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Clinical reasoning essay

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For this assessment task you will be required to write a short essay where you utilise specified components of the clinical reasoning cycle to identify what you determine are the main ‘problems/issues’ in response to how you have applied clinical reasoning to a patient situation (case-study). PART A: The part prepares you for writing your CRE 1. This section relates to the ‘Consider the patient situation’ component of the clinical reasoning cycle. 2. This section relates to the ‘Collect cues/information’ component of the clinical reasoning cycle. ï‚· Review: review all the current information available. ï‚· Gather: Read the provided results/outcomes of a health and physical assessment that has been undertaken on your patient. ï‚· Review: In reviewing all the information so far, recall and apply your knowledge and where required review previously covered content in the BN to ensure you understand the clinical picture. PART B: This part forms your Essay Introduction: Your introduction should identify the patient you have chosen and provide a brief definition of clinical reasoning and its importance for the registered nurse in the provision of safe and effective nursing care. Body of Paper: 3. This section relates to the ‘Process information’ component of the clinical reasoning cycle. ï‚· Consider broadly the process information component of the clinical reasoning cycle and:12 o Interpret your understanding of the patient situation and whether assessment findings are considered normal/abnormal o Distinguish relevant from irrelevant information. Is there anything further you would like to know? o Relate how signs/symptoms may link to each other taking note to highlight underlying physiology/pathophysiology o Infer from the process undertaken so far, what is likely to be causing the clinical picture of your patient? Conclusion: 4. This section relates to the ‘Identify problems/issues’ component of the clinical reasoning cycle. ï‚· In this section, as a result of processing the information around this patient situation, justify TWO problems/issues that you feel are nursing priorities for your patient. The case study it is uploaded in the Additional Files 1), please read it and follow Rubric ========= Demonstrates exceptional and logical understanding and application of the clinical reasoning cycle to the case. Demonstrates outstanding application and understanding of relevant knowledge to assessment findings demonstrating an advanced understanding of relevant nursing knowledge to the case. ï‚· Identifies problems/issues that are clearly linked to context and are insightfully substantiated. Communicated with a high level of academic writing with strong evidence of planning. ï‚· The paper is exceptionally logical, insightful and balanced and is consistently expressed in a clear and fluent manner. ï‚· Accurately referenced all sources using the Harvard style.Outstanding use of appropriate academic literature TEXTS FOR REFERENCING: Audrey Berman 2012, Kozier and Erb’s fundamentals of nursing , Pearson Australia, Frenchs Forest, N.S.W. Carolyn Jarvis 2012, Jarvis’s physical examination & health assessment , Saunders Elsevier, Chatswood, N.S.W. Jarvis, Carolyn. 2012, Physical examination & health assessment , Elsevier/Saunders, St. Louis, Mo. Levett-Jones, Tracy 2011, Clinical placement : an essential guide for nursing students, Churchill Livingstone, Chatswood, N.S.W. Tollefson, Joanne. 2010, Clinical psychomotor skills : assessment tools for nursing students, Cengage Learning, South Melbourne, Vic.

Introduction

In a hospital, life of a patient depends on clinical reasoning of the healthcare professional or provider. Clinical reasoning is the process used by nurses to collect clues, process information and come to an understanding of a patient’s problem or situation, then, they plan and implement interventions, evaluate outcomes and learn from the process (Alfaro, 2009). Clinical reasoning skills help nurses to detect impending patient deterioration resulting in rescuing the patient in time (Tanner, 2006). In this essay, Miss Elizabeth Grange aged 24 years is a patient who is admitted with a three day history of increased breathing and high temperature. Miss Elizabeth was coughing up green sputum when she visited the health centre and, an X-ray was ordered.  The nurses in charge of Miss Elizabeth should use their clinical reasoning skills while treating her. This is to ensure that they detect any impending deterioration in order to rescue her.

Interpretation

Clinical reasoning greatly depends on the critical thinking of the nurse or clinician involved (Cooper, and Buist, 2008). In the case of Miss Elizabeth, the nurse should use clinical reasoning cycle to evaluate her situation. In preparation for clinical reasoning, nursing students need to be given opportunities that reflect on their assumptions and prepossesses (Banning, 2008). The failure to do so may negatively impact their critical reasoning ability and consequently patients’ outcomes.

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