NUR4153 Section 03 Clinical Reasoning and Clinical Judgment Apply the Clinical Judgment Model Module 02 Discussion

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jbyoevae

Health Medical

NUR4153CBE Clinical Reasoning and Clinical Judgment

Rasmussen University

Description

Directions:

Initial Post

Describe in detail a clinical scenario you experienced including all relevant information within these iterative stages of the Clinical Judgment Model

Recognize and Analyze Cues

  • External cues
  • Internal cues
  • Cluster relevant cues with a description of cue analysis for importance and immediate concern
  • Relevant cues must be linked to the client’s clinical presentation and ordered in the significance of priority needs

Create and Prioritize Hypotheses

  • Generate a minimum of three hypotheses based on the analysis of cues.
  • Evaluate and prioritize the top two hypotheses
  • Provide rationales and evidence to support choices for each priority hypothesis

Generate Solutions

  • Identify an expected outcome for each priority hypothesis
  • Describe a set of priority interventions for each expected outcome

Take Action

  • Describe an implementation plan for priority interventions.
  • Provide rationales and evidence to support choices for each priority intervention

Evaluate Outcomes

  • Describe an evaluation plan for outcomes related to expected results.
  • Identify effective actions
  • Describe an evaluation plan for outcomes related to unexpected results.
  • Identify the actions related to declining or unchanged status

Summary of the ongoing iterative process of Clinical Judgment

  • Provide a summary of what you believe went well, including at least one area of new knowledge gained with a description of how the new knowledge will affect your nursing practice
  • Describe at least one part of the clinical judgment process you would do differently if faced with a similar clinical situation in the future. Explain why you would approach this situation in another way

Responses to classmates

  • Identify two responses which contain new knowledge you had not considered previously
  • Describe how this new knowledge could impact your nursing practice.

Please make your initial post by midweek, and respond to at least two other students' posts by the end of the week. Please check the Course Calendar for specific due dates.

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Explanation & Answer

View attached explanation and answer. Let me know if you have any questions.

Outline
1. Clinical scenario
2. Recognizing and analyzing cues


Pain verbalization



Disorientation to time and place person

3. Hypothesis


Pain related to injury



Risk of injury related to slight disorientation to time place and person

4. Generate solutions


Pain –use of pain medication



Risk of injury –keeping side rails ,restraining

5. Take action


Restrain the patient



Administer Naproxen 500mg

6. Evaluate outcome


Use of restrains was effective in ensuring patient’s safety



Naproxen alleviated pain

7. Summary


Assessing patient for airway obstruction is what I learnt and will impact my nursing
practice



Improve on recognizing and analyzing cues in future

8. References


1

Clinical Judgment Model

Student's Name
Institution Affiliation
Course
Professor
Date

2

Clinical Judgment Model
Clinical scenario
Working in the accident and emergency unit, I encountered a 42-year-old female patient.
The patient was reported to have collapsed in her workplace, where she works as a game
developer. Colleagues who w...


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