1. Analyse the Coroner’s case to identify the issues (what h
1. Analyse the Coroner’s case to identify the issues (what happened… 1. Analyse the Coroner’s case to identify the issues (what happened and why it happened) in care delivery that contributed to a failure to recognise and respond to clinical deterioration. Discuss how the issues identified, in conjunction with the patient presentation, medical history, and underlying pathophysiological processes led to the clinical deterioration. 2. Based on contemporary evidence analyse the clinical actions that the registered nurse(s) implemented, how this contributed to the patient’s clinical deterioration, and discuss what action should have been undertaken to potentially prevent the clinical deterioration. 3. Based on issues identified in the Coroner’s report apply contemporary research to discuss the communication barriers in the escalation of care and how these may be addressed to improve future care. Image transcription textCase overview ° Jai Snell is a 48 yearold male who presented to MillarHospital initially on the 28… Show more… Show moreImage transcription textRepresentation to hospital ° Jai wasbrought to the Emergency Departmentby his mother on the 30/8… Show more… Show moreImage transcription textMedical review ° Dr Hapi review Jai at17:15 hours post the noti?cation fromnursing staff of his Vital si… Show more… Show moreImage transcription textFormal xray reported 11:35am 31/8 °”Both the lung fields are wellin?ated. Areas of opacific… Show more… Show moreImage transcription textVital signs documented 12:00 hours: .Temperature 38 C, blood pressure114/70mmHg, heart rate 1… Show more… Show more Image transcription textClinical progression . 17:00 hours AnAlcohol Withdrawal Scale wascommenced with Jai scor… Show more… Show moreImage transcription textClinical progression ° 17:30 Patienttransferred to the observation ward,located near the Emergen… Show more… Show moreImage transcription textHandover to night shift . Night duty staffcommenced their 12 hour night shiftfrom 19:00 hours and staffi… Show more… Show moreImage transcription textProgression over night shift ° 21:45Documented vital signs by the EN onshift indicated a QADD s… Show more… Show moreImage transcription textProgression over night shift ° 1:50am(1/9) RN Kate completed a further setof vital signs and docume… Show more… Show moreImage transcription text1/9 clinical updates . 02:10 am Jai hasbuzzed with increase right upperquadrant pain, and is adm… Show more… Show moreImage transcription textNursing entry written at 0630 hours(1/9) written retrospectively. ° At 1930hours QADDS score si… Show more… Show more Health Science Science Nursing NSB 236
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