[ANSWER]7102NRS: Complex Clinical Care- Written Assignment Task 3 – Coroner’s Case Study
TASK DESCRIPTION
Complex Clinical Care Assignment Task 3
7102NRS: Complex Clinical Care
Written Assignment Task 3 – Coroner’s case study
Essay: 2000 words
Weighting: 40%
Due Date: see Course Profile
Aim:
The aim of this essay is for you to demonstrate critical evaluation of a patient deterioration event that ended in death. Patients who deteriorate and die when accessing health services are rarely simple cases and all members of the team usually have a part to play in the events that occur. You will develop an applied understanding of how to identify factors that lead to poor outcomes and suggest ways to avoid these outcomes in the future. Safe patient care is often determined by the vigilance of staff caring for them and this essay will assist you to identify where vigilance is necessary for patient safety in a complex situation.
This assessment addresses learning outcomes 1, 2, and 4
1. Apply critical thinking and problem-solving skills to design comprehensive situational assessment for complex clients.
2. Interpret evidence to identify and manage deteriorating clients and support their families.
4. Apply advanced knowledge and judgement to manage ethical and legal issues in high-risk situations to promote best health outcomes
Task description:
For this task you need to write a 2000-word essay in which you critically evaluate a case study of a patient who has died, related to your clinical specialty.
You must structure your essay using the following headings and inclusions:
- Introduction: Introduce the topic [100 words]
- Recognition and response to deterioration in complex clients: Discuss and justify how recognition and response to deteriorating clients influences patient outcomes. [200 words]
- Case study evaluation: Review the case study.
- Research the condition and management recommendations for the patient in the case study.
- Critically evaluate the case study and identify the situational factors and most important points of time during the care where incorrect decisions or missed opportunities to intervene influenced the deterioration of the client.
- Identify patient-related complexities that contributed to the outcome.
- Outline legal and ethical issues if they exist as well as best practice requirements that were missed or not well applied.
- Support your evaluation with reference to the literature. [800 words]
- Recommendations: Provide recommendations/strategies for improvement related to the trigger points you identified to reduce the risk of future errors or poor patient outcomes.
- Explain how applying leadership approaches to the situation may promote alternate outcomes.
- Align your recommendations with the quality health standards pertinent to your practice (In Australia these are the National Safety and Quality Health Service (NSQHS) Standards).
- Support your recommendations/strategies with rationales underpinned with research evidence. [800 words]
Conclusion: Conclude with a summary statement about the priority areas of discussion for this case study related to the effective management of complex clients [100 words]
Other elements:
- Always refer to the Health Writing and Referencing Guide.
- Use APA 7th edition referencing style.
- Ensure that you use scholarly literature[1](digitised readings, research articles, relevant Government reports and text books) that has been published within the last five years; you may use seminal literature as relevant.
- Use academic language[2] throughout.
- The use of headings in this essay is appropriate.
- Word limit of 2000 words needs to be strictly adhered to. The word limit for an assessment item includes in-text citations, tables and quotations. The word limit DOES NOT include the reference list and headings. Please note the marker will cease marking your submitted work once they have reached the allocated word limit.
- Refer to the marking guidelines when writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
[1] Scholarly or peer-reviewed journal articles are written by scholars or professionals who are experts in their fields, as opposed to literature such as magazine articles, which reflect the tastes of the general public and are often meant as entertainment.
[2] Everyday language is predominantly subjective. It is mainly used to express opinions based on personal preference or belief rather than evidence. Written academic English is formal. It avoids colloquialisms and slang, which may be subject to local and social variations. Formal language is more precise and stable, and therefore more suitable for the expression of complex ideas and the development of reasoned argumentation.
