started at 1600 on post operation day one. The care plan for Gemma for the PM shift will employ clinical reasoning cycle: including nursing problems in order of priority‚ interventions with rationales and evidences‚ evaluations on Gemma’s performance. This nursing diagnoses and care plan is to focus on early detection and prevention of complications associated with post operation of THR. PART A: Nursing Diagnosis 1. Diagnosis: Breathing problems related to effect of anesthesia and narcotics. a)
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POSITIVE PATIENT OUTCOMES: A CHALLENGE FOR THE CONTEMPORARY NURSING PROFESSIONAL. Introduction: Despite technological and medical advances today‚ chronic disease and resultant co-morbidities are prevalent in the Australian Healthcare System. As a result‚ patients‚ especially in the acute care setting‚ have more complex care needs. The management and care of patients with these complex care needs present a challenge for the contemporary nursing professional. Positive patient outcomes will be dependent
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Because of its continuity‚ Clinical Reasoning does not happen in a linear manner but remains to be cyclical (Marcum‚ 2012). Nurses who exhibit good clinical reasoning skills have the capacity “to collect the right cues and to take the right action for the right patient at the right time and for the right reason” (Levett-Jones‚ Hoffman‚ Dempsey‚ Yeun-Sim Jeong‚ Noble‚ Norton‚ Roche & Hickey‚ 2010). In contrast‚ nurses with less developed clinical reasoning skills usually fall short in detecting
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Critical Thinking and Clinical Reasoning Elizabeth Ayers Marshall University Graduate College Critical Thinking and Clinical Reasoning Clinical reasoning and critical thinking are both key items to nursing practice and occurs every day on the job. Both of these terms are necessary for nurses to utilize in their everyday practice. Without clinical reasoning and critical thinking nurses would no longer face any challenges and patients would have worsening outcomes. Thinking is a skill
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Nursing Process and Clinical Decision-Making The nursing professional faces a myriad of decisions on a daily basis. The effectiveness of the decision-making process is crucial to ensuring positive outcomes in the clinical setting. If the nursing process is misunderstood or misapplied to the decision-making process by a failure to use critical thinking skills‚ the results can be catastrophic to the anticipated outcomes. Furthermore‚ an immaturity in critical thinking may influence decisions because
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Clinical Theory Introduction Nurses utilize multiple theories daily to care for patients and their families‚ though these theories range from grand‚ to situation-specific‚ to mid-range the nurse tends to focuses on which theory will provide the best care to his/her patient. Perhaps in my opinion mid-range theories with their growing frequency of use are best suited for nursing in the 21st century. Mid-range theories are said to be middle rather than ordinary but they are specific enough to evaluate
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Clinical reasoning Clinical reasoning involves nurses learning and practical experience to play. Any errors or misjudgement can lead to various adverse conditions (Levett-jones et al‚ 2010). Identification of patient problems‚ understanding his situation‚ collecting information and cues followed by processing the information and identifying the key problems‚ establishing goals‚ taking action‚ evaluation of outcomes‚ and reflection is what forms the clinical reasoning cycle. All these areas should
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Clinical reasoning is the process of thinking that guides and occupational therapist clinical practice (Shafaroodi‚ Kamali‚ Parvizy‚ Mehraban‚ O’Toole‚ 2013). Seminal work by Fleming (1991) identifies three areas of clinical reasoning thought; procedural‚ Interactive and conditional (Robertson & Griffiths‚ 2012). Through my learning style of reader/writer my personal clinical reasoning is drawn strongly from the use of textbooks and research articles. As I transition from a student learning
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assignment of the concepts in nursing. The nursing process is a series of scientific steps that can be applied to a patient to fulfil his or her basic needs and helps to solve the clinical problem independently. It is based on a nursing theory developed by Ida Jean Orlando in the late 1950’s. It is an essential part of the nursing care plan and consists of five steps. They are: assessment‚ nursing diagnosis‚ planning‚ implementation and evaluation. The nursing process highlights the patient as the
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FLORIDA INTERNATIONAL UNIVERSITY COLLEGE OF HEALTH AND URBAN AFFAIRS SCHOOL OF NURSING CLINICAL WORKSHEET: NURSING PROCESS CARE PLAN STUDENT NAME DATE |Client Initials A.R |Culture/Ethnicity White |Support system Mother‚ Father | |Unit Telemetry Room/Bed 478D |Religion Catholic |
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