Question

of cognition and a. Choose one of the following risk factors for contributing to a sudden deterioration complete a SBAR communication that would fit the scenario. Choose one of the nursing diagnosis options as the "A" for the SBAR. (Circle the one you are focusing on from the three already listed) and briefly complete the Situation, Background and Recommendation communication that would fit the scenario. Situation: Background Assessment: Risk for Infection or Electrolyte imbalance or Ineffective cerebral tissue perfusion Recommendation:

Answer 1

SBAR is an acronym for Situation, Background, Assessment, Recommendation. It is a technique that is used to facilitate prompt and appropriate communication.

# The scenario is sudden deterioration of cognition .

Situation - I am (name ) of the nurse , calling to tell you about the patient (name ) ,sex ,age , bed number , diagnosis . I have just assessed the patient personally . Vital signs were :

Temperature - 99.8°F

Respiratory rate - 12bpm

Heart rate - 50bpm

Blood pressure - 170/ 149mmhg

I am concerned about the vitals because it's indicates high intracranial pressure due to which he is having sudden decrease in cognition.

Background - Patient is confused and lethargic , minimally responding to stimulus . Skin is warm and dry , on oxygen with flow rate at 4ml/hr and SPO2 - 90%

Assessment - Risk for ineffective cerebral tissue perfusion related to head injury

Recommendations - I request you to ask for a consultant to see the patient now and shift him to critical care unit . Do you need any test like ABG ,EKG etc and does any changes in the treatment is needed like vitals every hourly ,etc to prevent complications .