NRS82005 Transformative Clinical Practices
Task:
For this assignment, you will utilize the Clinical Reasoning Process (Levett-Jones, T, 2013) to think critically about an episode of clinical patient deterioration that you have encountered whilst on clinical placement. You will then write a report demonstrating a systematic approach to clinical problem solving.
Once you have chosen a case study you will need to follow the Clinical Reasoning Process and:
1.Consider the patient
2.Collect cues
3.Process the information
4.Understand the patient’s problem or situation
5.Plan and Implement interventions
6.Evaluate outcomes
7.Reflect and learn from the process.
This assignment will enable students to:
1. Develop critical thinking skills by using a systematic approach to clinical problem solving.
2. Understand how evidence in the literature can inform and underpin nursing practice
3. Further develop and utilise skills in literature searching, academic writing, critical analysis, evaluation and referencing.
TASK: Case Study Report
PART 1: Collecting the Clues
Choose a patient that you observed to have a “clinical deterioration” whilst on placement. It can be whilst on your Acute or Aged Care placement. Be wise in your choice of patient and do not choose a complex event as it will require complex discussion. Your discussion will be given in 3rd person using academic writing. Therefore you will not use “I” or “we” to discuss the case study.
1.Introduction: You will provide a brief introduction explaining the content of this report. The sensitive information of the patient must remain confidential, e.g. name, DOB and MRN and does not need to be discussed in the assignment.
2.Consider the patient: In this stage of the Clinical Reasoning Cycle you will discuss your initial impression:
1. Describe or list facts about the patients reason for admission, including:
i.Reason for Admission
ii.Patient History
iii.Social History
2.Collect Cues: (150 words) This will include collecting relevant information about the patient and summarising the clinical situation. This information may be sought from: Documented history, clinical documentation, medical and nursing notes, handover report or other available information.
Discuss the events that led to this clinical deterioration:
i.Patient status at the commencement of shift
ii.Handover report from the previous shift
Observations of the patient at the time of deterioration
