Review and reflect on the following clinical scenario:
Instructions
Review and reflect on the following clinical scenario:
The following is a summary of a case study presented in an article by Gluyas (2017). It was based on a case reported by the Queensland state coroner in 2015.
The setting is a small rural hospital comprised of 8 acute beds, an Emergency department with two beds and an attached residential aged care facility.
Ms W. (86 years of age) first presented to the ED two days earlier with abdominal pain and the sensation of burning on urination. She was diagnosed with a urinary tract infection, given pain relief, IV fluids and antibiotics and discharged after several hours when she reported feeling better.
Two days later, Ms W. represented to the ED at approximately 8:45am with severe abdominal pain, vomiting and urinary incontinence.
Her vital signs were:
Temperature - 33.5 degrees C
Heart Rate - 99 bpm
Blood pressure - 111/73 mmHg
Respirations not recorded
SpO2 - 87-92% on room air
The nurse who measured these vital signs reported to her colleague that Ms W's temperature was low. They applied blankets and heat packs and commenced oxygen via nasal prongs. The nurse measured her vital signs again at 8:55am and they were:
Temperature - 33.5 degrees C
Heart rate - 99 bpm
Blood pressure -97/70 mm Hg
Respirations - 32 bpm
SpO2 - 97%
Despite Ms W's temperature and respiratory rate being deranged no further action was taken. Vital signs were repeated at 9:35am
Temperature - 33.6 degrees C
Heart rate - 97 bpm
Blood pressure - 116/75
Respirations - 32 bpm
SpO2 - 100%
and 10:40am although not recorded.
At 11:30am Ms W was noted to be confused and unresponsive to questions. The director of nursing was briefed about the patient's deterioration. At 12 pm the final set of vital signs were measured and were:
Temperature - 34 degrees C
Heart rate - 35 bpm
Blood pressure - 60/42 mm Hg
respirations - not recorded
SpO2 - 74%
The director of nursing reviewed the patient and concluded she was dying and, after consulting with the family, decided that this Ms W was to have no active treatment. Ms W died at 12:30pm. Although attempts were made to contact the GP on call during the morning the doctor did not see Ms W and no active treatment had been commenced by the nursing staff. Autopsy results identified that Ms W died of septic shock related to infection from a small bowel obstruction.
A detailed description of this case can be found in this article:
Errors_in_the_nursing_manageme.pdf INCLUDEPICTURE "/var/folders/1p/x764pcy97pzb1kz04ww6bc280000gn/T/com.microsoft.Word/WebArchiveCopyPasteTempFiles/svg_icon_download.svg" * MERGEFORMATINET Download Errors_in_the_nursing_manageme.pdf
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In this assignment you should create a written reflection relating to theaforementioned case study.
You are required to analyse and critically review this case. Using a model of reflection (e.g.Gibbs Model of reflection(Links to an external site.)), explore what you have learnt from this case, and how this will change your practice moving forward. Support your reflection with references derived from the appropriate literature.
Underthis linkyou will find an example on how to reference information correctly using the APA 7th referencing style
Temperature - 33.5 daaegrees C
Heart Rate - 99 bpm
Blood pressure - 111/73 mmHg
Respirations not recorded
SpO2 - 87-92% on room air
emperature - 33.5 degrees C
Heart Rate - 99 bpm
Blood pressure - 111/73 mmHg
Respirations not recorded
SpO2 - 87-9The nurse who measured these vital signs reported to her colleague that Ms W's temperature was low. They applied blankets and heat packs and Temperature - 33.5 degree
