INTRODUCTION Gemma is a 75 yr old female patient. She had her first Total Hip Replacement (THR) surgery due to arthritis. Although Gemma’s pathway appears to be quite normal according to the transition record‚ she has some issues need to be addressed. She is old‚ had a major surgery of trauma score 5 orthopedic‚ history of Asthma and hypertension‚ and high BMI. She needs to be monitored for complications since she is not only a surgical patient but also an orthopedic patient. The shift started at 1600 on post
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POSITIVE PATIENT OUTCOMES: A CHALLENGE FOR THE CONTEMPORARY NURSING PROFESSIONAL. Introduction: Despite technological and medical advances today‚ chronic disease and resultant co-morbidities are prevalent in the Australian Healthcare System. As a result‚ patients‚ especially in the acute care setting‚ have more complex care needs. The management and care of patients with these complex care needs present a challenge for the contemporary nursing professional. Positive patient outcomes will be
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incidence of poor patient health outcomes in Australia as well as the whole world (Stempsey‚ 2009). Acute health care settings have recently catered to a larger proportion of patients with complicated health conditions who become gravely ill during their hospital stay (Charlin‚ Lubarsky‚ Millette‚ Crevier & Audetat‚ 2012). At the forefront of these dynamic health systems are nurses who provide direct care to patients. Experienced nurses are able to rise to the ever-changing patient conditions and challenges
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Critical Thinking and Clinical Reasoning Elizabeth Ayers Marshall University Graduate College Critical Thinking and Clinical Reasoning Clinical reasoning and critical thinking are both key items to nursing practice and occurs every day on the job. Both of these terms are necessary for nurses to utilize in their everyday practice. Without clinical reasoning and critical thinking nurses would no longer face any challenges and patients would have worsening outcomes. Thinking is a skill
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Nursing Process and Clinical Decision-Making The nursing professional faces a myriad of decisions on a daily basis. The effectiveness of the decision-making process is crucial to ensuring positive outcomes in the clinical setting. If the nursing process is misunderstood or misapplied to the decision-making process by a failure to use critical thinking skills‚ the results can be catastrophic to the anticipated outcomes. Furthermore‚ an immaturity in critical thinking may influence decisions because
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Clinical Theory Introduction Nurses utilize multiple theories daily to care for patients and their families‚ though these theories range from grand‚ to situation-specific‚ to mid-range the nurse tends to focuses on which theory will provide the best care to his/her patient. Perhaps in my opinion mid-range theories with their growing frequency of use are best suited for nursing in the 21st century. Mid-range theories are said to be middle rather than ordinary but they are specific enough to evaluate
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Clinical reasoning Clinical reasoning involves nurses learning and practical experience to play. Any errors or misjudgement can lead to various adverse conditions (Levett-jones et al‚ 2010). Identification of patient problems‚ understanding his situation‚ collecting information and cues followed by processing the information and identifying the key problems‚ establishing goals‚ taking action‚ evaluation of outcomes‚ and reflection is what forms the clinical reasoning cycle. All these areas should
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of the concepts in nursing. The nursing process is a series of scientific steps that can be applied to a patient to fulfil his or her basic needs and helps to solve the clinical problem independently. It is based on a nursing theory developed by Ida Jean Orlando in the late 1950’s. It is an essential part of the nursing care plan and consists of five steps. They are: assessment‚ nursing diagnosis‚ planning‚ implementation and evaluation. The nursing process highlights the patient as the central character
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important assumptions and concepts of the theories. Florence Nightingale is the most recognized name in the field of nursing. Her work was instrumental for developing modern nursing practice‚ and from her first shift‚ she worked to ensure patients in her care had what they needed to get healthy. Her Environmental Theory changed the face of nursing to create sanitary conditions for patients to get care. Biography of Florence Nightingale Florence Nightingale was born in 1820 in Italy to a wealthy British
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Clinical reasoning is the process of thinking that guides and occupational therapist clinical practice (Shafaroodi‚ Kamali‚ Parvizy‚ Mehraban‚ O’Toole‚ 2013). Seminal work by Fleming (1991) identifies three areas of clinical reasoning thought; procedural‚ Interactive and conditional (Robertson & Griffiths‚ 2012). Through my learning style of reader/writer my personal clinical reasoning is drawn strongly from the use of textbooks and research articles. As I transition from a student learning
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