Respiratory Assessment

Improved Essays
One of the main traditional roles of nurses is the surveillance of patients, which may include watching patients for alterations in their condition, early recognition of clinical deterioration, and protection from harm and errors (Considine, 2005; Yuan, Drost & McIvor, 2013). Though there is consensus regarding the importance of respiratory assessment in the prompt detection and reporting of alterations, there is a demonstrated lack of willingness by nurses to incorporate respiratory assessment into their clinical practice, which can delay essential treatment. This is worrying given that an increasing demand for hospital beds, combined with a trend of an increasingly aging population and shorter hospital stays, has resulted in increased patient …show more content…
As demonstrated by Duff, Gardiner and Barnes (2007), the assessment of respiratory rate serves various functions like being an early marker of acidosis. Respiratory assessment is also one of the most significant indicators of critical illness (Ansell, Meyer & Thompson, 2014; Philip, Richardson & Cohen, 2013). For instance, as noted by Ansell, Meyer and Thompson (2014), an increase in the patient’s normal respiratory rate of even three to five breaths per minute is an early and significant indication of respiratory distress and possible hypoxaemia. In essence, therefore, competent respiratory assessment is a foundational requirement of nursing practice, where properly educated nursing professionals have the capability to conduct regular, systematic examinations that facilitate awareness of changes in the condition of the …show more content…
In this regard, nurses play an important role in the prevention of adverse events related to respiratory dysfunction, which is documented as a predecessor of medical emergencies and cardiac arrest (Cretikos et al., 2008; Hogan, 2006). Effective respiratory assessment, therefore, ensures that clinical findings can be clearly connected to diagnostic decision making and patient care plans. However, it is important to warn rather than rushing into listening to the breadth sounds, the assessment ought to be done in an organized and logical approach. In addition, for the acutely ill patient, respiratory rate ought to be confirmed for a complete minute, instead of 30 seconds, and then doubled (Considine, 2005; Odell, Victor & Oliver, 2009). Respiratory rate should also be assessed and classified as eupnoea, tachypnoea, bradypnoea or hypopnea (Smith et al., 2011). Such labelling encourages the nurse to consider the factors underlying the respiratory rate.
Conclusion
The current analysis demonstrates that respiratory assessment is an important means of gathering information and as a factor in the timely mitigation of adverse events. As demonstrated, this can be particularly valuable in the initiation of timely clinical referral or intervention following the analysis of clinical data. In conclusion,

Related Documents

  • Improved Essays

    Patient will participate in activities that reduce the workload of the heart. Monitor patient’s abnormal heart and lung sounds. Monitor patient’s blood pressure and pulse since patient has history of shortness of breath and hypertension. Assess patient’s mental status and level of consciousness since shortness of breath can lead to confusion, lethargy, and altered consciousness due to poor perfusion and oxygenation.…

    • 1735 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Case Study Asthma

    • 1233 Words
    • 5 Pages

    A case study of asthma in a 10 year old European child. This case study will cover the normal structure and function of the respiratory system. This case study will also discuss the changes that occur when asthma is triggered, and the routine diagnostic tests/vital signs for asthma. The normal range of the routine tests/vital signs for asthma and three nursing interventions that are required to meet the clients needs in relation to asthma will be explained further.…

    • 1233 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    As part of the NA401 Foundation Skills for Nursing assessment, I undertook a clinical simulation of 10 minutes and was required to assess and record the patient’s vital signs Pulse and Respiration. Vital Sign are fundamental part of practice care, as it can direct the body’s ability on maintaining they natural function , they are essential in revealing any changes that could give indication of clinical deterioration of the patient state. I have used the Observation Chart for the national Early Warning Score to record and report the observations correctly. All nurses are required to conserve an up to date records of all assessments to enable the ongoing care of patients as mentioned in the NMC Code of practice (NMC, 2015). I have chosen the…

    • 347 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    C464 Task 1 Business Plan

    • 508 Words
    • 3 Pages

    C464 Task 1 Presentation Plan Outline Audience: My ideal intended audience is registered nurses who are employed in positions such as floor nurses or clinic nurses who provide direct patient care. Additionally, any employee who provides patient care, such as Certified Nursing Assistants, can benefit. The topic may also benefit nurse managers and trainers when communicating with staff and training new employees. This topic is significant to this audience because the primary concern for nurses and other healthcare providers is providing quality patient care, and one issue that many healthcare workers struggle with is stress-reduction.…

    • 508 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    This is the case of Giovanni DeBella, a 72 year old, male who was brought to the emergency department with complaints of shortness of breath and feeling of suffocation. He was diagnosed with acute indications of heart failure wherein the heart fails to fill and eject blood necessary for circulation (Brown, Edwards, Seaton, & Buckley, 2015 p.775-776). His presenting signs and symptoms include fatigue, shortness of breath, pitting edema, crackles, tachycardia, tachypnea and oxygen saturation (O2Sat) of 91 per cent. Hence, the two nursing priorities discussed in this paper are impaired gas exchange and fluid volume overload. The management of these health issues include both collaborative and independent interventions which consist the use of…

