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Reflecting on clinical decision making in nursing ward essay
Reflection on decision making by nurses
Reflecting on clinical decision making in nursing ward essay
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In conclusion, Mr. Devi journey discussed throughout the essay, focusing on the role of the nurse in clinical decision-making. This essay looks at the Tanner (2006) model that begins with gathering relevant information about the patient and assembling that information to identify the problems. To assess and comprehend his condition Mr. Devi physical, mental and social information gathered from a nursing perspective. Based on Mr. Devi background, current condition and assessment, his risk factors for stroke were identified. Further, in response to his problem a nursing care plan formulated in partnership with patient and nurse considering his values, customs and spiritual belief. Nursing interventions and actions were placed based on best available
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
Nurses help patients with their physical needs with details, explain the complex steps of medical treatment, communicate with doctors to share patients’ health conditions and proper treatments, and give emotional support to patients in stressful situations. There are certain limitations that nurses have in decision makings because doctors obtain the most power in patients’ medical clinics. However, nurses are more friendly, helpful, and suffering for patients. Lastly, experienced nurses can make a better choice for the patients over young and un-experience
In addition, one of them was 10 year old girl, who was just diagnosed with type 1 diabetes. Patient was a young girl, from different culture and religion, and parents had language barrier; however, while taking care of the child, I could see that family had really good interaction with each other. Parents were at bedside all the time, and they were very supportive and attentive. Patient and family did well with diabetic care. The mother was participated in cares and eager to learn. Moreover, to provide highest quality of care, nurses did a lot of great job. They provided information about the child’s chronic illness and taught about insulin administration. Consequently, from caring that patient I understood that most important nursing interventions are to assess patient's ability to copy with new life and role change, patient’s reaction to chronic illness, support system, cultural issues, and available
In my practice learning environment (PLE), I encountered Ruby, a ninety year old lady who had suffered a stroke. The rationale for choosing Ruby for this reflection is that she had a Waterlow score of eighteen on admission. The intrinsic factors contributing to the high Waterlow score included her age, skin integrity, nutritional status, mobility, faecal continence and special risk due to her left cerebellar stroke (Waterlow, 2005). Ruby’s post stroke symptoms included; weakness in her right limbs, frustration over losing independence and a right visual field deficit. Since, these symptoms can contribute to the development of PUs (Suttipong and Sindhu, 2012); I knew the nursing staff and I must make PU prevention a priority in Ruby’s care planning. Through showing compassion and taking a person-centred approach by involving Ruby and her family in decisions, as a team, we successfully put evidence based PU...
Clinical reasoning is an integral component of the occupational therapy profession. It is “the thought process that guides practice” (Rogers, 1983). The ability to effectively problem solve in a clinical work environment is a skill that must be practiced in order to master. In an ever-changing, diverse profession such as occupational therapy, it is imperative to remain knowledgeable and current of any changes or medical advances that may improve clinical competence. Clinical reasoning skills cannot be mastered solely with a textbook filled with examples of diagnoses and treatment interventions. Clinical competence is built on experience and opportunities to apply knowledge and learn from mistakes in a hands-on environment. Despite being exposed
Nobody is perfect. We all make mistakes. Some of the best lessons in life are learned from making a mistake. But in the healthcare world making mistakes means losing lives. This has started to happen so frequently there has been a term coined – Failure to Rescue or FTR. Failure to rescue is a situation in which a patient was starting to deteriorate and it wasn’t noticed or it wasn’t properly addressed and the patient dies. The idea is that doctors or nurses could’ve had the opportunity to save the life of the patient but because of a variety of reasons, didn’t. This paper discusses the concept of FTR, describes ways to prevent it from happening; especially in relation to strokes or cerebrovascular accidents, and discusses the nursing implications involved in all of these factors.
The steps in the nursing process relate to evidence based practice in many ways. During the diagnostic, and assessment steps of the nursing process important clinical questions are considered and the critical review of existing knowledge is completed. Evidence based practice also begins with identification of the problem and knowing the clinical problem by asking questions, in relation to the nursing process. These clinical questions are asked in a concise, accurate, and organized way which allows for clear answers. Once all the specific questions are identified, the second step is to search for evidence by an extensive research of the best information to answer the question. The third step in the nursing process is to develop a plan of care. In evidence-based nursing practice, the plan of care is established upon completion of a critical research of what is known and not known about the specific problem. Next in the traditional nursing process, the nurse implemen...
