NSB236 Integrated Nursing Practice 3
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NSB236
Integrated Nursing Practice 3: On campus
ASSESSMENT TASK : The deteriorating patient
This document contains:
• Assessment
requirements.
• Detailed instructions for
completing the task.
• Criterion Reference
Assessment (CRA) Rubric
that markers use to grade
the assessment task.
NSB236: Integrated Nursing Practice 3
NSB236 – Assessment Task 3 Page 2 of 14
Assessment Task 2
| Assessment name: | 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: Acute Kidney Injury Option 2: Cardiogenic Shock The assessment tasks requires you to: 1. Review The National Safety and Quality Health (NSQH) Standards; Recognising and Responding to Acute Deterioration. Recognising clinical deterioration is consider as a critical component to providing quality clinical care. The NSQH identifies eight factors that contribute to a failure to recognise and responding to clinical deterioration, and these include: • Not monitoring physiological observations consistently, or not understanding changes in physiological observations • Knowledge deficit of signs and symptoms that could signal deterioration • Limited of awareness of the potential for a person’s mental state to deteriorate • Knowledge deficit of delirium, and the benefits of early recognition and treatment • Knowledge deficit of formal systems for responding to deterioration • Knowledge deficit of skills to manage patients who are deteriorating • Failure to communicate clinical concerns, including in handover situations • Attributing physical or mental symptoms to an existing condition, such as dementia or a mental health condition. Identify one (1) factor that is relevant to your chosen case study and; 1a. Using evidence beyond the NSQH standard, discuss why failure to recognise and respond to clinical deterioration occurs, along with identifying contributing factors within the clinical environment that may lead to or result in failure to recognise or respond to clinical deterioration. 1b. Identify an evidence-based approach that would aid in reducing incidences of failure to recognise and respond to clinical deterioration for future delivery of clinical care. |
NSB236: Integrated Nursing Practice 3
NSB236 – Assessment Task 3 Page 3 of 14
| 2. 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. 3. 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. 4. Discuss two (2) evidence based clinical interventions to address the priority problem and how to evaluate the efficacy of these interventions. References: • A minimum of 15 contemporary references no older than 7 years. • The reference list is to be presented in accordance to QUT APA 7th edition 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). • Indicate these in your list using ** (see example provided below). |
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| 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, tutorial and support materials associated with the relevant topic located on blackboard. • Review the Quality Commission on Safety and Quality in Health Care; Standard: Recognising and Responding to Acute Deterioration (https://www.safetyandquality.gov.au/standards/nsqhs standards/recognising-and-responding-acute deterioration-standard) • 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. |
| Length: | 1700 words +/-10% (word length includes in-text referencing and excludes your reference list and annotations). |
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