    • 160 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Summary: Candice Joah

    • 1040 Words
    • 5 Pages

    The patient saturation before the change of shift was at 91%. This short term goal was achievable due to clear communication skills the team. The incoming nurses were able to maintain the patient oxygen saturation of at least 90%. The patients pain was well controlled and decreased dreastically within the 12 hour shift. In addition to medication, the respiratory team was able to teach the patient effective ways of using instruments to improve adequate breathing.…

    • 1040 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Capnography Monitoring

    • 1144 Words
    • 5 Pages

    Next, the interdisciplinary team will develop an education module about OIRD, respiratory sedation assessment, use of capnography, and differences between use of capnography and pulse oximetry monitoring (Carlisle, 2015). Also, a short and concise handout about capnography can be distributed around the other units of the hospital. In addition, monthly collaboration meetings can help to share EBP projects results and outcomes between the company’s healthcare institutions around the state. Another way to disseminate the new capnography practice is to involve a group of registered nurses (RNs) in the publishing of a paper about OIRD and capnography in a nursing journal. Later, RNs students working towards their BSN degree will develop a staff education video about the new capnography protocol.…

    • 1144 Words
    • 5 Pages
    Great Essays
  • Great Essays

    Early identification improves patient outcomes (ACSQHC, 2012). Governance arrangements are in place to ensure policies and protocols for all organisations have response systems in place (ACSQHC, 2012). Standard 9 of the National Safety and Quality Health Standards (NSQHS) recognises that there needs to be systems in place to ensure that if a patient is deteriorating that this is recognised promptly, but also that appropriate action is taken (Australian Commission on Safety and Quality in Health Care (ACSQHC, 2012). This simulation provides students with the opportunity to utilise such resources as well as their clinical reasoning to identify changes in the patient condition and respond…

    • 2124 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Key Selection Criteria

    • 716 Words
    • 3 Pages

    The patient is paramount and patients' safety is the priority. Therefore as an RN to-be, I have always ensured that my clinical knowledge, competencies and practices are up to date. Moreover, the knowledge that I have obtained must be the safest, quality and evidence-based practice for my patient. During my Bachelor of Nursing, I have been obtained clinical suggestions and up-to-date nursing knowledge from my tutors throughout the time that I have studied at the University. Additionally, I have spent most of my time doing medical and clinical research of current evidence-based practices from approved government-based resources.…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    What Does a Critical Care Nurse Do? While what a critical care nurse does depends on their specific health care organization, all critical care nurses share basic responsibilities. Intensive Care RN Intensive care RNs deliver safe, quality and individualized care to their patients. They must follow standard nursing procedures and always provide improvement suggestions.…

    • 512 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Sepsis Case Studies

    • 1000 Words
    • 4 Pages

    This will include education and implementation of the two screening tools for sepsis. The education will be implemented by the development of an eCourse that will be mandatory for all medical acute and critical care nurses to complete as well as a Situation, Background, Assessment, and Recommendation (SBAR) on the new tools that will be sent to every unit system-wide. The implementation of qSOFA and SOFA screening will provide nurses a resource to helpl to help detect early signs of sepsis in medical acute and critical care settings. Research and evidenced-based practice has shown SOFA and qSOFA assist quickly identifying early signs of sepsis.…

    • 1000 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Nurse’s role is to care for the patients, support and recovery them from disease or any medical condition they came with and improving their quality of lives and get them back to community to function as normal. But not always things go smoothly as planed. Nurses work with other multi-disciplinary team to achieve the goal. Nurses encounter loads of ups and downs therefore Nurses have an immense responsibility to recognizing and rescuing the deteriorating patients. It’s a challenging work, which comes with plenty of clinical experiences and great deal of knowledge.…

    • 963 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    1. What factors predisposed Mr. W. to acute kidney injury? Some of the factors that caused Mr. W’s acute kidney injury are fever of 38.5° C, severe abdominal pain & nausea due to pancreatic inflammation with intra-abdominal ascites. One of the symptoms of ascites is infection which can cause kidney failure if not treated (ACG, 2013).…

    • 999 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The nursing profession is fortunate enough to hold an immeasurable amount of the public’s trust during their most vulnerable moments, in the hope of receiving optimal client centred care. A recent survey discovered that nurses are second to firefighters in a list of most trusted occupations (CNA, 2007). Moreover, nurses have the privilege of being in a self-regulated and self-governed profession. This means that the Canadian government believes that Ontario’s nursing regulatory body, College of Nurses of Ontario (CNO), is best qualified to appropriately define its own members’ norms of practice and boundaries (Schiller, 2014). It is incumbent upon nurses to continuously justify that they are deserving of this honour by delivering uncompromised…

    • 794 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    These patients should also consult with their physicians to implement specific protocol in the event there is a life-threatening emergency. Life-threatening emergencies include rapid and worsening SOB or wheezing, little improvement after the use of a quick relief inhaler, and SOB during mild exertion. Patients should notify their physician if they believe they have asthma, to monitor symptoms after being diagnosed with asthma, if their symptoms become worse, and to review the effectiveness of their current treatment (Mayo Clinic,…

    • 3337 Words
    • 14 Pages
    Great Essays