Patient Health Deterioration Detection

Running head: PATIENT HEALTH DETERIORATION DETECTION
PATIENT HEALTH DETERIORATION DETECTION
Name of the Student
Name of the University
Author Note

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PATIENT HEALTH DETERIORATION DETECTION
Introduction
Patient health deterioration is a factor that should be detected with high priority by the
nurse and the process of the detection can be done with the help of the vital sign detection along
with the mental state of the patient as well. The pain level detection along with the body
temperature can also be stated that the factor of the deterioration or changes of the condition of
the patient’s health. Hence, it can be stated that on this context of the detection process Mr.
Benner has been found with some complications as the Blood pressure, respiration rate, Oxygen
saturation rate was not normal in the first assessment along with some pain in the lower rib. It
has also been seen that with time the condition of the patient deteriorated as the vital signs were
in more complex stage and the confusion of patient rise on higher level. Hence, in the following
section the deterioration detection process would be discussed along with evidence based nursing
intervention process of this case.
Discussion
Identification of Deterioration
The detection of the deterioration of a patient can be done with the help of the
communication with the patient, actions of the patient and vital sign detection of the patient. The
evaluation of the effects of the medication on the patient’s health also should be considered
(Mok, Wang & Liaw, 2015). In this case Mr. Benner has been admitted in the emergency
department with two days increasing dyspnoea, lethargy and non-productive cough. He has
stated that he was feeling pain in the lower rib and also the X-ray report highlighted that he has
crackles in the lower lob of the lungs as he has history of pneumonia. The vital signs after the
admission of the patient in the emergency department showed the readings such as BP 123/98,
pulse rate 82, Oxygen saturation 93 percent, respiratory rate 22 and the pain was 5/10 along with

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PATIENT HEALTH DETERIORATION DETECTION
temperature of 38.8o. On the other hand the patient is conscious and identifying everything
properly which refers to the GCS score 15/15. The ECG report showed normal result and also it
has been stated that he is fit and had a history of asthma. After this assessment the assessments
done within 15 minutes intervals where he has been transported to the assessment bed and the
nurse provided him with nasal prongs and 4 lt Oxygen and an oral paracetamola and the doctor
prescribed several blood and other tests. This situation can be identified as the first deterioration
of the patient as the breathing issue started and thus the supplementary oxygen provided to him.
Hence the nurse used cannula and taken the blood sample for the blood tests. After this
assessment the right lob of lung consolidation has been commenced along with antibiotic
providence to the patient. After this the next assessment has been done and the vital signs found
that BP 121/96, pulse 91, respiratory rate 25, oxygen saturation 95 percent with the nasal prongs
provided temperature 38o and pain level 4/10. After this the patient has been transferred to the
medical ward and the grad nurse was responsible there for the patient. The grad nurse found that
the patient cannot recognize his name and also could not breathe properly. Hence, this condition
can be referred as the mental deterioration of the patient. Here the vital signs of the patient seen
to be deteriorating as the BP 100/55, pulse 98, respiratory rate 28, oxygen saturation 88 percent
and GCS score was 14/15 as he could not be able to identify several things. The patient stated
that he was not feeling any pain however, when coughing he holds his chest. On this situational
description it can be stated that the vital sign deterioration occurred in the patient’s body and also
the GCS scale level falls that is the mental condition deterioration occurred as well. On this
assessment the medical officer prescribed 10 lt oxygen supplies to the patient along with using
Hudson mask. The patient also provided with Hartmann’s IV solution for raising the blood
pressure. Hence, the condition states that the patient’s respiration capacity and the BP were