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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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
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 XXXXXXXXXXwords)
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 XXXXXXXXXXwords)
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 XXXXXXXXXXwords)
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 XXXXXXXXXXNational 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 XXXXXXXXXX or calling: XXXXXXXXXXor XXXXXXXXXX.
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: XXXXXXXXXX
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 (<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
XXXXXXXXXXmarks
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
XXXXXXXXXXmarks
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
XXXXXXXXXXmarks
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
reference material
Evidence of synthesis of
information and logical
development of
arguments
XXXXXXXXXXmarks
Clearly and mostly
consistently compared the
two methods of assessment
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
XXXXXXXXXXmarks
Good but inconsistent
attempt to compare the two
methods of assessment
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
XXXXXXXXXXmarks
Fragmented and
inconsistent attempt to
compare the two methods
of assessment
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 the two
methods of assessment
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
Question Three
Discusses why a changing
respiratory rate is an
important indicator of clinical
deterioration.
Explains how the respiratory
rate can be measured reliably
and accurately
USE OF LITERATURE TO
SUPPORT DISCUSSION
20 + marks
Clearly and consistently
discusses the changing
respiratory rate
significance and explains
the means of achieving
assessment accuracy
Demonstrated an
excellent understanding
of links between the
necessary concepts.
Demonstrated clear and
consistent evidence of
critical appraisal of
reference material
XXXXXXXXXXmarks
Clearly and mostly
consistently discusses the
changing respiratory rate
significance and explains the
means of achieving
assessment accuracy
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
16-17 marks
Good but inconsistent
attempt to consistently
discuss the changing
respiratory rate significance
and explain the means of
achieving assessment
accuracy
Demonstrated good
understanding of links
between the necessary
concepts.
Demonstrated inconsistent
evidence of critical appraisal
of reference material
13 – 15 marks
Fragmented and
inconsistent attempt to
discuss the changing
respiratory rate significance
and explain the means of
achieving assessment
accuracy
Demonstrated limited
understanding of links
between the necessary
concepts.
Demonstrated limited
evidence of critical
appraisal of reference
<12.5 marks
Demonstrated lack of
understanding of the
significance of the
respiratory rate or the
means of achieving
accuracy.
Demonstrated lack of
understanding of links
between the necessary
concepts.
No evidence of critical
appraisal of reference
material
/25
NSG3RDP Semester One 2021
(25% of total mark)
Evidence of synthesis of
information and logical
development of
arguments
development of arguments
Literature predominantly
used effectively to support
key ideas
Inconsistent evidence of
synthesis of information and
logical development of
arguments
Literature inconsistently used
to support key ideas
material
Limited evidence of
synthesis of information
and logical development of
arguments
Literature poorly used to
support key ideas
No evidence of synthesis
of information and logical
development of
arguments
Overreliance on direct
quotes Key ideas not
supported by the
literature
ACADEMIC INTEGRITY &
FORMATTING
(5% of total mark))
5 marks
Correct use of APA V6 in-
text and end-text format.
Use of submission
template and specified
formatting. No spelling
typing or grammatical
errors
Within 10%-word limit.
4 marks
Correct use of APA V6 in-
text and end-text format,
minor errors.
Use of submission template
and specified formatting.
Minor spelling, typing &
grammatical errors.
Within 10%-word limit.
3 marks
Occasional errors in APA V6
format.
Use of submission template
and specified formatting.
Minor spelling, typing &
grammatical errors.
Within 10%-word limit
2 marks
References provided but
incorrect use of APA V6
format.
Use of submission
template. Inconsistent use
of specified formatting.
Consistent spelling, typing
and grammatical errors.
Within 10%-word limit
≤1 mark
Referencing does not
adhere to APA V6
format.
Specified presentation &
formatting not used.
Spelling, typing and
grammatical errors
throughout the paper
which impact on fluency
and coherency.
Exceeds 10%-word limit.
/5
/100
NSG3RDP Semester One 2021
Attached documentation
Handover ISBAR
Setting Emergency Department
Time frame: Three hours post arrival by ambulance. (1730hrs)
Patient identification Joanna Cleese
55-year-old female
Social history
Lives alone Widowed Three adult children
Works in IT as a computer programmer
Situation/Setting the scene
Initial Investigations/treatment
Joanna was up on a ladder cleaning the gutters
when she fell approximately two metres onto a
concrete path.
Joanna was found by her neighbour
immediately following the fall, lying face down
on her left side on the concrete path.
Initially Joanna was unresponsive for 2-3
minutes before responding to voice in a
confused manner.
An ambulance was called by the neighbour and
Joanna was transported to La Trobe Emergency
Department.
Injuries include
Haemopneumothorax
Fractured ribs 3-6
Fractured left neck of femur (NOF)
Fractured left radius and ulna
Head laceration
Generalised bruising to left chest and shoulder
temporal area, left abdomen, thigh and left arm
Chest/abdomen/pelvic/ left arm and leg x-rays
Head CT scan
Intercostal catheter (ICC) inserted 5th
intercostal space mid axillary line
Two wide bore intravenous cannulas’
Intravenous (IV) fluid administration
Intravenous pain management
Left wrist splinted
Left leg external traction
Background/Past medical and
surgical history
Medications
Hypertension
Recently diagnosed Type 2 Diabetes
Obesity BMI 40
NSG3RDP Semester One 2021
Allergies
Ramipril 5mgs BD orally
Metformin 500mgs BD orally
Penicillin
Assessment information Airway patent
Patient verbalising
RR 26
ICC insitue 20cm suction, absence of swing or
bubbling
200mls frank blood drained initially, nil further
drainage
O2 Sat 94% nasal prongs 2lpm O2
Temp 36.5
GCS 14 confused to time and place
P/S 8/10 chest, leg and abdomen
HR 120
BP 90/55
Recommendations/ Important
considerations
Patient awaiting transfer to general surgical
ward.
Remains nil by mouth (NBM)
Surgical repair of #NOF planned for next day
Continues IV fluids, analgesia
Hourly observations.
Included documentation
National patient observation chart
NSG3RDP Semester One 2021
Answered 1 days AfterMay 11, 2021

Solution

Vidya Biju answered on May 12 2021
27 Votes

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