1.Explain how you can determine when a patients health or condition is deteriorating. Include the various stages of consciousness you need to be aware of as part of the clinical assessment and ongoing care. Detail the signs: Detail symptoms of deterioration: Detail the response to the above you would implement as an EN: 1.Explain how you can determine when a patients health or condition is deteriorating. Include the various stages of consciousness you need to be aware of as part of the clinical assessment and ongoing care. Detail the signs: Detail symptoms of deterioration: Detail the response to the above you would implement as an EN:.