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Recognising signs and symptoms of patient deterioration

06 December 2012

Emergency Nurse


Patients’ conditions can deteriorate quickly and potentially result in unnecessary death. Although this is more common in acute clinical settings, it can happen in...

A patient with sepsis: an evaluation of care

01 May 2009

Emergency Nurse


While undertaking an accident and emergency care course, the author was required to reflect critically on the care of a patient he had seen. This included the use of...

Neurovascular assessment

18 July 2007

Nursing Standard

Art & Science

The ability to carry out a neurovascular assessment on a patient’s limb is an important skill for all registered nurses. All nurses, whether working in primary or...

Deterioration in hospital patients: early signs and appropriate actions

10 September 2008

Nursing Standard

Art & Science

Early identification of clinical deterioration in hospitalised patients is important to prevent subsequent cardiopulmonary arrest and reduce mortality. Understanding...

Theory and practice of manual blood pressure measurement

12 December 2007

Nursing Standard

Art & Science

This article outlines the process of taking a manual blood pressure measurement. The author suggests that it is a skill that nursing students should be using in...

Using a systematic approach to assess an acutely unwell patient with catatonia: a case study

28 February 2018

Nursing Standard

Evidence & practice

Patients in acute settings may present with a variety of signs and symptoms; however, the principles of assessment are applicable to all acutely unwell patients....

Effect of technology on undertaking nursing observations

16 September 2015

Nursing Standard

Art & Science

It is recognised that there is a shared responsibility for ensuring nursing students are competent to carry out and interpret manual nursing observations in...

Rate of respiration: the forgotten vital sign

10 May 2011

Emergency Nurse


Respiratory rate is an early indicator of physiological deterioration and should be recorded with other vital signs in patients who present to emergency departments....

Monitoring and recording patients’ neurological observations

14 November 2007

Nursing Standard

Art & Science

This article provides a detailed account of how to monitor and record neurological observations. It outlines the importance of neurological observations in acutely...

Observations and monitoring: routine practices on the ward

01 May 2010

Paediatric Nursing


Aim To review routine observations on all children admitted to the Children’s Hospital for Wales and the feasibility of implementing an early warning score for...
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