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Diploma In Nursing: Assess Clients And Manage Client Care

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Diploma In Nursing: Assess Clients And Manage Client Care

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Diploma In Nursing: Assess Clients And Manage Client Care

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In this argumentative essay, the discussion topic is to understand the importance of early recognition of the deteriorating patient suffering cardiopulmonary arrest. The discussion is based on Cherry & Jones (2015) statement “Early recognition of the deteriorating patient is important in preventing cardiopulmonary arrest and reducing mortality, but it is a complex issue owing to reasons such as not recognising early deterioration, poor communication between staff or not responding appropriately to the situation”. The early recognition and management of deteriorating condition help to generate a safe and high quality care process (Dossey et al. 2012).
Background Information
The chronic conditions of cardiac arrest persist some observable psychological abnormalities under deterioration condition; therefore, these observable abnormalities make recognition easier and simpler to avoid the consequences of the disease. The abnormalities are easily detectable in form of vital signs like pulse, blood pressure, oxygen saturation and respiratory rate. Therefore, early recognition of these vital signs in deteriorating condition works as a tool to manage the chronic condition (Cherry & Jones, 2015).
Significance of Early Recognition of Patient Deterioration and Causes that Prevent Early Recognition of Patient Deterioration or Staff Failing to Respond Appropriately to an Emergency Situation
Providing a short summarization of significance Douw et al. (2015) indicated that early recognition of deterioration helps in minimizing the chances of events that simultaneously improves the condition because increased number of cardiac attack leads to critical condition. The healthcare professional can also manipulate and manage interventions in the proper manner as per early recognition signs. Further, Purling & King (2012) indicated that a stabilized treatment process is followed after getting information of vital signs through early recognition to improve the life expectancy and manage disease.
Bogossian et al. (2014) studied that there are organizational and workforce factors in healthcare scenario that lead to failure of the early recognition process. Further, Liaw et al. (2011) indicated that healthcare organisation lack effectual staff training regarding signs and symptoms that signal deterioration. There is also lacking a formal system for deterioration communication. Bogossian et al. (2014) indicated that as early recognition of deterioration is a new concept in healthcare the staffs are generally less skilled and trained to manage deteriorating patients. Further, organisation defect includes failed communication system regarding clinical concerns involved in handover situations to manage early recognition process of deteriorating condition. Douw et al. (2015) studied some minor factors like the failure of essential equipment’s, delay in notification, lack of required assistance and less skilled ward staff contributes to system failure. 
Effectiveness’ of Early Warning Systems in Enhancing Patient Outcomes and Process to Educate Early Warning Systems in clinical placement
The Early Warning Systems sometimes also named as ‘track and trigger system’ allow successful implementation of early recognition of deterioration condition using the relationship between the occurrence of serious events system and psychological abnormalities. Some of these systems are single parameter system, multiple parameter system, combination system etc. (Liaw et al. 2011). According to Purling & King (2012), these system helps in determination of deteriorating condition to escalate care process, timely care is processed, early and effective knowledge regarding disease and its consequences are transmitted to the patient and their families.
Liaw et al. (2011) studied the implemented Early Warning System education provided in a clinical placement that involved a stand-alone course constructed to improve skills and ability for recognition and management of adult vulnerable suffering these chronic conditions.
The study of significance, limitations and effectiveness of early recognition of deteriorating condition indicates that this contemporary clinical process involves a promising approach to maximise the quality care providing for chronic diseases and conditions. There are significant benefits of early warning system to recognise the cardiac deteriorating condition that is benefiting the healthcare management.
Dossey, B. M., Certificate, C. D. I. N. C., Keegan, L., & Co-Director International Nurse Coach Association. (2012). Holistic nursing. Jones & Bartlett Publishers. 
Bogossian, F., Cooper, S., Cant, R., Beauchamp, A., Porter, J., Kain, V., … & FIRST2ACT™ Research Team. (2014). Undergraduate nursing students’ performance in recognising and responding to sudden patient deterioration in high psychological fidelity simulated environments: An Australian multi-centre study. Nurse Education Today, 34(5), 691-696.
Cherry, P. G., & Jones, C. P. (2015). Attitudes of nursing staff towards a Modified Early Warning System. British Journal of Nursing, 24(16).
Douw, G., Schoonhoven, L., Holwerda, T., van Zanten, A. R., van Achterberg, T., & van der Hoeven, J. G. (2015). Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review. Critical Care, 19(1), 1.
Liaw, S. Y., Rethans, J. J., Scherpbier, A., & Piyanee, K. Y. (2011). Rescuing A Patient In Deteriorating Situations (RAPIDS): A simulation-based educational program on recognizing, responding and reporting of physiological signs of deterioration. Resuscitation, 82(9), 1224-1230.
Liaw, S. Y., Scherpbier, A., Klainin‐Yobas, P., & Rethans, J. J. (2011). A review of educational strategies to improve nurses’ roles in recognizing and responding to deteriorating patients. International Nursing Review, 58(3), 296-303.
Purling, A., & King, L. (2012). A literature review: graduate nurses’ preparedness for recognising and responding to the deteriorating patient. Journal of clinical nursing, 21(23-24), 3451-3465.

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