Additionally, testing the patient’s vitals is very important in any diagnosis (Dariel, Raby, Ravaut & Rothan-Tondeur, 2013). … This essay will discuss two decision making models, factors that may improve or interfere with clinical reasoning and decision making in patient centred care and how they vary across the different fields of nursing. Finding out the main reason for Mr. John’s stress can lead to the proper therapeutically-induced intervention for the patient. (2011, October). However, clinical reasoning is very effective for chronic patient cases that include patients with cancer, arthritis, asthma, Leukemia and challenges such as kidney failure, diabetes and ulcers (Staveski, Leong, Graham & Roth, 2012). Alfaro-LeFevre, R. (2012). Andrew, N., & Robb, Y. This diagnosis thus needs to be discussed with other senior nursing officials to establish the degree of accuracy in the diagnosis. Severe depression following suicide attempt Select a patient encounter from your current clinical experience. Clinical Coaching–An innovative role to improve marginal nursing students’ clinical practice. NURS 409 Community Health Nursing Outcomes & Results. I am also concerned about Gray’s neck injuries and whether they could be linked to the depression that he is currently suffering from. The next goal is to ensure that error omission is guaranteed by progressively seeking additional information to help in the diagnosis and treatment of the patient. Critical thinking and clinical reasoning are terms often used interchangeably throughout the history of nursing. Increasing the number of activities aids depressed patients such as Gray to cope with depression. C linical reasoning—the integration of clinical information, medical knowledge, and contextual (situational) factors to make decisions about patient care—is fundamental to medical practice. Clinical reasoning denotes attention on patient care situation and exposing the nature of patient problems (Benner et al., 2010), Clinical reasoning, evidenced based practice and my application of both in nursing practice "The initial assessment sessions are crucial in the practice, research, and theory of cognitive and behavioral psychotherapy," and as such it is incredibly important (Sanavio, 2012, p 174). ? 4, pp. Clinical reasoning, decision making, and action: Thinking critically and clinically. I. The term clinical reasoning is a term used interchangeably with critical thinking, clinical judgement, decision making and problem solving. Uses Harvard referencing style. 10 Critical Thinking and Clinical Reasoning INTRODUCTION The term “thinking like a nurse” was introduced by Dr. Christine Tanner in 2006. The circle represents the ongoing and cyclical nature of clinical interventions and the importance of evaluation and reflection. There are eight main steps or phases in the clinical reasoning cycle. Nurse residency program: Best practices for optimizing organizational success. Blackwell Publishing Inc. dit Dariel, O. J. P., Raby, T., Ravaut, F., & Rothan-Tondeur, M. (2013). 2. This highly context-dependent process requires interaction with the patient, caregivers, and other health care team members and is influenced by models of practice.1 The process of clinical reasoning encompasses how a health care practitioner's knowledge is translated into patient care2—yet many factors, including beliefs and models of practice, influence wha… However, they are not the same, and distinguishing the difference amongst them is important. Nurses work with other multi-disciplinary team, CURRENT RELATED RESEARCH (CLINICAL REASONING) Interviewing these family members would indicate reasons Mr. John may have been stressed to the point that he chose not to eat. Here, clinical reasoning in occupational therapy is described as a largely tacit, highly imagistic, and deeply phenomenological mode of thinking. His routine morning observations were: Blood pressure 125/75, Temperature 36.3, Pulse 66, Respirations 18. Then an example of method use will be discussed. Uses appropriate scholarly literature to substantiate findings throughout. Clinical Reasoning ...Clinical reasoning, evidenced based practice and my application of both in nursing practice Clinical reasoning, evidenced based practice and my application of both in nursing practice Simmons (2009) states “clinical reasoning guides nurses in assessing, assimilating, retrieving, and/or discarding components of information that affect patient care” (p. 1151). Clinical reasoning, evidenced based practice and my application of both in nursing practice Initial assessments in clinical psychology can lead the psychologist to a number of assumptions based on the notion that they do not know the patient beyond the context of one single session. A diagram of the clinical reasoning framework is shown in Figure 1. Reflective practice and its implications for pharmacy education. Clinical reasoning is an essential element of competent nursing practice. Participating physiotherapists explored and made sense of a person’s world before tailoring their educational approach for the individual. Essentially, it is the responsibility of the individual nurse to identify the need to develop this ability, and the skill to effectively communicate the patient’s condition to the other members of the healthcare team to produce positive patient outcomes. Unlike most other websites we deliver what we promise; GET 15 % DISCOUNT TODAY use the discount code PAPER15 at the order form. Components of the Diagnostic and Clinical Reasoning Paper. Clinical reasoning may be defined as “the process of applying knowledge and expertise to a clinical situation to develop a solution” [Carr, S., 2004. Clinical reasoning is a commonly used phrase in medical writing where it could appear in its other forms such as medical judgment, analytical reasoning, solution provision and others. HPI: Pt verbalizes she is here for shortness of breath and wheezing and yearly exam. ALL RESEARCH SHOULD BE VALID IN AUSTRALIA. 