Applying clinical reasoning to care
Dennis is 18 yrs old, lives with parents & 14 yo brother. Just admitted to medical floor w/ complaints of still feeling badly after a stomach bug last week, frequent urination, and a dry cough. 10 days ago, began havin
Mary Fowler, a 74 year old African
American woman, is admitted to your
nursing unit after a stroke. She lives alone,
and earlier today she experienced transient
paralysis of her left extremities, urinary
incontinence, and difficulty with her speech.
Tom Blackwell, a 65 year old white man, is admitted
to the respiratory unit with exacerbation of
emphysema. He has had the disease for 10 years
and is well known to the staff, having been in and
out of the hospital several times. Recently, his
John Simpson, a 58 year old African American man,
is admitted to your medical unit. He has a history of
coronary artery disease, hypertension, and diabetes.
Mr. Simpson describes himself as being in fairly
good health and mentions that he has worked hard
Some Suggestions for your Virtual Patient WIKI
1. Organize with your group and decide on roles. It is helpful to set up a timeline for
when the group wants parts of the project done.
2. If you have One WIKI designer in the group, set-up the struc
Range of Motion
Primary Muscles Involved
Anterior deltoid, pectoralis
Raise your arms in front
of you and overhead
What you will see?
Once you have completed setting up the wiki, your students will see in the Content Area a View link fo
link to access the Wiki.
Adding Pages to a Wiki
When Wikis are first created, they do not contain any pages or cont
Test Taking Strategies
Academic Centers for Excellence (ACE) here on Campus
and the internet offer test taking strategies to help those of
you who might know the answers but get confused and
distracted by the wording of the question. I went to
The Nursing Process and Medication Administration
Pharmacist: makes sure prescriptions are valid, and fills them accurately.
Resource for side effects, toxicity, interactions, incompatibility
Prescriber: writes, or verbally gives, order f
WIKI Peer Evaluation Form
NURS 311, Fall 2014
Evaluator Name: _
Group #: _
You will rate each of the group members you worked with.
List each group member, and rate them on a scale from 1 to 5 in each of the areas listed.
Quality: Contributed to the group
Peter Brown, a 72 year old Hispanic male, presents
to the ED complaining of chest discomfort. He says
it started 2 hours ago, after finishing dinner and then
awakened from a nap. Mr. Brown is well known to
you. He has been treated for hypertension for the
Test taking Strategies for Nursing Courses
e Studying Strategies:
Study in a way that checks your understanding Allow appropriate time For hi-fact content-read as you go along. Review content at least 2X Create review sheets/note cards prior to test (so
The first step in the Nursing Process: Assessment Process:
Assessment is: Assessment
Data/cue collection, validation, & analysis
Data/cues include . . . Data/cues
Any information involving clients health status & the facto
The final step to Nursing Process The
Evaluation is . . . Evaluation
Planned,ongoingsystematicmeansof makingjudgmentsabout: clientprogresstowardexpected outcome theeffectivenessofcareplan And/or thequalityofcareinasetting
Planning (Prioritizing and Outcome Identification)
Tips for successful planning:
Accurate assessment and diagnosis Know facility policies Have clients abilities, goals, mindset in mind at all times Trust your judgment Dont be afraid to consult/
The Action Step in NP
Implementation is . . .
out care plan through performing or delegating interventions
This step ties into all the others!
is assessment within implementation? Where is diagnosis in implementation? Ho
-actions aimed at achieving outcomes -performed by nurses -based upon clinical judgment and evidence
Direct care activities (p
Age 78, admits to your unit from the ER at 9
She states that she had been taking oral
levofloxacin for pneumonia for 3 days (prescribed by her regular provider) but her breathing feels like it has gotten worse and she is repeatedly coughing so she cam
Rationales and Evidencebased Practice
All interventions should be accompanied by a rationale, whether explicitly or implicitly. A rationale is . . . Logical, evidence-based reasoning behind a nursing action.
Where do rationales come from?