Applying Clinical Decision Making in Adult Nursing
Applying Clinical Decision Making In Adult Nursing
Ahh2036-N
This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and interpreted throughout the assignment.
Frank Noble is a 57 year old. He is obese; smokes, drinks alcohol daily and does not eat particularly healthy food. Two years ago Frank was diagnosed with hypertension and hyper cholesterol from his doctor. Frank set off too work early, forgetting to take his medication for his conditions. Once at work he noticed he was suffering with a bad headache which he thought was unusual as he doesn’t normally suffer from them. He continues to work for a few hours then realises his right hand is not working and he can’t concentrate. Franks face appears to be drooped down one side and his speech appears to be slurred. He tried to stand up but his right arm gives way and he falls over. Franks assistant rings 999 for an ambulance immediately. On admission to hospital Frank is diagnosed with Cerebrovascular Accident (CVA).
According to Gillen (2010) a CVA is the rapid loss of brain functions due to disturbance in the blood supply to the brain. There are two main types of CVA’s, Haemorrhagic and Ischemia. Frank has been diagnosed with an Ischemic CVA which is the most common type accounting for more than 80% of all CVA combined. When blood flow to a particular part of the brain is cut off by a
Ahh2036-N
This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and interpreted throughout the assignment.
Frank Noble is a 57 year old. He is obese; smokes, drinks alcohol daily and does not eat particularly healthy food. Two years ago Frank was diagnosed with hypertension and hyper cholesterol from his doctor. Frank set off too work early, forgetting to take his medication for his conditions. Once at work he noticed he was suffering with a bad headache which he thought was unusual as he doesn’t normally suffer from them. He continues to work for a few hours then realises his right hand is not working and he can’t concentrate. Franks face appears to be drooped down one side and his speech appears to be slurred. He tried to stand up but his right arm gives way and he falls over. Franks assistant rings 999 for an ambulance immediately. On admission to hospital Frank is diagnosed with Cerebrovascular Accident (CVA).
According to Gillen (2010) a CVA is the rapid loss of brain functions due to disturbance in the blood supply to the brain. There are two main types of CVA’s, Haemorrhagic and Ischemia. Frank has been diagnosed with an Ischemic CVA which is the most common type accounting for more than 80% of all CVA combined. When blood flow to a particular part of the brain is cut off by a