Complex Clinical Care Assessment 3 – 7102NRS GRADING RUBRIC
Task-specific criteria | 20-17 | 16.5-15 | 14.5-13 | 12.5-10 | 9.5-0 |
Recognition and response to deterioration (Total possible marks 20) | Clearly and concisely evaluates the situational factors related to recognition and response of patient deterioration and uses the literature to demonstrate evidence of wide reading.Able to discriminate high quality evidence-based literature that is highly relevant to the issues identified.Concise and excellent justification and application of evidence presented. | Clearly evaluates the situational factors related to recognition and response of patient deterioration and uses the literature to demonstrate evidence of wide reading.Able to discriminate high quality evidence-based literature that is mostly relevant to the issues identified. Detailed justification and application of evidence presented. | Evaluates most of the situational factors related to recognition and response of patient deterioration and uses the literature to demonstrate evidence of wide reading.Mostly able to discriminate high quality evidence-based literature generally relevant to the issues identified.Sound justification and application of evidence presented. | Evaluates the essential situational factors related to recognition and response of patient deterioration and uses the literature to demonstrate evidence of adequate reading.Generally able to discriminate evidence-based literature relevant to the issues identified.Basic justification and application of evidence presented. | Discussion provided only, evaluation not undertaken, of the essential situational factors related to recognition and response of patient deterioration and uses the literature to demonstrate limited scope of reading.Literature cited often not relevant to chosen patient case presented or not from valid academic sources (e.g., websites) OR parts of your assignment were not supported by appropriate references.Poor justification of evidence presented. Links to the chosen patient case are unclear. |
40-34 | 33-30 | 29-26 | 25-20 | 19-0 | |
Case study critical evaluation (Total possible marks 40) | Clearly and concisely evaluates the situational factors related to the patient’s deterioration in the chosen case study.Includes strong justification for evaluation of case study with reference to best practice guidelines and a wide range of scholarly literature.Clearly and concisely discusses patient factors that created complexity in the chosen case. Comprehensive, concise, and relevant discussion of all/any legal or ethical issues identified in the chosen case study. Able to discriminate high quality evidence-based literature that is highly relevant to the issues identified. | Clearly evaluates the situational factors related to the patient’s deterioration in the chosen case study.Able to justify evaluation of case study with reference to best practice guidelines and a wide range of scholarly literature. Clearly discusses patient factors that created complexity in the chosen case. Comprehensive and relevant discussion of all/any legal or ethical issues identified in the chosen case study. Able to discriminate high quality evidence-based literature that is mostly relevant to the chosen patient case. | Evaluates most of the situational factors related to the patient’s deterioration in the chosen case study.Most often able to justify evaluation of case study with reference to best practice guidelines and a range of scholarly literature. Detailed discussion of many patient factors that created complexity in the chosen case. Detailed and relevant discussion of most/any legal or ethical issues identified in the chosen case study.Mostly able to discriminate high quality evidence-based literature generally relevant to the chosen patient case. | Evaluates the essential situational factors related to the patient’s deterioration in the chosen case study. Able to justify essential elements of evaluation of case study with reference to best practice guidelines and a range of scholarly literature. Discusses main patient factors that created complexity in the chosen case. Relevant discussion of many/any legal or ethical issues identified in the chosen case study. Generally able to discriminate evidence-based literature relevant to the chosen patient case. | Discussion provided only, evaluation not undertaken, or situational factors discussed not relevant to the patient as described. Inadequate justification of evaluation of case study OR does not regularly reference best practice guidelines using a range of scholarly literature.Unclear or inadequate discussion of many patient factors that created complexity in the chosen case. Inadequate discussion of many/any legal or ethical issues identified in the chosen case study. Literature cited often not relevant to chosen patient case presented or not from valid academic sources (e.g., lay websites). |
[ANSWER PREVIEW]
Managing a complex patient like Parker requires close attention to the patient’s unique needs, swift response, sound clinical decision making, and effective interprofessional collaboration at every point of the care process (Bauman et al., 2019; Loeb et al., 2016). One of the critical areas of focus in ensuring such care is medication management (Wallace et al., 2015).
Medication management is a key focus area during the care complex patients due to the far-reaching implications medication errors can have on patients and their families, hospitals and healthcare systems. In Australia, approximately 230,000 medication-related hospitalisations occur every year, which equates to 2-3% of all hospitalisations in the country (ACSQHC, 2017). This is why medication administration guidelines direct that the right drug be administered to the right patient in the right dose at the right time using the right route (Hanson & Haddad, 2020).
In Parker’s case, pneumonia was determined to be the cause of death, but the medication error that occurred cannot be ignored; it was a commission that had the potential to deteriorate the patient’s health. The patient received a Schedule 8 drug that had been prescribed for another patient. For a patient whose condition was already complex, receiving such a high-risk medication posed a significant risk to his safety. The medication error committed by the PCW can be attributed to situational factors at McGregor Gardens.
Situational factors are factors in the care environment that can contribute to patient deterioration. Such factors range from individual-level factors such as inadequate knowledge and fatigue to task-related factors such as task complexity and clinical factors such as excessive workload, inadequate equipment, ineffective teamwork, time constraints, and distractions (Gluyas & Harris, 2016). In his coronial report, Jamieson (2020) found that several situational factors played a part in the commission of the medication error, notably distraction and workload. On the evening the error was committed, the PCW was interrupted by another patient with toileting needs as she was heading…[Buy Full Answer of Complex Clinical Care Assignment for Just USD 9: 3231 WORDS]
[SOLUTION DESCRIPTION]
Topic: Complex Clinical Care Assignment
Type: Essay
Word Count: 3231
Grade/Mark: 83 (Distinction)
Graded Solution Home – Complex Clinical Care Assignment