Joanna Cleese Case study

In this assessment you are required to further explore the trauma case study introduced in topic two and three of your LMS and workshop materials for NSG3RDP/RDM.
You will be provided with an ISBAR handover and a National Observation Chart (NOC) for Joanna Cleese. (These documents will be attached at the end of this instruction sheet)


Please answer the following questions as instructed

Question 1 (750 words)

The condition of your patient Joanna Cleese 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 Joanna’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.

Question 2 (750 words)

There are many tools that can be utilised when assessing a patient. When assessing a deteriorating patient accurate assessment is essential. Compare and contrast the following methods of patient assessment and their appropriate applications for the deteriorating patient

  1. Primary (ABCDE)
  2. Head to toe assessment

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.