Nursing the person with deteriorating health
Pick question 1 and question 4 from the questions document attached.
Question 1.
a) The triage nurse suspects he is suffering from sepsis. Discuss the assessment tools that can be used to support that diagnosis? (10 marks). You have used NEWS 2 to demonstrate identification there are a lot of words used here
You have indicated the use of qSOFA but why is this different? track and trigger systems for sepsis. qSOFA septic bundle?
b) Explain the pathophysiology involved with sepsis. (10 marks) – This is a reasonable section but could have been more in-depth and more varied references.
c) Discuss his immediate management required using timeframes and referral to a national policy where appropriate. (30 marks) There are many missed opportunities in this section regarding the immediate management and time frames. Key management is either missing or not clearly explained in the answer. Your treatment is repetitive and not clear. Andrew needs oxygen you need to discuss how much, what type of device/mask and how it will be delivered correctly. Mark awarded – 10 out of 30.
Question 4.
a) What concerns might you have and what precautions would you take? (10 marks) The focus should have been on this and PCR and PPE.
b) What initial assessment and investigations would be required? (10 marks) You have used ABCDE in this section but not in a logical or full approach again you miss key issues there other investigations that may be relevant here to help with diagnosis and indications for management
c) Drawing on your knowledge of pathophysiology, relevant policy, and guidelines, what care and management would Ash require in the next 24 hours? (30 marks)
There is very little regarding the pathophysiology and linking to Ash and his presenting symptoms.
You need to link your work to the current guidelines and current thinking on oxygen provision to patients with symptoms such as Ash it would be a requirement. Positioning of the patient is required also but you may need to consider prone positioning especially if COVID related.
Harvard referencing, Ariel 11 font. English spelling.
