Nursing Assignment: Clinical Reasoning
Added on 2020-05-28
9 Pages2486 Words338 Views
Running head: CLINICAL REASONINGCLINICAL REASONINGName of the StudentName of the UniversityAuthor Notes
1CLINICAL REASONINGClinical reasoning is defined as the process by the use of which healthcare professionallike nurses obtain information from patients in order to provide optimal diagnosis and care forthe patient. The process of clinical reasoning requires the nurses to generate inferences from thedata collected and carry out clinical judgments in order to ensure favorable patient outcomes. Itis associated with thinking together with clinical decision making and subsequent application ofclinical practice (Goudreau, Boyer & Létourneau, 2014). Clinical reasoning is highly essential innursing practices as it involves the nurse’s ability to think in a logical and systematic manner,along with reflection of their own judgments in order to provide effective nursing intervention(Menezes, Corrêa & Cruz, 2015). Patient safety is also essential, particularly in the healthcare system. Healthcareprofessional are required to improve patient safety with respect to professional norms,expectations and ethical foundations (Carayon et al., 2014). Errors occurring in healthcarepractices can give rise to serious complications. Therefore, it is necessary to improve processesor operational systems that minimize the likelihood of errors. The concept of patient safety notonly deals with responding to patient problems but also deals with preventing such problems(Makary & Daniel, 2016). This essay provides a reflective writing that deals with a patient who has undergone opencholecystectomy and the associated nursing care to prevent any complications post surgery. The patient for whom I am caring for is a 61year old female, named Dora Smith. She wasinitially admitted to the hospital following symptoms of pain in the upper parts of her stomachalong with nausea, vomiting and digestive problems like indigestion, bloating, heartburn, gas,among others. She was diagnosed with gall bladder stones and was prescribed to undergo
2CLINICAL REASONINGlaparoscopic cholecystectomy. The reason why she had to undergo open cholecystectomy is thatshe suffers from diabetes mellitus. Cholecystitis is associated with biliary statis and occurs inpatients suffering from diabetes mellitus (McKay, Abulfaraj & Lipschitz, 2012). According toresearch various risk factors can bring about transformations from laparoscopic cholecystectomyto open cholecystectomy. These include conditions of acute cholecystitis, obesity, gangrene,gallbladder empyema, among others (Thyagarajan et al., 2017). Moreover, apart from diabetes,she also suffers from high levels of cholesterol and hypertension. Patients suffering fromdiabetes and high cholesterol levels usually suffer from effects of gall stone formations.Cholesterol is one of the major components of gall stones (Njeze, 2013; Agunloye et al., 2013). I am a registered nurse of the hospital and was assigned the duty of caring for her toprevent any post operative complications. Diabetic patients are prone to various surgicalcomplications due to their various co-morbidities and as a result morbidity and mortality ratesare higher in these patients post surgery. One of the important complications associated withdiabetic patients following surgery is wound infections. They are highly prone to developingserious surgical wound infections due to the defects in their immune responses (Martin et al.,2016). In order to prepare a nursing care plan for her, I had to use my clinical reasoning skills inorder to provide the effective care plan that will ensure a favorable outcome for her. This willalso ensure safety of the patient. As she was both diabetic and suffered from hypertension, it wasnecessary to ensure continuation of medication for her to manage her medical conditions in orderto prevent any post-operative complications. These post-operative complications could beinfection, heart failure, pneumonia and kidney failure, which can even lead to death. Medication error is a barrier to patient safety. Adverse situations can arise whenhealthcare professionals provide wrong medications to patients. Medication errors are
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