Clinical Reasoning Model

In Robert and Petersen’s article in relation to critical thinking at the bedside, it is emphasized

Nursing judgment refers to a clinical assessment concerning person’s response to health situations or how vulnerable the response is to individuals, household, clusters or the entire community. Clinical judgment consists of two main sections, descriptor, and attention on examination inclusive critical aspects of examinations. In some cases, exceptions are made on judgment and given in one term like anxiety, pain, and dehydration. Clinical officers should not concentrate most on diagnoses from focused challenge but to risks realized (North American Nursing Diagnosis Association, 2005).

When contemplating the difficult relationship between physicians and their patients, Emanuel introduces four different models. These four different models consist of different understandings of the goals of the physician-patient interactions, a physician’s obligation, the role of the patient’s values, along with patient’s autonomy. The paternalistic model is understood to be that the physician can decide what is in the patient’s best interest, thus not including the patient in an extensive rapport. The informative model can also be known as the scientific or consumer model. This model focuses on the physician providing their patient with all the relevant information necessary in order for the patient to make an informed decision based on their values. In the third model, the interpretive model, the physician provides the patient with all the necessary information and then discusses and makes clear the patient’s values.From the values discussed, the patient will then choose treatment based on the discussed values. The deliberative model, the fourth model, has the

When implementing best healthcare practices within a healthcare setting an evidence based practice approach is used. With this method we are not looking to develop new ideas we are looking for ways to improve existing practice. This is done by using the best evidence to improve patient care. The best evidence is achieved through research from various sources. These sources include: the latest scientific knowledge, best clinical practices, clinical judgement, and critical thinking. Translating the information gathered from each source into best practice is the ultimate goal of evidence based practice. With this being the bases of the approach I feel the fundamentals of evidence base practice requires sound scientific knowledge, sound clinical

During my first year, I was very much interested to learn about the routine of the protocol as well as the way in which different learning points I have been learning in Chiropractic Studies can fit effectively in it. I was also interested to observe the interaction between a practitioner and patient for learning, easy to understand communication style that I would like to use as a chiropractor. Further, I experienced different contrasting styles that I would like to compete with in my career. This paper is aimed to provide my learning experiences as a chiropractor.

The clinical reasoning cycle is a model which guides nurses and other health practitioners in making clinical judgements (Levett-Jones 2018, p. 4). It involves the health professional to gather cues and information, process the information, establish goals, take action and evaluate the outcomes (Levett-Jones 2018, p. 5). This can be used as part of the information processing theory where information and cues are gathered and processed. The clinical

Ray Bradbury’s short story “A Sound of Thunder” shows us that a small mistake in the past could cause huge uncontrollable change in the future. Eckels traveled back to the area when dinosaurs were living. He did not listen to his guide’s warning and stepped on the ground of the past. He brought a dead butterfly back to the real world without noticing. Because of this, they found the current world was different. Even the grammar had changed. After Eckels went back to the current world, he found a sign was different from the one they had seen before they left. He realized he brought a dead butterfly back. He was shocked, “Embedded in the mud, glistening green and gold and black, was a butterfly, very beautiful and very dead. ‘Not a little thing like that! Not a butterfly!’ cried Eckels” (Bradbury 10). He found the reason why the world had changed. It was because of a small, beautiful, dead butterfly that was under his boots. He did not want to accept this fact. He kept denying what happened with

The notion lies at the base of the argument that physicians, even when they do their best, cannot tell their patients the truth. Patients (the argument goes) lack the technical background and experience of physicians, so even intelligent and educated patients are not able to understand the medical terms and concepts physicians must use to describe a patient’s condition. Physicians, if they are to communicate at all with the patient, must then switch to using terms and concepts that neither adequately nor accurately convey to the patient what is wrong with him. Thus, it is impossible for physicians to tell patients the truth”

Critical thinking is another skill that makes up professionalism of a student in the doctor of physical therapy program. This skill allows the student to think more in depth in terms of their studies and their diagnosis of their clients. It allows the therapist to find and treat the underlying causes of their impairment rather than getting the client to a satisfactory baseline and discontinuing treatment. By using critical thinking to find the underlying causes, they are preventing the decline in the client 's health and increasing the client 's quality of

Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research. Trying to determine the credibility and importance of information is daunting. Therefore using a tool to determine the strength of resources is important.

Evidence based practice is the integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care. You find out exactly why this person is using or doing what they are doing and use it to figure out what kind of treatment you can use for them. Not all methods of treatment will work for each patient. That’s why they are uniquely

The preceptor is good at orthopedics and physical therapy. She uses knee and ankle braces to correct patients’ alignment. Some of the patients are elderly and do not want have any surgeries. She also provides physical therapy for a short period of time at the clinic to relieve patients’ pain. The pain can be in the shoulder, neck, hip, back, knee, or ankle. The patients already felt better when they left the clinic. If the patients did not feel any relief, she would refer the patients to physical therapy with extended amount of time. These are useful skills as a primary care provider to help patient during the initial visit. Patients tend to come back to the primary care providers who have the skills, compared to the ones who do

Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016). Because of this fact, knowledge can be seen as a vital quality to

This paper will explain the seven principles of patient-clinician communication. It will then apply three of those principles to my interactions with my patients. Next, it will describe three methods being used in my area of practice to improved communication between the patients and clinicians. It will ultimately choose one of those principles that applies best to my practice and clearly describe how I use it. It will describe ethical principles that can be applied to issues with patient-clinician communication. Finally, it will explain the importance of ethics in communication and how patient safety is influenced by good or bad team communication.

Clinical pharmacy is a health science discipline in which pharmacists provide patient care that optimizes medication therapy and promotes health, and disease prevention, according to American College of Clinical Pharmacy (ACCP). Patient-oriented care requires specialized knowledge, skill and experience to improve quality of life of patient.