The attention to Ms. Elizabeth will be shown in this clinical reasoning cycle essay. During her hospitalization in the surgical ward, the nursing staff used a clinical reasoning cycle to respond to her unstable clinical presentation and ensure that she had a positive outcome as a patient (Levett-Jones, 2013).
A clinical reasoning essay describes and shares information they are able to discover while collaborating. However, it does exclude the reasoning behind their understanding. The clinical history is one persons’ experience in their own body brought across by utilizing a common essay structure to organize stories that reveal episodic problems (Legalonni & Forrest, 2004).
Consider Patient Situation
The blood pressure, urine output, and white blood cell count are all measured on a weekly basis. These numbers give the staff knowledge about each patients’ progress over the time-the problem is that she has had very little change in her condition for some time now.
According to Annie (2014) “formulating strategy towards what needs to be done in case of increasing complications” plays an important role as well. Critical thinking involves the individual’s practical application of knowledge in problem-solving (Turner, 2009). Elizabeths’ urgent medical condition is common for others with her type-she must receive treatment. To display this critical thinking I will employ persuasion as an effective strategy to get what she needs.
Medical intervention is used when a patient needs therapy (Legalonni & Forrest, 2004). The diagnosis also provides the inspiration for treatment. Here I will use reasoning to persuade Elizabeth to receive her catheter as it is time-consuming and places her in harm’s way by not administering medical intervention that could possibly save her life.
Clinical reasoning skills are situated within the realm of medicine including simulation and learning (Thomas, Eransen & Savage, 2012; Lynge et. al . , 2008). Practicing these are typically needed for a clinical clerkship however is not enough to comply with its study standards (Legalonni & Forrest, 2004 Davidson et. al., 2011).
Collect Cues and Information
Ms. Elizabeth has a history of asthma, and her breathing is hindered almost daily by an allergy. Her medical condition has made it imperative to get her catheterized before developing pneumonia, which in 2010 was still present and life-threatening for 65% of asthma patients (Mercatucci & Grunstein, 2012).
A surgical site infection can also occur when bacteria sets in during the time of catheter placement (Legalonni & Forrest, 2004). After speaking with her I will explore this option to determine if she would get a better outcome.
The medical-surgical nursing process is commonly used for clinical effectiveness and patient care (Zinsmeister, 2008). The process of catheterization involves inserting or suctioning the urinary bladder’s urethra. This intervention can be accomplished using two methods: one being an artificial Foley catheter which allows greater freedom for positioning. However, not all hospitals will have AFI’s available in their facilities where she might be treated (Legalonni & Forrest, 2004).
The normal blood pressure would be 90/60, but upon examining her today it isn’t as apparent. Ms. Elizabeth’s blood pressure is found and I will begin the assessment by asking myself if this woman has a compromised cardiac history – that she was born with or acquired during pregnancy (Legalonni & Forrest, 2004; Zinsmeister, 1992).
For Ms. Elizabeth to be considered stable, vital signs like acute pain, weight, and muscle tone must be assessed for a physical activity level. Patient safety in clinical practice is being able to act quickly and predictable on behalf of the patient.
Nursing care in a clinical context needs to focus on the immediate care needs of a patient and keep in constant communication with their physician staff. Trend information is critical for how we practice nursing today (Zinsmeister, 2008). To be considered effective clinical effectiveness must combine an understanding of acute conditions with an individual’s underlining health condition(s) or concerns throughout life – such as diabetes mellitus.
When evaluating Ms. Elizabeth she was listed in good body movement which implies she has good posture and mobility.
Ms. Elizabeth states she is able to sit in her bed without high degrees of pain but admits an occasional discomfort through walking around the house (stoops/knees deep).
Identify Problems/ Issues
Nursing education focuses on the assessment of acute pain. The health care costs of patients with chronic pain can be difficult to manage – like in Ms. Elizabeth’s case.
Elizabeth is observed to be in a short episode of acute pain from her recent surgery and demonstrates objective data with support for this interpretation. I can look at Ms. Elizabeth’s pulse oximetry screen to get some level information about blood oxygenation.
The patient is not submerged underwater or experiencing carbon dioxide harming effects when breathing nor are they actively screaming in agony which indicates she may have hypercapnia.
