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Care Management Decision Making - Essay Example

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Care Management Decision Making

The synthesis of experience and academic learning happens in the course of decision making occurs in all the professionals. Due to the fact that I am a final year adult nursing student nurse, I would not be allowed to implement the care in the practice setting, but my mentor insisted that to be able to understand the actual implications and significance of collaborative care decision making process, I must get involved in one such clinical condition to be analyze the process of decision making drill to see how the principles of evidence-based care is implemented in the clinical setting. I took it as an opportunity to participate in the decision making process in the collaborative care model of healthcare practice nursing to be able to handle care better in my practice. In my opinion, the academic learning in the nursing courses become meaningful when a nurse student like me is given opportunity to actively participate in the care delivery process. ...
tructural decision making in the healthcare field is an important part of all science-based professions where specialist professionals apply their knowledge in a given area to make informed decisions. This is thus a process involving psychological construct that imputes a cognitive process leading to selection of a course of action among alternatives to ultimately reach a final strategy that begins with a problem that demands action. In collaborative healthcare practice in the clinical setting, it can be an action dependent on opinions based on a process of reasoning that builds on academic learning (McCaughan, D., Thompson, C., Cullum, N., Sheldon, T., and Raynor, P., 2005).
In the case that I participated in the process of decision making involves an elderly individual in his 60s who presented with acute urinary retention. This patient was a known patient with benign hyperplasia of the prostate on medical therapy. He was admitted for chronic obstructive pulmonary disease and was being treated in the hospital for that. He started to complain about lower abdominal pain and sensation of fullness in the bladder. He was encouraged to void, but in vain. Despite repeated attempts, he could not pass a drop of urine, and the lower abdominal pain was replaced by severe distress over time. The problem appeared to be the decision making regarding whether to catheterize this white male or not. My mentor suggested that I collaborate with her and other professionals involved in the care regarding the decision about the interventions for this particular patient.
The problem evidently is acute retention of urine with severe discomfort apparent from the distressed look of the patient. The history revealed that the patient had a couple of beer just before this incident. It is not the ...Show more


Healthcare practice no longer is a process of empirical care delivered by healthcare professionals, such as, doctors and nurses by practice methods learnt from seniors in the field; it is an entirely evidence-based process of analysis of problem and a process of step-wise synthesis of decision making dependent on academic learning that involves implementation of care through collaborative means by the professionals…
Author : ibalistreri
Care Management Decision Making essay example
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