Patient deterioration
Main Article Content
Abstract
ABSTRACT
In every health institution the possibility of patient deterioration is inevitable, however, the total outcome whether positive or negative depends on early identification of deterioration signs which are physical, emotional, psychological, social and spiritual domains. In most cases the health workers focus and document physiological signs of deterioration. A human being is holistic in nature has social, emotional, spiritual, psychological and physical needs that need to be attended to in cases of deterioration.
Methodology
The concept analysis of patient deterioration was done using the eight (8) strategic methods and literature search was done using the following search engines Google scholar, Pubmed, Medline. Initially twenty five (25) articles from 2002 to 2018 were reviewed. Fourteen (14) were later dropped due to their irrelevant information. The authors settled on twelve (11) articles.
Results
The majority of the authors dwelt much on physiological signs of deterioration not considering the emotional, psychological, social and spiritual domains.
Conclusion
The response to patient deterioration calls for holistic approach to ensure maximum care regardless of patient outcome. Skills and experience of health personnel are also important in detecting patient deterioration.
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Article Details
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References
2. Brush, B. L., Kirk, K., Gultekin, L., & Baiardi, J. M. (2011). Overcoming: A Concept Analysis. Nursing Forum, 46(3), 160–168. https://doi.org/10.1111/j.1744-6198.2011.00227.x
3. Guinane, J., Hutchinson, A. M., & Bucknall, T. K. (2018). Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. Journal of Clinical Nursing, 27(7–8), 1621–1631. https://doi.org/10.1111/jocn.14202
4. Health Quality & Safety Commission Annual Report 2016–17. (n.d.). Retrieved October 4, 2018, from https://www.hqsc.govt.nz/publications-and-resources
5. Jones, D., Mitchell, I., Hillman, K., & Story, D. (2013). Defining clinical deterioration. Resuscitation, 84(8), 1029–1034. https://doi.org/10.1016/j.resuscitation.2013.01.013
6. Lavoie, P., Pepin, J., & Alderson, M. (2016). Defining patient deterioration through acute care and intensive care nurses’ perspectives. Nursing in Critical Care, 21(2), 68–77. https://doi.org/10.1111/nicc.12114
7. Massey, D., Chaboyer, W., & Anderson, V. (2017). What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature.Nursing Open, 4(1), 6–23. https://doi.org/10.1002/nop2.53
8. Mok, W. Q., Wang, W., & Liaw, S. Y. (2015). Vital signs monitoring to detect patient deterioration: An integrative literature review. International Journal of Nursing Practice, 21 Suppl 2, 91–98. https://doi.org/10.1111/ijn.12329
9. Odell, M. (2015). Detection and management of the deteriorating ward patient: an evaluation of nursing practice. Journal of Clinical Nursing, 24(1–2), 173–182. https://doi.org/10.1111/jocn.12655
10. Porter, J. E., Cant, R., Missen, K., Raymond, A., & Churchill, A. (2018). Physical deterioration in an acute mental health unit: A quantitative retrospective analysis of medical emergencies. International Journal of Mental Health Nursing, 27(5), 1364–1370. https://doi.org/10.1111/inm.12467
11. Walker, L. O., & Avant, K. C. (2011). Strategies for theory construction in nursing