As the RN You arrive at the

As the RN You arrive at the remote clinic at Wilcannia for your fortnightly visit, the population here is mainly Indigenous Australians and there is a high percentage of children in this community. It is normally quite a busy day. The next patient you see is Ashanti, a 3 year old indigenous girl. Ashanti presents in the arms of her Mother with her Grandmother present. When asked about Ashanti’s chief complaint, her mother explains she has ‘had the runs for a few days and whatever I give her just goes straight through’. Ashanti is lethargic and unable to walk. On examination you observe Ashanti to be speaking quietly to her Grandmother, you notice there is no accessory muscle usage but there is an increase in her work of breathing (WOB). She has normal breath sounds on auscultation, is pale and cool to touch, she has cracked lips, a dry tongue, sunken eyes and looks very unwell. There is no sign of any wounds or lesions which could indicate an infection as the cause of her deterioration. On further questioning Ashanti’s Mother tells you she has had about 2 cups of juice today you work this out to equate to approximately 400mls. You also ask about her urine output, Ashanti’s Mother is unsure about this as she just states that it is just her bowels that are working, as far as she knows she has not passed urine and has not noticed any urine in her nappies. You ask when she last passed urine and you are told ‘it has not been for a day or so’. You take her observations and record the following RR SpO2 BP HR AVPU Temp Pain BGL 56 93% 68/32 182 V 36.9 0 3.1 Ashanti is fully immunised and has no medical history she weighs 13kg. I have to write A-G assessment on Ashanti. could you help me to write A-G assessment on her and then I need to discuss my assessments on this patient, identify signs of deterioration and clearly state if the patient requires a clinical review or rapid response as per Between the Flags (BTF). Justify my decision with data from the case and relevant support. According to marking rubric Exemplary understanding of the deteriorating patient; includes a thorough assessment where assessment findings are linked in discussion, initiates the correct review criteria with extensive justification provided. SCIENCE HEALTH SCIENCE NURSING HSNS 363

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."