, left arm that fractures were reported in the ribs, femur, ulna. From the CT scan of the Head laceration was diagnosed. Bruising of the chest, temporal area, thigh and left arm were noted. As soon as the patient got admitted the Intravenous fluids were administered to make hydrate the patient. Meanwhile the patient previous medical history was examined indicating that the patient is diagnosed with the Hypertension, Type 2 Diabetes, and Obesity...
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