The family had a hard time to decide on the removal of life-support systems and the changeover to palliative sedation. The nurse manager advised me to empower the family to make the decision required of them. When I told her that I had never before handled this situation, she advised me on how to do it and convinced me that I would be able to achieve the target and that my few years of experience were sufficient. My feelings The message that I received today was that this situation was a common occurrence and I had to be prepared. I was feeling unhappy that I was not competent enough to handle the situation. It was the nurse’s duty to empower the family in times of crises. With the intention of redeeming myself, I needed to use evidence-informed decision-making in this frequently occurring situation in my practice (Brown et al, 2009). This day had been conducive to my learning a new experience which had stimulated me to further my comprehension of bioethics and empowerment of family members of end-of-life patients. Evaluation This often-occurring situation in the nursing profession and its solution was revealed to me today. That I needed to learn much more to become competent was another revelation. Both of these appeared good to me as I could learn from experience. Another good thing was that I had the support of my seniors. The fact that I was not confident enough to handle this crisis was the bad part but I take this as an opportunity to think positively and find ways to solve this problem so that I am equipped to cope with it at any moment in my profession. Analysis Clinical decision-making could also be termed clinical reasoning, judgment, inference or diagnostic reasoning (Hardy and Smith, 2008). Clinical decision-making could be defined as the process of making an informed judgment over the treatment necessary for patients. Intuition as a form of reasoning had been associated with clinical decision-making (Nyatanga and De Vocht, 2008). Clinical decision is a type of informal decision-making that combines clinical expertise, patient concerns, and evidence gathered from scientific literature to arrive at a diagnosis and treatment recommendation. Participants, process, an outcome and setting formed a major portion of the nurses’ clinical decisions (Gurbutt, 2006). Clinical reasoning was the process by which the judgments were made. The judgments were difficult propositions and could be managed only if the nurse could understand the salient details and difficulties of a situation (Tanner, 2006). She should also be able to interpret and respond accordingly. In today’s situation, I should have been able to understand the illness and end-of-life experiences of the family when I reached my station, much before the actual situation arose. Their emotional strengths, physical health, social well-being and coping mechanisms should have been gauged before the crisis (Tanner, 2006). Clinical decision-making affected the quality of care for the patient and his safety. In fact it had been described as the essential component for professional nursing care (White, 2003 in Hagbaghery, 2004). The resolution of family conflicts and the provision of information on care provider services were also a part of the decision-making. The decision- making performance of the nurse and her capability of reaching heights were hindered by various interruptions expected in a hospital atmosphere (Ebright et
Clinical decision making Clinical decision making Clinical decision making Mrs. Jones was passing through the terminal days of her battle with cervical cancer with secondaries. The physician had felt that Mrs. Jones would not live long and that she was not responding to the symptomatic treatment in palliative care…
One such health problem is Mold which is a special type of fungus. Although molds are present in the environment as microscopic cells, they need moisture to grow which essentially means that these organisms thrive in the presence of excess moisture at the onset of a flood.
The ultimate aim of this context is to examine the aspect of clinical judgment and decision-making. This is done by identifying a clinical judgment and decision-making in a clinical environment. It also examines a theoretical framework and associated concepts that has been studied and that is considered relevant in judgment and decision-making.
His or her decision to send or not to send patient’s blood for culture is being subjected to analysis as a part of the case study analysis of clinical decision making. The clinical reasoning behind the decision, the factors affecting the decision, effectiveness and implication of this decision are all components of this analysis.
They usually have to take into account the fact that the patient may have extra symptoms of distress that are less obvious or whose identity can only be revealed by more sophisticated medical equipment. In such cases, the paramedics have to use deeper reflection to consider all the possibilities (Pelaccia, Tardif, Triby and Charlin 2011).
This is considered critical because it is through this assessment that a medical professional can ascertain the historical details of a patient, crucial for determining subsequent way of treatment and progress of the a patient. Arnold (2006, pg. 502) further elaborates that proper assessment of a patient, therefore, requires an examination of the state of the art.
Chronic diseases account for nearly 35 million people worldwide. This number has mainly been aggravated by a number of reasons that have consequently affected the provision of health care services, especially in pre-hospital settings. To begin with, the World health Organization (WHO) presents that chronic health conditions have become rather difficult to handle due to a wide societal perception that low and middle income earners within the society tend to lay more emphasis on controlling infectious diseases prior to tackling chronic diseases (Dalal et.al 2011, pg.
In the event of an earthquake in Papua Guinea’s capital Party Moresby, a declaration of a state of disaster would be deemed fit taking into consideration of a wide range of health issues and the possible mass casualty incidents that would subsequently call for making of critical clinical decisions to avert the problem.
Joan John who is Tobias’ wife of 50 years meets Dr. Smith at the hospital’s gate and frantically tries to explain the condition of his husband. She explains that her husband’s condition worsened and she was forced to call the ambulance to rush him to the hospital.
The key application of DSS in health care and clinical practice is to support clinical diagnosis and treatment plan processes. The medical procedure is a sort of decision network diagnosis, prognosis, the therapeutic and the treatment follow-up. These activities are quite complex and an aid tool is required specially during the prognosis and therapy.
As a student nurse in my clinical placement, I have come across many patients where I had an opportunity to observe delivery of care to different patients with different clinical diagnoses (Croskerry, P., 2002). While reflecting on such care delivery, I found that evidence-base care is actually a scientific process of arriving at a decision regarding management strategy that involves academic theoretical learning and experiential training on the backdrop of a model of collaborative care that involves input from all the professionals involved in a particular patient's care.
6 pages (1500 words)Essay
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