attached belowNSG3RDP Semester One 2021 SCHOOL OF NURSING & MIDWIFERY NSG3RDP– Recognising and...

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attached belowNSG3RDP Semester One 2021 SCHOOL OF NURSING & MIDWIFERY  NSG3RDP– Recognising and Responding to the Deteriorating Patient  Assessment activity 1 - 2000 words (35% of overall subject mark)  Due date: TBC 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 2021  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 (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 2021 **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 Conmission 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  How to find scholarly literature: http://latrobe.libguides.com/finding-information   How to reference using APA6: http://latrobe.libguides.com/referencing/referencing_tool  Submission process  Please use the submission template provided to document information. The document, which  includes the completed submission template should be submitted as ONE Word document.  Your assignment should be submitted via the Turnitin assignment submission link located in the LMS  site for this subject by the due date and time. The submission process is an automatic  acknowledgement that you have complied with the guidelines for student responsibility for  academic integrity: http://www.latrobe.edu.au/students/academic-integrity/explanation  If you have any questions about the assignment please contact the subject coordinator Jen  Austerberry either by emailing j.austerberry@latrobe.edu.au or calling: 94964457 or 0417562176.  Extensions and special consideration  Students must seek a formal extension to submit after the due date where there are extenuating  circumstances.  Please read the instructions on the following web page  http://www.latrobe.edu.au/?a=668155  You submit your request for an extension of the due date from this webpage.  If you have a personal issue or illness that is affecting your study, you may need to apply for special  consideration. It is recommended that you discuss your situation with the course coordinator (Liz  Pascoe) as soon as possible.   Eligibility to apply for Special Consideration does not automatically imply eligibility to receive it.   Certain criteria must be satisfied in order to receive Special Consideration. Please refer to the policy  information and on-line form located at: http://www.latrobe.edu.au/special-consideration  http://latrobe.libguides.com/finding-information http://latrobe.libguides.com/referencing/referencing_tool http://www.latrobe.edu.au/students/academic-integrity/explanation mailto:j.austerberry@latrobe.edu.au http://www.latrobe.edu.au/?a=668155 http://www.latrobe.edu.au/special-consideration NSG3RDP Semester One 2021  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:   • the fifth (5th) working day after the due date; or • feedback on the assessment task has been returned to any student by the Teaching Team member. The policy relating to late submissions can be located at:  https://policies.latrobe.edu.au/document/view.php?id=148  https://policies.latrobe.edu.au/document/view.php?id=148 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 (

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NSG3RDP– Recognising and Responding to the Deteriorating Patient
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 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.
Ms. Joanna experienced pneumothorax cracks and this may prompt pneumothorax strain, where an infection happens when air is caught under sure tension in the pleural depression, which uproots the mediastinal structures influencing the cardiopulmonary capacity. Breaks of the correct ribs 3-8 with clear removal of the fifth and sixth ribs. The meager pleural line and the absence of the aspiratory vessels in the correct pinnacle are plainly noticeable mirroring a pneumothorax. Subcutaneous emphysema of the thoracic divider (Hsu, and Sun, 2014). For a couple of cases, a locale of debilitated tissue shapes a single direction valve, and the volume of air in the space between the chest divider and the lungs rises. The assumed succession of occasions in this understanding is that she created intense injury because of inward breath of break causing bronchospasm, expanded alveolar pressing factor and afterward alveolar crack, trailed by interstitial emphysema analyzing along the vascular sheaths and connective tissue planes to the mediastinum. 
She likewise experiences cut of the head which may cause her haemorrhagic stun. Haemorrhagic stun happens when the body starts to close down because of a lot of blood misfortune. Individuals enduring wounds that include substantial draining may go into hemorrhagic stun if the draining isn't halted right away. Regular reasons for hemorrhagic stun include: serious consumes. profound cuts. It results from diminished blood volume (hypovolemia) brought about by an absence of blood, prompting decreased cardiovascular creation and perfusion of the heart. The blood vessel pressure progressively increments if the discharge is halted and the pulse diminishes as long haul compensatory components are empowered to re-establish normal blood vessel pressure (Klabunde, 2020). Blood pressure intercession is by an equilibrium of the heart yield and the fringe vascular obstruction. In idiopathic hypertension, most patients will have a close to typical heart yield, however their fringe obstruction is raised. The intercession of this obstruction is at the level of the arteriole. Similarly as with different tissues in the body, if there is drawn out tightening of the smooth muscle inside the arterioles, this will prompt hypertrophy and thickening of the vessel (Delong C, and Sharma S., 2020). Such patients create ischemic injury in imperative organs and whenever left untreated, prompts the disappointment of various organs. The multiple organ failures can also occur as part of such deterioration in the patients which requires thorough monitoring and care.
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) 
The ABCDE approach is expected as a quick bedside appraisal of a weakening/basically sick patient, and it is intended to give the underlying administration of dangerous conditions arranged by need, utilizing an organized technique to keep the patient alive and to accomplish the initial steps to progress, as opposed to making a complete conclusion (Smith 2003). The ABCDE approach, provisional diagnosis, and care is performed simultaneously and persistently. The reason is here and there obscure despite the fact that an indispensable condition is obvious; in these cases, life-saving consideration should be started before an indisputable analysis is made.

NSG3RDP Semester One 2021 SCHOOL OF NURSING & MIDWIFERY NSG3RDP– Recognising and Responding to the Deteriorating Patient Assessment activity XXXXXXXXXXwords (35% of overall subject mark) Due date: TBC...

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