Assignment 2b Question: Part A: Consider the vital signs and symptoms in the tutorial cases of Leo (aSAH) and Tamara (Paediatric MTBI) while in the emergency department. Which vital signs and symptoms and are indicative of suspected rising intracranial pressure? Explain the pathophysiology of the chosen signs and symptoms applying the concepts to the surveillance of neurological deterioration in each case. Part B: What is the role of the family in the recognition of deterioration and escalation of care in these tutorial cases? Explain using published evidence.(aSAH=aneurysmal subarachnoid haemorrhage; MTBI=Mild traumatic brain injury)PART A1. Rising intracranial pressure is defined in the context of neurological deterioration. The choice of signs and symptoms indicative of rising intracranial pressure are accurate and are explained in depth according to the nervous system pathophysiology [30%]2. Rising intracranial pressure is explained in the context of neurological deterioration and applied to the tutorial cases – [20%]3. The current published evidence is discussed including the Guidelines for aSAH.and MTBI [10%]4. A clear and accurate clinical decision and critique of management answer is made based on the evidence discussed using critical thinking and reasoning. [10%]PART B1. Family role in patient deterioration escalation of care is defined and explained re the safety and quality literature and commission. [15%]2. The Family role is placed in context of the tutorial case and critical thinking and reasoning is applied to the issue. [15%]
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