Clinical Judgement And Reasoning

Task

The objective of this assessment is to relate the process of clinical assessment to the delivery of patient care by selecting and implementing appropriate assessment techniques and demonstrating clinical judgment.

You will need to record yourself carry out a 10 minute focused health assessment of your case study patient. A focused health assessment concentrates on a specific area of concern, for example if a patient is breathless, then your assessment should include a respiratory/cardiovascular assessment.

Your case study outline will include a number of findings and a health history that will assist you in further discussing your case study patient and responding to the questions listed below. You will need to refer to literature to support findings, nursing interventions and further recommendations.

Your case study submission should include the following:

1. Ten minute video of your focused assessment, this assessment should be limited to the area of complaint.

2. A written report comprising:

a. An analysis of the findings of both the health history and the focused health assessment and relate these findings to the underlying disease pathophysiology.

b. A set of recommendations for your selected patient using appropriate evidence based nursing literature to support your care decisions.

3. Demonstrate clinical judgment through the overt association connecting health history, assessment and nursing care

4. Relate the processes of clinical assessment to the delivery of patient care, by selecting and implementing appropriate assessment techniques

Learning Outcome

1. Critically reflect on how clinical decisions are made by advanced practitioners

2. Discuss barriers that may impede effective decision making and identify solutions to address these

3. Demonstrate clinical judgment through the overt association connecting health history, assessment and nursing care

4. Relate the processes of clinical assessment to the delivery of patient care, by selecting and implementing appropriate assessment techniques

5. Critically reflect on practice and recognise the role of reflection in practice development

Details

The purpose of this assessment is to critically assess your method for clinical decision making in assessment 2 and identify strategies to implement effective decision making in the clinical environment. Your assessment should include:

1. Review feedback from assessment 2 and critically analyse your method of decision making when formulating nursing interventions and further recommendations for the case study.

2. Using a reflective model critically reflect on a personal example where barriers may have impacted your ability to carry out effective decisions on patient care in clinical practice and discuss strategies to overcome these in future.