Critically analyse YOUR role – critically evaluate underpinning evidence base for care.

Presentation

20-minute presentation (1 minute per slide) Around 20 slides + the references

  • Pick one patient – Introduce self-briefly (My name is Maria and I’ve been qualified 9 years. Previously worked in Acute medical Unit and Emergency department and now working in Critical care unit for the past 3 years) – Identify patient and provide brief holistic introduction. (John is a pseudonym – Reference to NMC regarding confidentiality). Offer some rationale why chosen? (John was deaf (not completely), could lip read and the communication was difficult due to tracheostomy, delirium, hearing impairment and nurses wearing masks)
  • Evaluate patient’s complex critical illness. (Acute coronary syndrome) Demonstrate knowledge underlying disease processes. Examine: Altered physiology, make links and show depth of knowledge.
  • Pick one topic- Critically analyse YOUR role – critically evaluate underpinning evidence base for care. Evidence base (quality evidence) – critique, support, argue, reflect case. (Topic is : Communication in Critically ill patients with tracheostomy)
  • Demonstrate presentation skills

Slide design

  • Consider design and background colour
  • Font, size, and colour
  • Selection of images to illustrate content
  • Use of supporting tables, graphs, or animations – Go carefully!
  • What to leave out!
  • References on slide
  • Final references: Harvard listing

 

 

Key dos and don’ts:

  • Plan well
  • Choose colour, text and graphics carefully
  • Create succinct meaningful headings
  • Consider learning styles and impact
  • Beware overloading with text
  • Include key references on your slides

 

 

Flow and structure:

  1. Title slide – Introductions
  2. Aims and objectives – sign post
  3. Main Body of presentation – Use criteria
  • Flow through logically
  • .middle..end
  • Timing and balance
  1. Conclusion – So what? What now?
  2. References – Harvard

 

Case Study – Patient

John 67 years

John is a 67-year-old man. Past medical history of Hypertension, asthma with no frequent use of inhalers, Elective surgery L3/L4 decompensation, kidney stones, hiatus hernia and hearing impairment due to lack of oxygen at birth and he lip reads. John’s hobbies are playing golf, walking the dog, watching football especially the team he supports which is Manchester City. John used to work as a Chef but now he is retired. John is married and has one son. John also has two grandchildren. John is catholic.

 

John was at the golf club when he developed chest pain and called the ambulance. Before the ambulance’s arrival, John was unresponsive, and peri arrested and then had cardiac arrest when ambulance crew arrived. The crew did one cycle of chest compressions and x1 shock was given as John’s heart found to be in Ventricular fibrillation (VF) rhythm. Resuscitated successfully.

John was unresponsive on the way to the Emergency department (ED) and then was intubated on arrival. John was treated for Acute coronary syndrome as per Cardiology. Doctors attempted multiple sedation holds but John wasn’t waking up appropriately in result of developing ventilator acquired pneumonia due to being unable to wean off the ventilator. John had a tracheostomy inserted 12 days later. After the tracheostomy insertion, the sedation was turned off and John woke up appropriately but confused. Doctors and nurses obtained the confusion assessment method (CAM) to confirm delirium and this was positive.