Read through the case study and rubric for this assessment task. The rubric can be found under the Assessment Criteria below. Case Study:

Mr. Smith is a 30-year-old Aboriginal male who was admitted to the hospital due to persistent chest pain that had been ongoing for several weeks, exacerbated by recent episode of flu one week prior. He described the chest pain as sharp, centrally located in the mid-sternal area, radiating to the left side of his back, neck and shoulder, and accompanied with mild dyspnoea. The pain worsened when lying supine and improved when sitting up and leaning forward.

His past medical history includes hypertension, hyperlipidaemia, type 2 diabetes mellitus (T2DM), smoker and obesity, with a Body Mass Index (BMI) of 32. Laboratory results revealed elevated troponin levels and increased inflammatory markers (C-reactive protein (CPR), erythrocyte sedimentation rate (ESR), and white blood cell (WBC) count). A physical examination noted pedal oedema, jugular vein distension, and sign of shortness of breath.

Subsequent diagnostic tests, including ECG and echocardiography confirmed a diagnosis of pericarditis with suspected cardiac tamponade and echocardiography revealed a notable pericardial effusion.

• At 0700hrs Mr Smith's BP was 105/60 mmHg (the last reading was 120/80).
• His heart rate was 84 bpm (an increase from 74 bpm).
• Temperature 37.5C (previously 36.8)
• His respiratory rate has increased to 24 breaths per minute (an earlier reading of 18 breaths per minute).

Due to being occupied with two other patients, you did not get a chance to check up on Mr. Smith. At 0900hrs, a medical emergency team (MET Call) was announced for his room. Upon entering, he was found to be confused, cyanotic, and lethargic. His BP was 100/50, and his heart rate was irregular and tachycardic with muffled heart sounds. As the MET arrived, Mr. Smith became unconscious, necessitating the initiation of cardiopulmonary resuscitation (CPR) and you commenced cardiac compressions.

1) Complete the Part A and Part B requirements below.

2) Submit your work before the due date by following the submission instructions.

Assessment 2: Part A Individual Written Assignment

1. 1. Refer to the NSQHS third edition for Essential Elements for Recognising and Responding to Acute Physiological Deterioration (National Consensus Statement) and identify and explain four contributing factors for Mr. Smith's deteriorating condition. (250words) https://www.safetyandquality.gov.au/publications-and-resources/resource-library/national-consensus-statement-essential-elements-recognising-and-responding-acute-physiological-deterioration-third-edition
   2. Using the NSQHS standards and other evidence-based resources, identify and discuss four evidence-based nursing priority care interventions/assessments that can be implemented for Mr. Smith during his hospital stay to prevent the onset of further complications. (600 words). (Nursing interventions should focus on post-BLS care, not what will be provided during BLS. These interventions may also include nursing assessments. Additionally, it is important to note that cultural care aspects will be addressed in Part B and therefore should not be the focus of this discussion).
   3. Identify two different validated risk assessment tools utilised by nursing staff thatrecognise patient deterioration with clear escalation processes embedded. Discuss and critique their effectiveness with supporting evidence.(350 words).

(Think about the validated risk assessment tools that you have observed being usedduring your nursing/midwifery placement)