Discuss two signs or symptoms of clinical deterioration

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Reference no: EM132358989

Integrated Nursing Practice 3: On campus Assignment - The deteriorating patient

Learning outcomes assessed:

1. Consolidate knowledge of key NMBA Registered Nurse Standards for Practice, National Safety and Quality Health Services Standards, and National Health Priorities to enable effective decision planning and action in a range of complex clinical situations across the lifespan.

2. Apply knowledge of anatomy, physiology and pathophysiology to support evidence-based decision making associated with planning and action.

3. Demonstrate structured decision making and clinical reasoning to review a range of health situations, synthesise evidence and data, determine priorities and formulate plans of care and interventions in line with timeframes and agreed goals.

Assessment Task - Case Study: The Deteriorating Patient

Task description: For this essay you are required to select ONE (1) case scenario related to the clinical deterioration of a patient:

Option 1: Hypovolemic shock

Option 2: Septic Shock

The assessment tasks requires you to:

1. From the chosen case study identify and discuss two (2) signs or symptoms of clinical deterioration associated with the pathophysiology of the patients' presenting problem.

2. Following on from your discussion, and related to the patients deterioration, identify one (1) priority problem associated with the patient's clinical presentation, and through the application of contemporary research provide a justification as to why the problem is a clinical priority within the case.

3. Discuss two (2) nursing interventions to address the priority problem and how to evaluate the efficacy of these interventions.

4. Identify one psychosocial issue derived from the information provided within the case study, and applying a patient centred approach, discuss the care needs and considerations related to the patient and their family.

References: A minimum of 15 contemporary references no older than 7 years. The reference list is to be presented in accordance to QUT APA requirements and identify eight (8) papers that are considered by the author (you) to be of high importance. These eight (8) papers are to include a three (3) sentence annotation that outlines their significance (please refer to the example provided within this resource).

What you need to do: In order to undertake this essay you will need to research the topic using current and relevant peer reviewed literature, in conjunction with reviewing: The lecture and tutorial materials associated with the relevant topic.

Your knowledge and understanding related to:

1. The physiology and pathophysiology of the primary diagnosis and associated clinical data identified within the chosen case study;

2. The physiological assessments relevant to the features within the case study.

This assessment task is an individual assessment item and should be reflective of your own independent work.

Assignment Hints - This assignment requires you to critically consider the signs and symptoms associated with clinical deterioration in relation to the patient's primary clinical diagnosis, with consideration to:

  • The change in health status associated with the primary clinical diagnosis;
  • Consider how the patients clinical history may impact on assessment data and core interventions;
  • The identified clinical priority which should clearly emerge from your discussion of the patients health history.
  • The application of clinical data and research to identify two (2) core interventions and assessments that address the stated clinical priority.
  • Demonstrating your clinical reasoning with in the selected case study.
  • Demonstrating your understanding and application of evidence based care i.e. the research you have selected to support your discussion and key points regarding clinical interventions and assessment outcomes.

Additional information:

There MUST be two (2) nursing interventions discussed to address the priority problem.

Of the two interventions, a MAXIMUM of one (1) intervention can be solely related to a pharmacological agent and/or a collaborative intervention.

All interventions should consider the nursing role within the provision of the intervention.

Attachment:- Integrated Nursing Practice Assignment File.rar

Verified Expert

The current assignment was based on the case study of sepsis shock. The case study that was provided was thoroughly assessed to answer the questions that were associated with it. The various aspects associated with pathophysiology, nursing interventions and so on, have been discussed as well.

Reference no: EM132358989

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Reviews

len2358989

8/20/2019 10:49:31 PM

Length: 1700 words +/-10% (word length includes in-text referencing and excludes your reference list and annotations). This assessment task must: Be a formal written academic essay containing an introduction, body and conclusion, addressing the task, its specified requirements and adhering to the prescribed word limit. Use QUT CiteWrite APA referencing for citing academic literature. Assignment cover sheet must be included as the first page of your document with the assessment title, your name, student number, tutor name and word count included.

len2358989

8/20/2019 10:49:23 PM

A minimum of 15 relevant references to be cited from valid, contemporary journal articles only, no older than 7 years. Include a footer on each page with your name, student number, unit code and page number. 3 cm margins on all sides, double-spaced text and Use font, such as Times New Roman, Arial or Calibri; font size 12. CiteWrite APA style referencing. Resources needed to complete task: Case studies and clinical documents available within this document. Documents such as additional readings available on your blackboard site. Access to the prescribed texts for this unit as outlined in the unit details. Cite/Write APA guide.

len2358989

8/20/2019 10:49:16 PM

Please note: The use of websites as references is NOT permitted. The citation of textbooks are NOT included in the minimum referencing requirements (for example if you cite two (2) textbooks, you will still need 15 references to be cited from valid, contemporary journal articles, no older than 7 years). The submitted essay should NOT contain tables, figures or appendices. The use of dot points are NOT permitted. Subheadings are NOT permitted in this essay. What you need to submit: One word document that contains the following items: Assignment Cover Sheet that completed in its entirety and written assessment addressing the tasks as per the assessment outline. Must be submitted in electronic form via Turnitin by the assigned date.

len2358989

8/20/2019 10:49:09 PM

Rubric - Demonstrates a critical explanation that reflects a comprehensive interpretation and explanation of the assessment data; Comprehensive understanding of the central issues of the case – all key pathophysiological concepts and physical assessment data addressed to determine sign/symptoms of deterioration; Demonstrated a comprehensive depth of reasoning and logical and analytical thinking. Comprehensive and compelling application of pathophysiological and physiological concepts which demonstrated an understanding of links between the patient condition, and the priority problem.

len2358989

8/20/2019 10:49:01 PM

Provides a compelling, consistent and highly accurate argument supporting the relevance and appropriateness of the two nursing interventions using contemporary research and physiological justification. Outcome measures discussed are comprehensively supported by contemporary evidence and makes association with physiological concepts. Comprehensive and compelling application of contemporary research that articulates an compelling discussion of patient centred care approaches to support the patient and/or family during an acute admission.

len2358989

8/20/2019 10:48:54 PM

Demonstrates skilful and insightful use of high quality, credible and relevant sources to develop ideas, rationalise approaches and decision making that are appropriate to the clinical scenario. There is an excellent demonstration of conceptual understanding of content. Content is paraphrased and accurately reflects the ideas/concepts of the published works. Has sourced 15 contemporary research articles (journal only), and provided an accurate annotation 8 of the published research articles. Comprehensive, Clear and logical presentation; compelling and articulate development of an argument. Excellent syntax: language that skillfully communicates meaning to readers with clarity and fluency. Clear, readable, prose. Excellent use of transitions; no problems with spelling, punctuation, or grammar. Infrequent and minor mechanical problems. Errors do not impair readability. Did not use direct quotes. All relevant aspects of APA style are used correctly. Title page properly formatted, use of intext citations, format of references cited. Adhered to prescribed word limit.

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