ADVANCED CRITICAL THINKING 2Introduction Critical reasoning cycle appertains to the stages that registered nurses are supposed to follow when rendering their services. Critical reasoning can be termed as a process which is utilized by nurses to collect information, process it, apprehend it, implement the substantial interventions, carry out an evaluation of the results and then gain experience from the par said process. The clinical reason is subject to the nurse's attitude and believed philosophies. Critical reasoning cycle is important due to the fact that it translates to a positive outcome for the patients. Good clinical reasoning skills aid in appropriate diagnosis, proper treatment and effective management of any complications that may arise. The essay will fully utilize the clinical reasoning cycle in looking at the clinical decisions that are made by Registered nurses. The clinical thinking cycle will involve an eight stage process used by a student in his third year during a clinical placement session. In addition, the essay will reflect on the decision that was arrived at, the experiences of the student nurses and the relevant recommendations that are imperative to Registered Nurses in their future practices.Step 1: Consider the Situation of the Patient.The patient who has been taken in the medical surgery ward is by the name of Mrs. Sunning Hill who is 90 years old. Her weight is at 76kgs. She has an abdominal wound that is oozing and with an underneath odor for a period of 8days. The patient has been in the hospital for a period of 4days. She also has a hearing impairment.Step 2: Collect InformationAt this stage, the Registered Nurse needs to gather sufficient information that is significant in the situation at hand. The information is pertinent in the providence of high
ADVANCED CRITICAL THINKING 3standards and safe nursing care services. The information will entail the medical history of the patient, medications that were administered, the hospital journey of the patient, care plans and the situation of the patient today. The information should also not be limited to the assessments done by nurses when they come onto a shift. A bowel tumor has been discovered after a post surgery diagnosis. The tumor has been linked to the fistula. Faecal draining has been carried out through an ostomy appliance. The use of the appliance has the side effects of irritating the skin surrounding the area (Daily, 2011). The care plan is that surgical inputs will not be utilized, palliative care, Physio and SW will be administered through referrals. The observations that are carried out on the patients indicate that the conditions that are prevailing for the patient are normal in reference to the ADS chart. As per the previous knowledge appertaining to nutrition and dietetics, the patient must be encouraged to ensure a full diet and ensure that he sips plenty of liquids frequently (Bruhin et al. 2014). The fistula device being used needs to be monitored to ensure that no leakages are reported. The student nurse empties the fistula appliance and to document it accurately on the fluid balance chart. The urine and the bowel discharges should also be assessed(Fink et al.2012).The student nurse has knowledge on the apt urine output which can be attained by multiplying the standard output of 0.5m/s by the weight registered by the patient. The identification of this concept will make the student nurse conversant with the amount of urine output for each given hour (Foxley, 2011). 38m/s per given hour is the appropriate urine output for the patient. The student nurse used the fluid balance chart to review the calculated urine output. It was identified that in a period of 12 hours, the fluid balance chart was completed. The student nurse noticed that the patient had only retained a small amount of urine most. This was confirmed after a scan
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