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Identifying deteriorating residents in care homes - #WeNurses
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Hosted by WeNurses using #WeNursesThis chat is guest hosted by @FSHCNurses
This tweet-chat will explore how nurses can quickly identify deteriorating patients within a care home setting. It will focus on how to spot early signs of deterioration, how to interpret clinical observations, how to use the SBAR tool to communicate meaningful information to supporting practitioners and how to respond to an emergency. Consideration will also be given to the timely recognition of sepsis within a care home setting.
The tweet-chat will focus on five main areas:
1. How to spot early signs of deterioration.
2. How to interpret clinical observations.
Clinical observations that will be considered include; respiration rate, heart rate, oxygen saturation level, blood pressure, temperature, consciousness, blood glucose and urinalysis.
3. How to use the SBAR tool to communicate meaningful information to supporting practitioners.
SBAR is an easy to remember acronym that can be used to frame conversations especially critical ones needing immediate medical attention/action. It can be summarised as the following:
S: Situation aboutwhat the problem is
B: Background includingrelevant medical history
A: Assessment usingthe ABCDE approach and supplemented with clinical observations.
R: Recommendationsabout what the plan of care should be.
The benefit of SBAR isthat it enables nurses to clarify what information should be communicatedbetween members of the team in a timely and effective manner.
4. How to respond to an emergency.
Consideration to immediate first aid within a care home setting and examples that might include: choking, cardiac arrest, head injury, suspected fracture and loss of consciousness.
5. How to recognise sepsis within a care home setting.
Sepsis is a life threatening condition that arises when the body’s response to an infection injures its own tissues and organs. Sepsis leads to shock, multiple organ failure and death especially if not recognised early and treated promptly. Sepsis is one of the most common causes of a person’s deterioration in hospitals and long term care facilities; and in the community it accounts for between 10 and 20% of adult medical emergencies. It was previously known as septicaemia or blood poisoning and is caused by a huge variety of different bacteria such as streptococcus, E-coli, MRSA and C-diff.
About our guest host
Dr Gary Mitchell is a nurse specialist with Four Seasons Health Care (FSHC). FSHC provide care to 16,000 older people across 350 care homes in the UK. Gary coordinates @FSHCNurses which is a brand new twitter page that seeks to provide a voice to our 3000 nurses who work at FSHC. Gary has previously hosted a tweet-chat with WeNurses & has previous experience as a social media editor with the British Medical Journal.