Examples Of Clinical Judgment
Introduction
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).
Before developments made while classifying clinical judgment, nurses were not guided by and standards while relating to their client's challenges. For instance, may describe sick persons recovering from surgeries as appendectomy, diabetic or difficult. Realizing a person has diabetes issues triggers the mind blood sugar challenges and high risks of infection.
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Clinical examinations offer significant chances for nurses to identify a suitable therapy association with their clients. Hence, the examination is seen as both interpersonal and intellect based activity. Assessments of sick people involve several steps. Screening examination helps gather necessary facts, analyses them and later group them into useful information. Potential analyses combine all possible examinations that associate with available information about a patient. Profound analyses focus most on data collection, analysis, and confirmation of potential examinations made. Nursing examinations as a step determine what symptoms identified deserves priority. All these steps aim at identifying problems and prioritizing those that need urgent medical attention (North American Nursing Diagnosis Association,
Impaired Gas Exchange Case Study
1218 Words | 5 PagesRetrieved October 27, 2015, from http://www.medscape.com/viewarticle/778505_3 Sheila, R., & Cynthia, T. (2014). Nursing Diagnosis Reference Manual (9 th. ed.). Wolters Kluwer Health| Lippincott Williams & Wilkins. Taylor, C., Lillis, C., Lynn, P., & LeMone, P. (2015). Fundamentals of nursing (8th
Vacp Bundle Case Study
501 Words | 3 PagesHer medical diagnosis of ARDS from overdosing and pneumonia are the cause of her deteriorating condition. Then, it moves on to the first two primary nursing diagnoses of impaired gas exchange and risk for infection, followed by the lower ranked ones of impaired tissue integrity, anxiety, and finally decrease cardiac output. The case study then explored her expected outcomes, the interventions used for her primary two nursing diagnoses with literature reviews, and finally an evaluation of the plan of care. The learning from this patient is that it is not our place as nurses and medical personnel to judge, but to treat with fairness and compassion. It is easy to look down on this patient for her chronic illnesses that affect her long-term health, but she needs help, and now may never be back to her pre-hospitalized state.
Calgary-Cambridges Model
293 Words | 2 PagesThe following is a case study focusing on the assessment and examination of a female patient presenting with symptoms of abdominal pain and vaginal bleeding during pregnancy to an emergency gynaecology and pregnancy assessment clinic. Names have been changed to maintain anonymity in line with the Nursing and Midwifery Council (NMC) (2015). The Calgary-Cambridge model of assessment (Kurtz and Silverman 1996) was used to guide the practitioner through the health assessment process. The guide provides an easy-to-use structure that complements nursing 's traditional holistic assessment approach.
Veterans Affairs Nurse: A Case Study
516 Words | 3 PagesVA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
Concussion Issues In Concussions
1317 Words | 6 PagesMore now than before, athletes are being extremely cautious when there is trauma to the brain. After multiple cases of poor treatment, parents and doctors are taking control of an epidemic of untreated concussions. As more studies advance, it is discovered that every case is different. The range of seriousness is created by severity, past experience with trauma, and how the patient heals. Concussions in sports can range in severity, and how they affect each individual over time depending on times of impact.
Clinical Issue Analysis
594 Words | 3 PagesIntroduction During nursing practice, a nurse faces several clinical issues. This paper aims at selecting and reviewing a clinical issue for further study to be made in the final year project along with the significance of selection. It also provides guideline to resolve this problem. Clinical Issue Analysis Nursing requires a proper and suitable approach for effective and influential practices.
Evaluation Of The Student During The FNP III Rotation
1024 Words | 5 PagesFinal Self-Assessment During the FNP III rotation, the student has seen many patients who have complex chronic illnesses than other two rotations that she completed for the FNP I and FNP II courses. The student had many opportunities to independently interview and exam the patients, then come up with differential diagnoses and treatment plan based on the pertinent and impertinent information and evidence-based practice. The preceptor, Dr. Jeanne-Elyse Cedeno, a medical physician/owner of the clinical site, always encouraged the student to think as a primary care provider in many ways. In this paper, the student is going to discuss the progress of the eight objectives (see Appendix A for details), discuss her personal growth and development in the nurse practitioner role, provide the information on what she learned in the clinical that will be valuable to her future practice, and describe any missed opportunities that she did not get out of this experiences as expected, discuss for areas of improvement in the future clinical rotation, and the summarize the final evaluation with her preceptor.
Nursing Diagnosis In Nursing
1196 Words | 5 PagesNursing Diagnosis The following nursing diagnosis’ is based off of our families weaknesses and strengths. It is important for the family to know their strengths and problems to limit potential problems in the future like: conflicts between family members and family stability. The most important problem that K. S. faces is caregiver role strain. While S. S. is at work and going to school full-time, K. S. is busy taking care of the day care and their two daughters, M. S and A. S..
Advanced Practice Nurse Reflection
616 Words | 3 PagesThe guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.
Nocturnal Enuresis Case Study
1749 Words | 7 Pages8- Nursing diagnosis. * Nursing management (intervention) 9- References.
Nursing Sensitive Outcome Analysis
160 Words | 1 PagesNursing sensitive outcome measure demonstrates the sensitive need of the patient. Poor nursing care will have a negative impact on the quality of care the patient receives. According to Saul’s, nursing sensitive indicators are outcomes related to the quantity and the quality of care a patient receives (Sauls, 2013). Here in this situation, nurses must be aware of sensitive indicators, such as: pressure ulcers, a patient’s dignity, and quality of life. These indicators represent unfortunate nursing care, and reflect a negative outcome.
The Importance Of Scope Of Practice
1140 Words | 5 PagesNurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
Alzheimer's Case Study
1079 Words | 5 PagesThe patients are questioned about their family history and past habits, such as smoking, drinking, or drug usage. Next, a physical exam is performed on the patients. The physical exam consists of a complete check up with an added neurologic exam, which involves memory testing. The physician observes how the patient behaves during the physical exam. The patients’ vital signs, respiratory rate, temperature, and blood pressure, are obtained.
The Importance Of Nursing Assessment
928 Words | 4 PagesNursing assessment has a significant role in providing effective, accurate and safe nursing care in clinical practice. Nursing assessment is the first stage of the Nursing Process. It is used to explore the physical, psychological, spiritual and social aspect of the patient’s life. It is therefore a holistic and systematic guide for nurses to obtain a greater understanding of their patient’s wants and needs. It is the underlying foundation of the process, on which other phases of the process are based upon (Foster & Hawkins, 2005).
Soft Skills In Nursing
980 Words | 4 PagesDecision making skills Nurses have to use good judgement & make quick decisions about the patient’s care. They decide when to administer treatment or medications that are prescribed “as needed” and they respond to unexpected patient needs throughout the day. Nurses have to use their judgment & balance what they know about the individual patient, that patient’s need & the lithely consequences of their decisions. Decision making process is 1st defer the problem, establish the criteria, consider all the alternates, identify the best alternate, develop & implement a plan of action, finally evaluate & monitor the solution & feedback when necessary • Health care decision making is associated with uncertainty & health care professionals have to deal with this uncertainty in their decision making • Key policy drives have led to the development of an evidence based culture in health care with a focus on the equality of decisions than care professionals. • Judgements & decision making are intricately linked & one cannot be examined without an understanding of the one.
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