****1000 WORDS, Harvard referencing required******
How does the process (both effective and non-effective) of observing and
documenting vital signs impact on recognising patient deterioration in the clinical practice? Relate your answer to the patient cases.
Cases:
1) Mrs A aged 76, has long standing COPD, and was admitted with an infective exacerbation onto a respiratory ward. Mrs A has chronic respiratory problems which limit both her exercise tolerance and activity. She normally has a respiratory rate of 30.
On admission she had a respiratory rate of 32 which was thought to be normal for her.
Observations continued on a six hourly basis, which was the norm for that ward. Two days after admission her oxygen saturations were noted to be 78% on a 28% Venturi mask.
On closer examination, Mrs A had had a slowly increasing respiratory rate since admission to a rate of 44. She was using all her accessory muscles and was both peripherally and centrally cyanosed. She was tachycardic at 110bpm regular and hypertensive at 168/95mmHg.
Her Early Warning Score had been recorded over the last few days but no score had been entered for respiratory rate as she is normally tachypnoeic.
2) Mr B aged 68, was admitted to the intensive care unit following successful
resuscitation for a pulseless electrical activity cardiac arrest. His past medical history included hypertension and atrial fibrillation controlled with digoxin. He had been admitted to an acute medical ward five days earlier with a lower respiratory tract infection and started on IV antibiotics and chest physiotherapy.
His observations had been recorded six hourly as per ward protocol since admission.
While these triggered an alert on the early warning score system, the results had been added up incorrectly.
Review of his observation charts in intensive care revealed that in the two days before his arrest:
• His respiratory rate was slowly increasing;
• His BP was falling from his baseline of 165/80 to 110/65;
• Heart rate had risen from 98 and being irregular on admission to 130;
• The fluid balance chart showed increasing oliguria and poor oral intake secondary to nausea and vomiting;
• His early warning score had been incorrectly calculated and repeated.
PLEASE READ THE ATTACHED FILES TO HELP YOU WITH THIS CASE STUDY.
Budget: $5
Posted On: August 22, 2014 11:01 UTC
ID: 204434822
Category: Writing & Translation > Other - Writing & Translation
Skills: Array, Array, Array, Array, Array
Country: Australia
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from Online Job Search
How does the process (both effective and non-effective) of observing and
documenting vital signs impact on recognising patient deterioration in the clinical practice? Relate your answer to the patient cases.
Cases:
1) Mrs A aged 76, has long standing COPD, and was admitted with an infective exacerbation onto a respiratory ward. Mrs A has chronic respiratory problems which limit both her exercise tolerance and activity. She normally has a respiratory rate of 30.
On admission she had a respiratory rate of 32 which was thought to be normal for her.
Observations continued on a six hourly basis, which was the norm for that ward. Two days after admission her oxygen saturations were noted to be 78% on a 28% Venturi mask.
On closer examination, Mrs A had had a slowly increasing respiratory rate since admission to a rate of 44. She was using all her accessory muscles and was both peripherally and centrally cyanosed. She was tachycardic at 110bpm regular and hypertensive at 168/95mmHg.
Her Early Warning Score had been recorded over the last few days but no score had been entered for respiratory rate as she is normally tachypnoeic.
2) Mr B aged 68, was admitted to the intensive care unit following successful
resuscitation for a pulseless electrical activity cardiac arrest. His past medical history included hypertension and atrial fibrillation controlled with digoxin. He had been admitted to an acute medical ward five days earlier with a lower respiratory tract infection and started on IV antibiotics and chest physiotherapy.
His observations had been recorded six hourly as per ward protocol since admission.
While these triggered an alert on the early warning score system, the results had been added up incorrectly.
Review of his observation charts in intensive care revealed that in the two days before his arrest:
• His respiratory rate was slowly increasing;
• His BP was falling from his baseline of 165/80 to 110/65;
• Heart rate had risen from 98 and being irregular on admission to 130;
• The fluid balance chart showed increasing oliguria and poor oral intake secondary to nausea and vomiting;
• His early warning score had been incorrectly calculated and repeated.
PLEASE READ THE ATTACHED FILES TO HELP YOU WITH THIS CASE STUDY.
Budget: $5
Posted On: August 22, 2014 11:01 UTC
ID: 204434822
Category: Writing & Translation > Other - Writing & Translation
Skills: Array, Array, Array, Array, Array
Country: Australia
click to apply
from Online Job Search
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