Factors For Mortality Of Adult Inpatients

Running head: QUESTION AND ANSWER
Question and answer
Name of the Student
Name of the University
Author Note

QUESTION AND ANSWER1
Answer 1:
a) https://www.thestar.com/news/canada/2020/04/07/alberta-has-revealed-its-
covid-19-projections-province-expects-between-400-and-3100-deaths-in-
probable-scenario.html
An article was published in Toronto Star dated April 7, 2020, stated that the province
Alberta will be experiencing 400- 3100 probable deaths by the end of summer 2020 due to
the current scenario pandemic status of COVID 19. The premiere of province Alberta, Jason
Kenney who became the current leader displayed the adverse scenarios and probabilities of
this pandemic. Kenney also stated that the probabilities depends on the way public decide to
execute social distancing, personal hygiene and various health measures in Alberta. The
number of COVID- 19 positive cases is accounting for 800,000 based on the Alberta Health
services projections. Kenney also said that this scenario can be elevated by the million of
other infections at the same time resulting in 500 to 6600 deaths by August. He also stated
that the province will have equipments to take this projection as a challenge and deal with it.
According to the Alberta models social distancing will remain till the end of May. Along with
this province has set goals to fight this pandemic that includes 20,000 diagnosis in a day,
returning immune people to work, tracking of COVID-19 infected people, facilitating use of
mask and install screening at the border area. By this date, Alberta has recorded 1400 cases of
infected people with 26 deaths. The pandemic is followed by economic crisis of the province

QUESTION AND ANSWER2
due OPEC countries falling out on dumping oil into the market and fall in the benchmark
prices of oil, unemeployment will reach upto 25% in the province (Leavitt, 2020).
b)
A new diagnostic test used in the laboratory for diagnosis of COVID-19 would be
rapid diagnostic test. It is a qualitative assay which is easy for use and can be applied at point
of care. Using blood samples by pricking finger or saliva or nasal swab samples, an
indication will be shown as coloured lines for positive or negative results. It usually test for
serum antibodies such as IgG and IgM of the patient against COVID-19 virus or the viral
antigens. These test kits are generally given healthcare providers and lab-based researchers to
the confirm the presence of this virus in patients. It is approved and validated by US
government or US-FDA for use. It provides result within 10 minutes where the sensitivity is
93.8% and 95.6% when tested for a total of 128 COVID-19 positive and 250 COVID-19
negative patients against SARS-COV2 virus (JHCHS, 2020).
c)
None of the diagnostic tests for COVID-19 is a gold standard test because the
accuracy that is measured as specificity and sensitivity is not exactly 100%. The sensitivity
and specificity may be near about 100% but is not exactly accurate. It has been shown that
rapid test can detect IgG and IgM against SARS COV-2 with 100% specificity but not 100%
sensitivity where sensitivity for IgG is 87.9% and for IgM is 97.2% (JHCHS, 2020).

QUESTION AND ANSWER3
d)
As a future registered nurse, I should act on the frontline in response to COVID-19. I
should have knowledge and prepared plan in infection control. I will receive education on
protocols and procedures to be used in the health care facility so that I can identify, control
and care for patients who show symptoms related with coronavirus disease which will
prevent the spread of the disease in the community. As the disease can be controlled by
maintaining isolation or quarantine of the patients or suspected individuals, therefore I will
follow the guidelines provided by CDC for preventing spread of the disease in future. I will
educate the patients on hand hygiene and social distancing as urgent requirements to curb
occurrence of any pandemic related to this virus. In order to detect and evaluate the testing of
this virus, I will follow the clinical guidelines in conducting the diagnosis and use the gold
standard test kit for accurately identifying the presence of the virus in the patient along with
observations of the clinical symptoms of the patients. According to the article in Alberta
province, it stated has if adequate precautions and regulations regarding this disease spread is
not followed then, the death rate can increase rapidly. Therefore it will be my duty to educate
patients and other individuals on following guidance of separation and hygiene in order to
stop community spreading. Alongside patients it is my duty to keep the other healthcare staffs
safe and protected from the spread of the disease and infection control. Ensuring proper
clothing including PPE and masks and use of personal hygiene in order reduce the affect of
this diease spread on healthcare workers (Centers for Disease Control and Prevention, 2020).