Answer To: NUR251 Written Assessment 2Topic:Nursing care of a patient with a medical conditionDue date:Week 09...
Dr Insiyah R. answered on Oct 28 2022
NUR251 Written Assessment 2 S1 2022 Template
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Task 1
Stage 2:
Collecting cues and information
When I first start working on Vanessa's care, I'll need to think about all the ways in which my clinical reasoning and judgement will compare to the many other ways of thinking that clinical nurses use to provide safe, effective care (Daly,2018). Experience limits my ability to reason, analyse, and reason, all of which are necessary for providing safe, high-quality treatment. Expertise on the part of nurses is dependent on their participation in continual training and evaluation. Consequently, I believe that providing care for patients encompasses more than simply the scientific aspects of nursing. Patients commonly have concerns about health, disease, therapy, surgery, or recovery (Coster, Watkins & Norman,2018). As a nurse, I am responsible for caring for my patient's mental and physical wellness. In order to help identify the reasons, symptoms, or interpretations that contribute to an accurate diagnosis and course of therapy, I may show empathy by collaborating with my patient Vanessa. By encouraging honest dialogue and treating patients with dignity, I will be able to improve patient outcomes in the following ways:
The outcomes of Vanessa's evaluation were as follows; The Three P's of an Airway: Heart Rate 23, Oxygen Saturation 98% on Respiratory Rate, Heart rate (bpm): 68; blood pressure (mm Hg): 120/65 Because of her disability (GCS 14/15; she has bouts of confusion, She had 1 x PIVC implanted into her R) ACF and is at 3mm PEARL, 5.0mmol/L BGL, 36.5o C exposure. However, a doctor's misreading of Vanessa's record led to her death from respiratory arrest brought on by the opiate medicine's sedative effects (James,2022). On December 25, 2004, she was transported to the hospital and later passed away two days later from a depressed skull fracture. When this occurred, she was 16 years old.
According to the inquiry, she was given four times the recommended amount of codeine in addition to the painkiller Endone. The investigation found that several seizures she had may have been avoided with anti-convulsive medicine (Karaca, A., & Durna,2019). The coroner's findings pointed to a lack of doctor-to-doctor contact, insufficient staffing, a lack of or inadequate medical records, subpar clinical judgments, an absence of procedure knowledge, and incorrect nursing choices. The coroner concluded that the sedative effects of Vanessa's opiate overdose caused her to die of respiratory failure (Joplin-Gonzales & Rounds,2022). The coroner expressed his regret that Vanessa's death was the result of a cascade of seemingly innumerable errors.
Even with proper testing, test interpretation mistakes might result in false positives or negatives. Test interpretation is analysing the patient's Past history, symptoms, and pre-test probability of illness and combining that information with the test's numerical or qualitative (yes/no) findings (Daly,2018). The patient's physical exam, medical history, and interview should all be considered in conjunction with the test results. So far, regulatory and professional organisations in nursing education have required that critical thinking be a significant component of all professional nursing. Still, they have failed to distinguish serious thought from ethical, clinical, or productive thinking when it comes to clinician decision-making or acts (Hao et al,2020).
Critical thinking encompasses a wide range of abilities, including clinical reasoning, evidence evaluation, creative thinking, and the application of well-established standards of practitioners outside of critical reflection. Critical thinking is often misunderstood as clinical reasoning and judgement in the academic literature on nursing (Daly,2018). Paper-based observation charts are medical charts used to aid healthcare professionals in making diagnoses and keeping records of their patient's conditions. Traditionally, doctors and nurses have used paper observation charts to keep track of patients' vital sign fluctuations. Observation charts range widely in how they are constructed, and their efficacy is seldom empirically examined (James,2022).
The design and...