A. Subject Intended Learning Outcomes (SILOS):
1. Explain common pathophysiology, as it relates to assessment data and pharmacology, that can
result in deterioration of an individual’s condition in order to develop appropriate interventions.
2. Apply the clinical reasoning cycle to provide person-centred care for individuals experiencing a
deterioration in health in order to provide safe nursing care.
3. Develop an awareness of and contribute to the risk management strategies of a healthcare
agency, in order to implement incident reporting procedures and apply risk management
procedures.
B.
Task:
In this assessment you are required to further explore the paediatric respiratory case study
introduced in topic one of your LMS and workshop materials for NSG3RDP/RDM.
You will be provided with an ISBAR handover and a National Observation Chart (NOC) for 5-yearold Rosie Jones. (These documents will be attached at the end of this instruction sheet)
Using the provided information and current academic literature please provide a response to the
following three questions.
C.
Instructions:
Please answer the following questions as instructed
•
Question 1 (750 words)
The condition of your patient Rosie Jones described in the ISBAR handover, appears to be
changing. (Please refer to the attached documentation)
Using the information that you have identified from the NOC and the ISBAR case study
handover:
1. Discuss the possible causes of Rosie’s changing condition, supporting your
response with contemporary literature and the associated significant cues, signs
and symptoms listed in the case study.
2. Explain what possible further deterioration could occur for this patient, with a
detailed evidenced -based response.
(Please support your justification and rationales with quality peer-reviewed literature).
•
Question 2 (750 words)
There are many tools that can be utilised when assessing paediatric patients. When
assessing a deteriorating child, accurate assessment is essential. Compare and contrast the
following methods of paediatric patient assessment and their appropriate applications for
the deteriorating patient.
1. Primary (ABCDE)
2. Head to toe assessment
(Please support your discussion with evidenced based literature).
• Question 3 (500 words)
A change in a patient’s heart rate, blood pressure, temperature and respiratory rate can all
be an indication of clinical deterioration. It has been suggested that a changing respiratory
rate is the earliest indication of clinical deterioration and yet it is often not measured
correctly, or not measured at all. Using evidence-based literature to support your
arguments:
1. Discuss why a changing respiratory rate is an important indicator of clinical
deterioration.
2. Explain how the respiratory rate can be measured reliably and accurately in Rosie.
NSG3RDP/RDM Semester One 2024
**Discussions are to be supported with relevant and contemporary literature.
**References: Reference list and appendices are excluded from the word count.
**References to be no older than ten years
**10% word limit allowed.
Resources
Australian Commission on Quality and Safety in Health Care. (2017). National Quality and Safety
Health Care Standards Edition Two. Retrieved from
https://www.safetyandquality.gov.au/wp-content/uploads/2017/11/National-Safety-andQuality-Health-Service-Standards-second-edition.pdf
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