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. This can be very overwhelming and intense at time. Not all the nurses are experienced and know how to handle it. Decision-making is very crucial at the time. Partial experience and
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Failures to recognize deterioration were identified as an issue in 81% of cases. Failures to respond adequately were identified in 46% of cases, and failures to communicate about deterioration in 38%(Australian Commission on Safety and Quality in Health Care, 2014). Inability to detect deteriorating patient have lead to many consequences therefore recognizing patient deteriorating and timely response and appropriate response could be very essential to save their lives (Taenzer et al 2011). Nurses play a vital role when caring for patients who are all different to one another thus its very important to recognize changes by involving with the patients care and assessing them over time period. (Kenward and Hodgetts 2002, Minick and Harvey 2003). Therefore to be able to timely recognize the deteriorating patients a nurse should have clinical experience, skills and knowledge. To avoid a patient to deteriorating we could always look for any abnormal signs and symptoms, re-checking their neurological observation as required, communicating with them and the medical team, documenting all the details, quick decision making and implementing intervention timely. The complication of not treating deteriorating patients leads to prolong …show more content…
BGL 13mmg. Up on inspection left pupils didn’t dilute properly and didn’t respond to light as compared to right pupil. Feeling nauseated. She rated the pain as 8/10 and as throbbing. Injured her Right side of the head. Her sensation was normal to touch. Gait is normal. Her speech was slurred. Had slight trouble swallowing.
Signs and symptoms: Loss of consciousness, Drowsy, Shortness of breathing, Dysphasia, Ocular signs, decreased motor function, Headache, vomiting.
Assessment: Glasgow coma scale, Assessing for changes in LOC, pupil reaction and size, motor function, sensory function and vital signs and pain score, Family history, medical history.
Clinical reasoning
Aitken (2003) states that when adequate thought and clinical reasoning are not met its can have a negative impression on a patients condition. Levett-Jones etal (2010, p. 515) also said that clinical reasoning is the technique, which is beneficial for the medical team to collect cues, plan and implement the interventions, evaluate the outcome and reflect on and learn from the process therefore clinical reasoning is a helpful tool to focus on problem which helps to create a individual care plan for the patients.
The process is a series of steps that provides a framework for addressing problems. It helps to create a nursing care plan for an individually
Failures to recognize deterioration were identified as an issue in 81% of cases. Failures to respond adequately were identified in 46% of cases, and failures to communicate about deterioration in 38%(Australian Commission on Safety and Quality in Health Care, 2014). Inability to detect deteriorating patient have lead to many consequences therefore recognizing patient deteriorating and timely response and appropriate response could be very essential to save their lives (Taenzer et al 2011). Nurses play a vital role when caring for patients who are all different to one another thus its very important to recognize changes by involving with the patients care and assessing them over time period. (Kenward and Hodgetts 2002, Minick and Harvey 2003). Therefore to be able to timely recognize the deteriorating patients a nurse should have clinical experience, skills and knowledge. To avoid a patient to deteriorating we could always look for any abnormal signs and symptoms, re-checking their neurological observation as required, communicating with them and the medical team, documenting all the details, quick decision making and implementing intervention timely. The complication of not treating deteriorating patients leads to prolong …show more content…
BGL 13mmg. Up on inspection left pupils didn’t dilute properly and didn’t respond to light as compared to right pupil. Feeling nauseated. She rated the pain as 8/10 and as throbbing. Injured her Right side of the head. Her sensation was normal to touch. Gait is normal. Her speech was slurred. Had slight trouble swallowing.
Signs and symptoms: Loss of consciousness, Drowsy, Shortness of breathing, Dysphasia, Ocular signs, decreased motor function, Headache, vomiting.
Assessment: Glasgow coma scale, Assessing for changes in LOC, pupil reaction and size, motor function, sensory function and vital signs and pain score, Family history, medical history.
Clinical reasoning
Aitken (2003) states that when adequate thought and clinical reasoning are not met its can have a negative impression on a patients condition. Levett-Jones etal (2010, p. 515) also said that clinical reasoning is the technique, which is beneficial for the medical team to collect cues, plan and implement the interventions, evaluate the outcome and reflect on and learn from the process therefore clinical reasoning is a helpful tool to focus on problem which helps to create a individual care plan for the patients.
The process is a series of steps that provides a framework for addressing problems. It helps to create a nursing care plan for an individually