· A brief overview of the scope
· A brief overview of the scope of the structured essay (what do you intend to do), identification and rationale for using a structure ABCDE approach. · Provide a short overview of the scenario you participated in within the simulation, the patient’s diagnosis, including relevant pathophysiology. · Identify the ethical-legal principles that will applied to your patient scenario. · Identify which reflective tool you are going to use – Gibbs (1988) reflective cycleLinks to an external site. · Identify normal and abnormal physiological signs within the patient scenario. Explain how these signs relate to the patient’s diagnosis and underlying pathophysiology and/or compensatory mechanisms. · Analyse assessment data to determine next steps in the care of the patient and the involvement of the multi-disciplinary team. · Examine your clinical assessment of the patient and interpretation of the assessment data. Discuss and provide a rationale for any interventions, treatment and further investigations that the patient requires. · Examine the efficacy of any strategies you used to communicate with the patient, the multi-disciplinary team or any significant others e.g. next of kin, carer in your simulation. Discuss what communication strategies there are. · Identify the ethical-legal principles that applied to the clinical assessment scenario and analyse the rationale as to why these principles should be applied. Discuss how you will utilise communication strategies and the ethical-legal principles that apply to the care of an acutely ill person. · Provide an overall reflection of an element of your ABCDE assessment on the patient scenario using Gibbs (1988) reflective cycle Links to an external site. · Provide an overall conclusion that refers to the evidence and effectively concludes your discussion and arguments. Briefly discuss the importance of assessment, intervention and escalating findings. Briefly summarise the importance of using a systematic approach to prioritise care needs and to plan, deliver and evaluate evidence-based, person-centred care as part of the interdisciplinary team. NA5107 2022-23 Seminar Scenario Aabish Ali is a 19year old student studying physiotherapy. She was diagnosed with Asthma as a child and has taken inhalers daily since then which keep it under control. Her peak flow is 500 L/min. She is currently having some occurrence of waking up and tightness in her chest overnight which she has attributed to anxiety and stress over her upcoming exams. Last night Aabish was found collapsed in the street by a passer-by who called an ambulance. The paramedics stated that Aabish had an audible wheeze when they were assessing her prior to bringing her to hospital. Aabish’s family have been informed of her admission to hospital and they are on their way. Aabish is very upset. She is struggling to breathe and is unable to talk in full sentences. Her observations in A&E are: Bp: 88/63mmHg HR: 115bpm RR: 28bpm, using accessory muscles Sp02: 88% on room air Chest auscultation: Wheeze Temp: 36°C Urine Output: Unsure when last passed urine ACVPU – C GCS: E3 V4 M6 BSL: 4.5mmol/L CRT: 4 seconds, peripherally cool to touch Guidance for working through the scenario Use the principles of ABCDE assessment and NEWS 2 scoring to establish the acute condition of Aabish and to assess if she is at risk of deteriorating. Analyse the assessment data and related pathophysiology to plan the next steps of Aabish’s in terms of medical or surgical interventions and involvement of the multi-disciplinary team. Explain any abnormal signs and symptoms. Link the abnormal signs and symptoms to Aabish’s diagnosis and the underlying pathophysiology and/or compensatory mechanisms. Identify and discuss the ethical-legal principles that apply to the clinical assessment of Aabish. Consider and discuss any capacity issues with reference to legal and ethical frameworks. Analyse the rationale as to why these principles should be applied. Discuss how you will utilise communication strategies and the ethico-legal principles that apply Aabish. Examine the efficacy of strategies you might use to communicate with the multi-disciplinary team, families, carers. Examine your clinical assessment of Aabish and your interpretation of the assessment data and using the evidence base, consider the actions you might take. Discuss the relevant interventions, treatment, including further investigations that Aabish requires. Using guidelines and evidence-based literature provide a rationale for each intervention, management and evaluation of care.
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