1. Clinical virtual simulation can provide a pedagogical strategy and can act as a facilitator of knowledge retention, clinical reasoning, improved satisfaction with learning, and finally, improved self-efficacy. Nurse’s role is taking care of patients, supporting, and helping them recovery them from disease or any medical condition they came with and improving their quality of lives and get, them back to community to function as normal. For instance, in the case of John, the patient in this case study, his history of causing self-harm cannot be easily diagnosed without having prior information on what the motivation for the harmful activities is. These problems are social in nature (Alfaro-LeFevre, 2012). Nursing 13 (7), 850–857]. to be able to discern the actual problem. John has a rope burn mark on his neck caused by the breaking of the rope with which he attempted to hang himself and some bruising and broken skin on his arms and legs from the subsequent fall but no serious physical injuries. Interview content was examined to identify types of expert reasoning strategies using during the CSE. References Benner, P., Hughes, R. and Sutphen, M. (2008). This paper offers a concept of clinical reasoning that differs from many of the traditional definitions of clinical reasoning in occupational therapy and the health professions in general. She sees her pulmonologist for asthma, a couple of times a year for preventative care. Evidence-based practice for nurses. Cockerham, J., Figueroa‐Altmann, A., Eyster, B., Ross, C., & Salamy, J. The most popular of these ways is to check insurance records. There is need however to incorporate evidence-based practice in the treatment of John’s depression that has led to eating disorders, attempted suicide and self-inflicted injuries. Communication: The Society to Improve Diagnosis in Medicine (SIDM) has developed the Assessment of Reasoning Tool (PDF) to support educators in assessing a learner’s clinical reasoning skills during patient presentations. The other nursing issue that perturbed me is Gray’s behavior of not eating or participating in recreational activities. He seems to be struggling with depression-related problems. Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. The decision making models that will be discussed are Risk Analysis and Evidence Based. Additionally, studies by Hoffman et al. Students are to choose an actual patient they saw in the clinical setting to develop this paper. American journal of pharmaceutical education, 78(1). Knowledge on past treatments helps avoid allergic reactions in current treatments as well (Andrew & Robb, 2011). However, before he begins the therapy, John needs to take his medication and lower stress levels. 10%. The most important goal is to ensure that all information acquired from interviewing John’s contacts is captured and recorded for future use. Schmidt, N. A., & Brown, J. M. (2014). . He needs to be under constant surveillance without making it seem like he is being monitored. He may for instance need counseling more than he needs the medication he is on. Approximately more that half of the adults in America have the periodontal illness - a chronic disease that is inflammatory, which affects the tissue and supporting teeth. Effective clinical nursing methods possessed by a nurse gives a positive impact on the patients similarly if a nurse is ineffective in clinical reasoning it can give a negative impact on the patient. Clinical Reasoning Assessment for Post-Operative Cholecystitis and Cholylithiasis Patient Introduction Data about patient are always collected to provide basis for decision-making among nurses. Such strategy makes medical students and residents think more effective like experts. Those with effective clinical reasoning skills can enhance patient outcomes. When you address him to introduce yourself, he grunts and turns over to face the wall away from you. We use clinical reasoning every day to assess and manage our patient’s problems. POSITIVE PATIENT OUTCOMES: A CHALLENGE FOR THE CONTEMPORARY NURSING PROFESSIONAL. Clinical reasoning is defined as the process used by OT practitioners to understand the client’s occupational needs, make decisions about intervention services, and think about what we do. It is a process that involves both understanding and reflective thinking and is dependent on the critical thinking ability of nurses. Forbes & Watt (2015) enlighten that diet and activity are among the leading contributors of effective recovery from depression. Firstly Andrew reminded me that we have to be able to make the pieces fit. AACN advanced critical care, 23(2), 133-141. We prepare an academic paper basis the requirements and other information provided by you thus delivering a quality work in your assignment related to Clinical Reasoning Cycle. Clinical reasoning is a complex problem-framing, problem-solving, and decision-making process necessary for effective health care practice. The importance of these strategies is that at the end of the day, John needs to be treated. Simply fill the order form! Developing the Serious Games potential in nursing education. He thus ought to begin treatment that will make him open up about the problems he faces. In priority nursing care, it is important to incorporate professional advice from colleagues and supervisors (LeMone et al., 2015). Bratt, M. M. (2013). 2. Here, clinical reasoning in occupational therapy is described as a largely tacit, highly imagistic, and deeply phenomenological mode of thinking. Clinical reasoning lies at the core of health care practice and education. This paper offers a concept of clinical reasoning that differs from many of the traditional definitions of clinical reasoning in occupational therapy and the health professions in general. In some cases such as emergency nursing treatment where the cause for treatment is injury, little information is required to start the treatment (Jefford, 2012). Journal for nurses in professional development,29(3), 102-110. have compared the way in which the expert nurse and the novice nurse accurately collect cues from which they base their decisions. Tsingos, C., Bosnic-Anticevich, S., & Smith, L. (2014). Critical thinking and clinical reasoning are terms often used interchangeably throughout the history of nursing. The expected length of the paper is approximately 3 pages, which does not include the cover page and reference page(s). These medications indicate treatment for an eating disorder as well as depression. Outcomes & Results. Examples must be provided detailing how you have achieved the objectives. Clinical reasoning can be defined as a “ complex cognitive process that uses both formal and informal thinking strategies to gather and analyze patient information, evaluate the significance of this information and weight alternative options” (Lavote, Pepin & Boyer, 2013, p36). Mr John Gray is a 28 year old single male admitted to the unit a week ago after an episode of intentional self-harm. Goals for priority of nursing care are based on various principles assigned within the clinical reasoning cycle. Most Urgent order is delivered with 6 Hrs. Each model will be discussed in turn, first providing an overview, explaining its use and aim in healthcare. 46, No. 1. He needs to have an attitude change to accept medication before any medical intervention can work (Staveski, Leong, Graham & Roth, 2012).

clinical reasoning paper

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