The patient is experiencing mild discomfort and accepts that it will pass and walks around the house with some pain
The clinician can use assessment methods to verify Ms. Elizabeth no longer has any nausea from eating a banana – but the reaction lasts for approximately 5 minutes when nursing can intervene if they notice her distancing herself throughout this time period (with the communication).
In a clinical reasoning cycle essay, applying the nursing process to a particular patient we need to identify the signs and symptoms. Patient outcomes include acute respiratory distress syndrome (ARDS), sepsis, chronic obstructive pulmonary disease (COPD), and New Adult Onset Diabetes Mellitus …or NODD.
Sepsis presents and nurses can be prompted to take action. Elizabeth is well aware of the Sepsis in her story and seeking optimal results for any treatment. Ms. Elizabeth used wheezing during coughing with some spitting out mucus at home – a sign we understand that it was likely caused by pneumonia …but then she noticed breathing discomfort which had crashed into acute respiratory distress syndrome (ARDS).
Pain interventions, supportive care interventions, and decisions are justified to lead toward her goals of controlling it.
Evaluating evidence is useful to identify the details of the case depending on whatever responses we see daily.
In this clinical reasoning cycle essay, with one aim of controlling her respirations – particular dangers are highlighted or noted: using an oxygen mask (the action means risk), having a catheter in a separate location instead (risk), and keeping family wishes such as working with children during time/week(s) out of much concern throughout starting treatment.
Nursing diagnoses in the emergency department include cardiac failure, severe pulmonary edema (SPE), sepsis, and acute respiratory distress syndrome. In our emergency department clinical reasoning cycle essay paper we state that she had a family history of COPD as well due to her grand-aunt’s health issues – both human beings with similar sufferers when exposed to the same dangers.
In nursing practice, staff members and nurses can be prompted to action based on the triggers of a person’s story. Once Elizabeth does not feel adequate oxygen is being delivered from her airway, it may latch onto keeping airways free from smoke in order for oxygen to reach.
Physical assessment and clinical judgment in professional practice are critical to pointing out the possibilities of danger and making serious consequences.
As needed, nurses or healthcare professionals make treatment plans that call for these changes: reducing drugs used in treating pneumonia, decreasing sedatives (with time elapsed), putting an oxygen mask over her nose initially until forced by a machine to have air sprayed on her face, all while planning which personnel will be present at times of respiratory distress episodes.
In a clinical reasoning cycle essay, medical procedures in critical care nursing are evaluated and learned. The more time spent in critical care, the better licensed vocational nurses can treat patients with modifications to what has been done previously – perhaps surprisingly.
LSTM health profession students are interested in investigating how medicine works to best guide their decisions as they continue to grow into remedial professionals, then towards advanced practitioners in healthcare standards of practice.
The patient data spans the span of a 24-hour period taking place within each critical care unit in order to accurately compare people’s life updates around hospitalization and death. In a clinical reasoning cycle essay, self-regulatory judgment is used to evaluate the effectiveness of interventions and approaches.
This is important, as it helps determine how a nurse’s nursing process was working in order to make observations that therapeutic responses were more beneficial than less beneficial ones.
In a clinical reasoning cycle essay, evidence-based practice is used to reinforce the ethical practice of nursing. Abdominal pain, acute appendicitis, acidosis, and respiratory distress all display remarkable similarities.
In my clinical reasoning cycle essay, I have used the patient’s life stage as a framework. It is important to utilize this technique correctly in order for nursing school graduates and healthcare professionals alike to successfully treat critical illnesses alongside their fellow colleagues.
A clinical reasoning cycle essay is not just about memorizing procedures or textbook learning, but rather, therefore, bringing home what has been learned from your experiences so far on your path.
Cognitive tools in quality and antibiotic treatment is an evidence-based panel, which investigates various treatments of experts. It is important to treat patients with antibiotics while they are still in the hospital because it lowers infection and death rates. Critical reasoning of the patients’ situation and how their condition changed over the course of time.
In the clinical reasoning cycle essay, pain score and surgical endoscopy of the patient’s stomach is an evidence-based tool used to determine treatment options.
A clinical reasoning cycle essay aims to show clinical reasoning and critical thinking abilities, which are vital for nurses in their daily lives.
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