In this paper the reflective analysis on a case study was given to enhanced knowledge and skills of nurses on assessment and evaluation in the care of patients at risk of deterioration.
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Recognising deteriorating patient critical analysis of the case study
Order Description
Critical analysis on recognising and responding to clinical deterioration: A case study
This assignment will illustrate a case study and focus to explore current nursing practice relating to the assessment and interventions required for recognising the
patient who is at risk of deterioration in the clinical environment. The insight into the value of clinical reasoning and critical thinking for the nursing
professional will be addressed. Critical reflection surrounding the identification and management of early warning signs, effective communication skills, clinical
judgments and professional role of nurses providing timely and appropriate managed care will be discussed.
A review of current literature has been undertaken from 2004 to 2014 to find the best available data on the subject. The literature search is outline in appendix 1
were critically analysed to provide an objective and balanced consideration of the issues arising, and limitations of current practice in regards to the nursing role
of recognition and management of patient deterioration. The search of the literature has been carried out using the electronic databases such as EBSCO host, Medline,
CINAHL, Science Direct and library search through the ……. University search engines. The key words used were: deterioration, critically ill, nurse, recognising,
management, evaluation, early warning systems, policies, recommendations, clinical judgments and nurse responsibilities. A total of ……articles were come up to be of
use, few of this were published outside the UK. However, through critical evaluation of the data presented it was decided that evidence was relevant and they were
considered appropriate to use. Subsequently, 125 article were identify using inclusion and exclusion criteria, year from 2004 and 2014, peer review journals. The
search shown the topic had been fairly well researched. However, a further search was undertaken using the terms communication, SBAR and RSCP to bring more concurrent
articles. In addition, Department of Health, the National Institute of Clinical Excellence, Patient Safety First, National Patient Safety Agency were useful
references.
Case Study
A case study centred on events witnessed by an author while providing a direct postoperative care to the patient in post anaesthetic care unit (PACU) – Observation
Area (OA). This reflective piece of work aim to provide a clear description of the situation with a critical analysis, where other options are considered as well as
reflection upon experience to examine what the health care practitioner would do should the situation arise again. In order to maintain confidentiality of the
patients, the patient will be referred to as Mrs. Jones (HCPC, 2008; NMC, 2008).
Mrs. Jones, a 32 years old mother, 42+ weeks pregnant was admitted to delivery suite for induction of labour. Due to prolonged labour and fetal bradycardia, Mrs Jones
underwent an emergency lower segment caesarean section (LSCS) under combined spinal/epidural anaesthesia (CSE). During surgical procedure patient shown signs of
tachycardia (121b/min), being hypertensive (158/75) and with a temperature of 37.6. C.
On admission to the OA, Mrs. Jones was enjoying her healthy baby boy. However, she has remained being hypertensive (155/84) and with elevated temperature of 37.8 C. In
order to provide an optimal pain relief the CSE stayed insitu. A junior midwife took over care for Mrs Jones following by handover from anaesthetic and scrub nurse.
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The post In this paper the reflective analysis on a case study was given to enhanced knowledge and skills of nurses on assessment and evaluation in the care of patients at risk of deterioration. appeared first on My Nursing Papers.
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