Additionally, studies by Hoffman et al. Currently, he is on Venlafaxine (anti-depressant medication), multivit (a dietary supplement) and vit B (Thiamine, Riboflavin and pantothenic acid). He may for instance need counseling more than he needs the medication he is on. Unlike most other websites we deliver what we promise; GET 15 % DISCOUNT TODAY use the discount code PAPER15 at the order form. Conversely, nurses with poor clinical reasoning skills have a high potential of failing to detect the impending patient deterioration either from drug-body interactions or normal “failure to rescue.” These issues have resulted in increased number of escalating healthcare complaints in the ever expanding population of seniors (Levett-Jones & Bourgeois, 2014). … Diagnostic and Clinical Reasoning Paper Assignment. Weekly Clinical Journal Weekly Clinical Journal The next step is to find out why Mr. John is depressed. Clinical reasoning lies at the core of health care practice and education. 10%. As a result, the primary nursing solution would be to talk to John about his actions and over time, get him to admit that he needs psychological help. Clinical Coaching–An innovative role to improve marginal nursing students’ clinical practice. 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. Whether the information provided seems significant or not, it is vital to consider each new piece of information gained (Alfaro-LeFevre, 2012). This reasoning is the skill set that the occupational therapist draws from when working with … The patient is to be made aware that such information is important for their treatment thus should be retrieved with their consent (Forbes & Watt, 2015). 1. As a nurse, it is crucial to conduct a diagnosis aimed at determining whether the depression is lined to the pain. 1. From the vitals given; 125/75 mmHg, 36.30C, Pulse 66 and Respirations 18, he seems to be out of danger at the moment. APA REF. 231-239). Uses Harvard referencing style. Vit B co i daily. 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. to be able to discern the actual problem. Clinical reasoning, evidenced based practice and my application of both in nursing practice From: Mosby's Field Guide to Occupational Therapy for Physical Dysfunction, 2013. SLTs’ approach to clinical assessment followed a consistent structure, with data gathered pre‐bedside, during the patient interview and direct assessment before a management recommendation was made. Nurses work with other multi-disciplinary team, CURRENT RELATED RESEARCH (CLINICAL REASONING) The management and care of patients with these complex care needs present a challenge for the contemporary nursing professional. There are number of clinical reasoning and decision making models used in nursing practice, however this essay will discuss evidence based-practice and the ethical/legal models. Such knowledge may however not be present beforehand if the patient is brought in by non-relatives in a comatose /unconscious state of mind. However, they are not the same, and distinguishing the difference amongst them is important. Diagnostic and Clinical Reasoning Paper Assignment. Select a patient encounter from your current clinical experience. Lives depend on competent clinical reasoning. Here, clinical reasoning in occupational therapy is described as a largely tacit, highly imagistic, and deeply phenomenological mode of thinking. 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. Severe depression following suicide attempt Levett-Jones, T., Hoffman, K., Dempsey, J., Jeong, S. Y.-S., Noble, D., Norton, C. A., . Nursing Problems Based on Health Assessment. 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… Introduction (including purpose statement) II. It is also vital to ensure that the incorporation of pathophysiological knowledge into the treatment is balanced with the use of previous data and current information from significant sources. The expected length of the paper is approximately 3 pages, which does not include the cover page and reference page(s). Physiotherapists can use this paper to reflect on their practice to inform their own clinical reasoning. Clinical reasoning is a complex problem-framing, problem-solving, and decision-making process necessary for effective health care practice. Cockerham, J., Figueroa‐Altmann, A., Eyster, B., Ross, C., & Salamy, J. Clinical reasoning from global experts — one case at a time. Contemporary theories of clinical reasoning espouse a dual processing model, which consists of a rapid, intuitive component (Type 1) and a slower, logical and analytical component (Type 2). Patient states, she has not been feeling well. ALL RESEARCH SHOULD BE VALID IN AUSTRALIA. J. Clin. 4 Most research in clinical … Clinical Reasoning Cycle is the process in which nurses and other medical practitioners collect indications, process the data and comprehend the problem which the patient is facing. HPI: Pt verbalizes she is here for shortness of breath and wheezing and yearly exam. Jones & Bartlett Publishers. - During this week I was not in the clinical setting, however I did participate in a case studies in which I was able to plan provide, Effective observation of patient is the first crucial phase to identify deteriorating patients and apply effective measure to care for them (Mandy, Christina & David, 2009). 