I am also concerned about Gray’s neck injuries and whether they could be linked to the depression that he is currently suffering from. Clinical Reasoning. . Clinical reasoning can also be termed as critical reasoning or clinical judgment (Kelton, 2014). Those with effective clinical reasoning skills can enhance patient outcomes. 1. The most important goal is to ensure that all information acquired from interviewing John’s contacts is captured and recorded for future use. NURS 409 Community Health Nursing (2011). Weekly Clinical Journal As a nurse, it is crucial to conduct a diagnosis aimed at determining whether the depression is lined to the pain. Optimal midwifery decision-making during 2nd stage labour: the integration of clinical reasoning into midwifery practice. Clinical reasoning is an essential element of competent nursing practice. Accurately references all sources using the Harvard style. Hickey, N. (2010). 2. Critical thinking and clinical reasoning are terms often used interchangeably throughout the history of nursing. 1. Medical-surgical nursing. Developing the Serious Games potential in nursing education. Essentially, it is the responsibility of the individual nurse to identify the need to develop this ability, and the skill to effectively communicate the patient’s condition to the other members of the healthcare team to produce positive patient outcomes. He seems to be struggling with depression-related problems. Although the general consensus is that this dual processing model is a valid representation of clinical reason … 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). It is reported that Gray avoids engaging in conversations with health providers. Select a patient encounter from your current clinical experience. This information cannot be acquired from any other persons but the closest family members. On handover you were informed John did not get up for breakfast again, went to lunch reluctantly only because he was compelled to but ate almost nothing, and returned to his bed immediately afterwards. Vit B co i daily. These problems are social in nature (Alfaro-LeFevre, 2012). Evidence-Based Practice for Nurses: SAGE Publications. 2 CLINICAL REASONING PAPER: ASTHMA Clinical Reasoning Paper: Asthma S: 52 y/o Caucasian female, married for 27 years, NKA to foods, medications, iodine or latex. We often use pattern recognitionto put the information gained together to g… 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. The conceptualization of clinical reassoning is recognizable to physical therapists in the Netherlands, and most of the salient themes described by Huhn et al are embedded in an applied form in the clinical reasoning process and in Dutch clinical practice guidelines (CPGs). ALL RESEARCH SHOULD BE VALID IN AUSTRALIA. Clinical reasoning is defined as the process used by OT practitioners to understand the client’s occupational needs, make decisions about intervention services, and think about what we do. Paper is not aligned with the clinical reasoning cycle and/or demonstrates poor understanding of its application and does not clearly address and/or acknowledge the patient problem. For free. CASE STUDY IS HERE. John’s case is not an isolated one. Diagnostic and Clinical Reasoning Paper Assignment. HPI: Pt verbalizes she is here for shortness of breath and wheezing and yearly exam. 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. 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… All Rights Reserved. With the entire information ready, there is need to process the information as it is. Interviewing these family members would indicate reasons Mr. John may have been stressed to the point that he chose not to eat. Staveski, S., Leong, K., Graham, K., Pu, L., & Roth, S. (2012). Clinical reasoning is an essential element of competent nursing practice. Introduction: 4, pp. ? Increasing the number of activities aids depressed patients such as Gray to cope with depression. (2011, October). Kelton, M. F. (2014). The occupational therapist reported John was still choosing not to take part in any activities, including small group games or one-on-one activity. Communication: Every little detail about the person has to go into the preparation of the diagnosis (Bratt, 2013). Veteran affairs centers of excellence in primary care education: transforming nurse practitioner education. Jefford, E. (2012). Clinical reasoning is a tactic in evident based practice. The clinical reasoning cycle is a multi-staged process that nurses and professionals use to “collect cues, process information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, reflect and learn from the process” (Levett-Jones et al, 2010, p516). 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. Evidence-based practice for nurses. Each model will be discussed in turn, first providing an overview, explaining its use and aim in healthcare. He also needs to seek counseling. 1. According to Alfaro-LeFevre (2009), there are th… Plan, provide, and delegate client-centered and coordinated care that promotes safe and high quality outcomes. have compared the way in which the expert nurse and the novice nurse accurately collect cues from which they base their decisions. 2. Then an example of method use will be discussed. 1993 Words8 Pages Clinical Reasoning Clinical Reasoning is an essential part of the assessment, treatment and evaluation process in occupational therapy (Neistadt, 1996). Elsevier Health Sciences. John’s friends and relatives can give the impression that he may have bipolar disorder, hyperactivity disorder, depression or an anxiety disorder. The other nursing issue that perturbed me is Gray’s behavior of not eating or participating in recreational activities. Therapy seems to be the best option. In some cases such as emergency nursing treatment where the cause for treatment is injury, little information is required to start the treatment (Jefford, 2012). Alfaro-LeFevre, R. (2012). Bratt, M. M. (2013). 1. She sees her pulmonologist for asthma, a couple of times a year for preventative care. 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. 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). Model will be discussed couple of times a year for preventative care detailing you! More effective like experts practice,14 ( 6 ), 429-433 the nurse assigned to ’... ( s ) a CHALLENGE for the CONTEMPORARY nursing professional cole and fellow student nurse identify of... Encourage Gray to participate in events that he does not include the cover page and reference (... Then an example of method use will be discussed in turn, first providing overview... 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