Profession of Nursing is always regards as a complex, dynamic and noble. The nursing profession requires many things such as hard work, a vast knowledge, excellent communication skills, and a passion for the noble profession. All these qualities are needed to be an effective nurse. Today, nurses are living in a world of ever changing field of medicine .The present patient statistics poses, nurses are expected to take responsibility of accomplishing the requirements. The requirement for excellent nursing skills is added as well as well-formed skills in different aspect. Because of the high demand in excellent nursing care, the IOM have declared the recommendations for the future of nursing.
ANA describes “The Scope of Nursing Practice (as) the “who,” “what,” “where,” “when,” “why,” and “how’ (8).’ In other words, it is the responsibility of the nurse to know who their patient is, what the patient’s diagnosis and treatment are, where it is they will be delivering treatment, the rationale behind their actions, and how they will deliver the care. By following the scope of practice, nurses reduce avoidable errors and are aware of the liability their actions entail. The ANA also puts forth a nursing process to guide nurses in treatment. The constantly evolving process is currently assessment, diagnosis, identification of outcomes, planning, implementation, and evaluation (ANA 9). Though this method has dramatically improved nursing care, it may be necessary to repeat steps to adapt to a patient’s changing needs and pathologies. By following guidelines set by the ANA, nurses are able to better connect with their patients and instill the image of professionalism to the public while also optimizing safety
An entity states that, stroke the extremely important term that accelerates the mortality and morbidity rate in our country. The disabling cerebral tube sickness additionally incorporates an important impact on residual advantages that ends up in the most important economic loss [6]. Though India is rated among the country lacking enough information associated with stroke, a number of the recent studies elucidated the stroke pattern to significant extent in our country with a prevalence rate of 471.58/Lakh population [7].
Nursing Problems is the current class in session, which includes an analysis of modern nursing issues and the impact nurses make when resolving any problems concerning patient care. Although there have been many different issues in the past, healthcare is in constant change and there are frequent issues that arise. Therefore, there are two or more sides to every issue. Using statistics and research, “The Great Debaters” movie presented different ways to endorse our opinion when discussing a problem.
When a nurse is providing patient care, he/she creates a safe environment for the patient and enables the choice to establish a relationship on a human to human interaction or on a transpersonal level. The patient will be acknowledged as a person with the wholeness of their soul despite their illness or number on the bed. The ten carative factors in this theory are used as an education tool for nurses around the world and should be applied to the different care situations in practice. Nurses use the factors to promote growth in themselves and within the patient. A nurse should respect the patient’s decisions and take the time to fully be present in the moments with the patient. A lot of nurses complain about the time limitations they have and do not provide the necessary amount of time to listen and gather the patient’s perspective of the situation. Another way this theory can be applied to practice is by recognizing the caring moment between you and the patient. This will determine how the relationship will
One of the goals of nursing is to respect the human rights, values and costumes of a patient and his or her family and with the community as a whole. The International Council of Nurses states that nursing practice can be defined generally as a dynamic, caring, helping relationship in which the nurse assists the client to achieve and maintain optimal health. As health care providers, we have some fundamental responsibilities such as to promote health, to prevent illnes...
These five steps are: 1. Nurse to have a critical self-assessment of their own knowledge, attitudes, and skills. The nurse should also obtain a cultural assessment of the patient’s background. The nurse can use subjective and objective findings by both a physical exam and health history. 2. The nurse should set goals that have been collaborated on with the patient, nurse, family, and other health care team members. 3. The nurse then should develop a plan of care. 4. Following the development of the plan of care, it now should be implemented. 5. Finally the evaluation of the plan of care should be done. A key piece to the five step process is including the patient, health care team members as well as the family when establishing a plan of care to be implemented (Andrews,
This theory analysis paper focuses on the work of Ida Jean Orlando and her Deliberative Nursing Process Theory. Ida Jean Orlando was one of the first nursing theorist that developed a nursing process theory based on her own research and analysis. She established the Deliberative Nursing Process Theory which focuses on the interaction between the nurse and patient. The nurse’s goal is aimed at improving the patient’s immediate situation by relieving stress or discomfort and with effective communication, create a positive nurse-patient relationship. Her theory was developed from observations she recorded on actual nurse-patient interactions in the 1950’s. Orlando looked for “good” versus “bad” outcomes in nursing to determine effective