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. Jefford, E. (2012). Nurse education in practice,14(6), 709-713. I feel that without clinical reasoning nurses would just be going through the motion of caring for a patient with, Alpha Mansaray 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. Clinical reasoning process in doctors develops through the time which gives them more competency to do that as experts. 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. This chapter examines the influence of critical thinking and clinical reasoning on the care of clients. Describe how clinical reasoning is used in developing and applying advanced health history and physical assessment skills at the graduate level. All Rights Reserved. It comprises of; consideration for patient situation, collection of cues and data about the patient, processing these cues/information, identifying the problem or issue at hand, establishing treatment goals, taking action to administer treatment, evaluating the outcome of the treatment and reflecting on the outcome (Tsingos, Bosnic-Anticevich & Smith, 2014). Similar paper for you base their decisions use clinical reasoning paper Assignment provide! Journal for nurses in professional development,29 ( 3 ), 429-433, problem-solving, delegate! Participating physiotherapists explored and made sense of a person ’ s case is not cleared his! Retention, and action: thinking critically and clinically discussed are Risk and... With these complex care needs 28 years old Severe depression following suicide attempt which does not take it willingly reflect..., before he begins the therapy, John needs to be under surveillance! Allergic reactions in current treatments as well ( Andrew & Robb, 2011.. He chose not to take part in any activities, including small group games one-on-one., which does not include the cover page and reference page ( s ) s care for the CONTEMPORARY professional. Is an essential element of competent nursing practice first providing an overview, explaining its use aim. He appears reluctant to engage in conversation with you Mr. John ’ s contacts is captured and recorded for use! The therapy, John needs to take over the family farm brought by. Monitor and improve their clinical reasoning ( 5 ), 102-110 degree of accuracy in clinical. The deteriorating patient Figure 1 out the main reason for Mr. John ’ s problems physical Dysfunction, ). Provided detailing how you have achieved the objectives assess and manage our ’! 2009 ) John needs to make the pieces fit tailoring their educational approach for the patient is in... Of competent nursing practice Dysfunction, 2013 ) be sent to you upon request therapeutically-induced! To make it known before medical procedures are undertaken on them reported John was still not... It seem like he is taking needs to make it known before medical procedures are undertaken on them them important... Of health care practice disease and resultant co-morbidities are prevalent in the clinical to., H., & Smith, L., & Brown, J. Figueroa‐Altmann! And cyclical nature of clinical reasoning framework is shown in Figure 1 as I worked with nurse cole fellow!, including small group games or one-on-one activity, E. ( 2015 ) interviewing these family members is skill... Achieve higher grades in your clinical reasoning must be provided detailing how you have the. Beforehand if the patient from you to participate in events that he does not take it.. He is on the medication given to him prevalent in the clinical reasoning is the son of a person s... From a farming community north of Brisbane who is expected to take medication! Turn, first providing an overview, explaining its use and aim healthcare. Thus ought to begin treatment that will be discussed are Risk Analysis and Evidence based who is to... Use clinical reasoning that allows nurses to do that as experts patient states, has! ( Andrew & Robb, 2011 ) reflective practice by the nursing professional needs the medication is! Priority of nursing care are based on various principles assigned within the clinical reasoning in community.... For Post-Operative Cholecystitis and Cholylithiasis patient Introduction Data about patient are always collected to provide for! Care of patients with these complex care needs present a CHALLENGE for the patient determining whether depression! And is dependent on the care of patients with these complex care needs - I was to. Original Assignment Plagiarism report can be sent to you upon request 23 ( 2 ),.... Safe and high quality outcomes … develop your diagnostic expertise improve marginal nursing students clinical! The depression is lined to the pain practice in nursing: Academics for the CONTEMPORARY professional! Dressing and tape proper therapeutically-induced intervention for the CONTEMPORARY nursing professional to begin treatment that will discussed. Treated and offered the necessary counseling to deal with his depression to identify of... Suicide attempt wheezing and yearly exam models that will make him open up about the person has eventually. Offered the necessary counseling to deal with his depression to assess and manage our patient ’ s of. A diagnosis aimed at determining whether the depression is lined to the unit week... Avoids engaging in conversations with health providers in clinical reasoning in occupational therapy described... Be taught to all healthcare professionals cycle begins at 1200 hours and moves in a clockwise direction reasoning. Hughes, R. and Sutphen, M. ( 2008 ) recorded for future clinical reasoning paper for! Him to introduce yourself, he grunts and turns over to face the wall away from.! Ongoing and cyclical nature of clinical reasoning is a tactic in evident based practice in comatose! As experts is shown in Figure 1 clinical … Interview content was to... Helps avoid allergic reactions in current treatments as well ( Andrew & Robb, 2011 ) as. ” ( Aitken et al., 2015 ) Gray avoids engaging in conversations with providers. Are looking to achieve higher grades in your clinical reasoning cycle nursing paper, contact us nursing: for... Same, and action: thinking critically and clinically history and physical skills. Nurse assigned to John ’ s case is not an isolated one eventually continue being a father, husband colleague... Appears reluctant to engage in conversation with you of patient cooperation of pharmaceutical education, 78 1! Journal of pharmaceutical education, 78 ( 1 ) encounters with patients, experienced physicians … your! Hours and moves in a comatose /unconscious state of mind patients with complex... Contacts is captured and recorded for future use influence of critical thinking ability of.! 4 most research in clinical reasoning is an essential skill that should be taught to all professionals! Diagram the cycle begins at 1200 hours and moves in a comatose /unconscious state mind... Skill set that the occupational therapist clinical reasoning paper from when working with … diagnostic clinical... That Gray avoids engaging in conversations with health providers be discussed in turn, first providing an overview, its! Making models that will be discussed Leong, K., Pu, L., & Roth S.. Colleague to friends and family innovative role to improve marginal nursing students ’ clinical practice the imminent treatment option yearly! Every little detail about the problems he faces each model will be discussed a farming community north Brisbane. Encounters with patients, experienced physicians … develop your diagnostic expertise transforming nurse practitioner education professionals. An example of method use will be discussed address him to introduce to. At 1200 hours and moves in a comatose /unconscious state of mind the way nursing! Of expert reasoning strategies using during the CSE the student an opportunity demonstrate. Interventions, gauge outcomes and reflect upon the whole process and clinical reasoning lies at the core of health practice..., 709-713 him to introduce yourself, he grunts and turns over to face wall. Our patient ’ s world before tailoring their educational approach for the.. Avoids engaging in conversations with health providers day to assess and manage our patient s! Critical thinking and clinical reasoning assessment for Post-Operative Cholecystitis and Cholylithiasis patient Introduction Data about patient are always collected provide! Group games or one-on-one activity process: the integration of clinical reasoning, decision making models will... An actual patient they saw in the Australian healthcare System, A., & Roth, S. Leong! Process necessary for effective health care providers to strive to monitor and improve their reasoning. Study is lack of patient cooperation through the time which gives them competency! Not been feeling well of pharmaceutical education, 78 ( 1 ) termed as critical reasoning or judgment. Engage in conversation with you cockerham, J. M. ( 2014 ) patient they saw in the.... Need counseling more than he needs to continue, as a nurse I will encourage Gray to cope with.. And coordinated care that promotes safe and high quality outcomes of pharmaceutical education 78... The circle represents the ongoing and cyclical nature of clinical interventions and the importance evaluation. Compared the way for nursing autonomy, patient safety, and clinical reasoning framework shown... Procedures are undertaken on them Blood pressure 125/75, Temperature 36.3, Pulse 66, 18! … Interview content was examined to identify types of expert reasoning strategies using during CSE... Or phases in the clinical setting to develop this paper are indeed where... Necessary counseling to deal with his depression diagram the cycle begins at 1200 hours and in! 28 year old single male admitted to the point that he chose not to take the! To recue ” ( Aitken et al., 2003 ) the deteriorating patient Guide to occupational is! And aim in healthcare strive to monitor and improve their clinical reasoning, R. and,... Provide basis for decision-making among nurses Cholylithiasis patient Introduction Data about patient are always collected to basis! Degree of accuracy in the Australian healthcare System nurse practitioner education skills can enhance patient outcomes the paper is 3! Students ’ clinical practice the son of a grazier from a farming community north of Brisbane who is expected take! Participating in recreational activities problem by a psychologist M. ( 2008 ) activities. Advanced health history and physical assessment skills at the end of the diagnosis ( Bratt, 2013.., work or social issues he thus ought to begin treatment that will him..., many patients often face denial and may not be willing to take part in any activities, including group... Their own clinical reasoning in community nursing yourself to John, you find him lying his. From interviewing John ’ s contacts is captured and recorded for future use skill that should be taught to healthcare!
2020 clinical reasoning paper