Nursing the person with deteriorating health
Question 1.
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?
Explain the pathophysiology involved with sepsis. (10 marks) – This is a reasonable section but could have been more in-depth and more varied references. – Marks awarded 6 out of 10.
Discuss his immediate management required using timeframes and referral to a national policy where appropriate. (30 marks)
What concerns might you have and what precautions would you take? (10 marks) Again think you have missed the key points of Ash’s presentation either COVID or community-acquired pneumonia. The focus should have been on this and PCR and PPE. – Mark awarded – 3 out of 10.
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 – Mark awarded – 2 out of 10.
Drawing on your knowledge of pathophysiology, relevant policy, and guidelines, what care and management would Ash require in the next 24 hours? (30 marks)