Diagnostic reasoning Nursing process Critical thinking 1-Diagonastic reasoning : Diagnostic reasoning One of the clinical reasoning models In my opinion, Diagnostic Reasoning revolves around finding and writing hypotheses Hypothesis plus hypothesis plus hypothesis to get to required Also handle the important information that has to do with Which can be used as database symptoms signs as well as data coming from the lab Are all important to us and we can benefit from them a lot It consists of four steps 1- Bring the cues available at the beginning
Moreover, OX513A can be the answer to this problem because one of my reasons is that these insects are easy to breed and cost almost nothing to transport. On page 455, “The lab churns out about four million mutant eggs a week, and will soon increase production to ten million. In theory, we can build hundreds of millions of mosquitoes in this place.” This sentence from the passage says that they can produce so many mosquitoes and it costs nothing for them to be transported and fly on their own. These insects can help with the problem because the scientists can produce lots of these engineered mosquitoes, so we don’t have to worry that we couldn’t make many of these creatures to fight the aedes aegypti mosquitoes for us.
Application of information based on the real observation of the patient with the combination of subjective and objective data that lead to conclusion making is regarded as clinical judgement. Its developed through practicing, experience, knowledge and continuous critical analysis.(Kienle & Kiene, 2011). It continuously expand to all medical fields: diagnosis, therapy, communication, and decision making. Clinical judgement is of complex because nurses are needed to have prior training in that he/she can have a better understanding of the subject. This relies on the ability of the nurse to make observation, identify information which is relevant and good reasoning.
Diagnostic reasoning is a process of generating and testing hypotheses (Stolper et al., 2011), which is done by transforming medical data into an actionable diagnosis that is important for the functioning of a nurse practitioner (Rajkomar & Dhaliwal, 2011). According to Pelaccia, Triby, and Charlin (2011), clinical reasoning refers to ‘the cognitive process that is necessary to evaluate and manage a patient 's medical problem’. That helps the clinician to make diagnoses and decisions. The diagnostic reasoning process is done by two cognitive systems, the first is called an intuitive system that occurs automatically based on the past experiences and knowledge (Rajkomar & Dhaliwal, 2011). The second system is explained as analytical, in which
CHAPTER TWO 2.0 LITERATURE REVIEW 2.1 Introduction This section of the report will be used to discuss the findings of previous studies in the area of TB case detection especially among healthcare providers. For purposes of convenience, the section will be discussed under sub-thematic areas as Knowledge regarding TB case detection, Health worker practices regarding TB case detection, challenges to TB case detection, and factors influencing low TB case detection. 2.2 Healthcare providers Knowledge regarding TB case detection Health worker knowledge has been identified to have a direct link with delays to TB case detection. Knowledge includes the ability to recognize symptoms, identify causes and transmission routes, and familiarity with the
The biomedical model of health is present in modern Western societies. Since it looks mainly at ill health being caused by biological factors, including lifestyle choices like smoking, unhealthy diets and lack of exercise, this could be seen as "blaming car breakdowns on poor maintenance and lack of proper servicing, or on bad luck" (Browne. 2011). The biomedical model maintains are the only people suitable to deal with our sick bodies. Hospitals and other clinical environments with specialist medical equipment, is where treatment should be given and received. Doctors have power in the biomedical model and are also able to maintain it.
A nursing diagnosis may be part of the nursing process . Nursing diagnosis is defined as “a clinical judgment about individual, family, or community experiences/responses to actual or potential health problems/life processes. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability.” (Herdman, 2012, p. 515).
This step allows the nurse to determine whether the application of the nursing process was effective. It also helps the nurse to know whether the condition of the patient will improve because every nursing diagnostic has got its desired results (Fischbach, F, 2004). Through evaluation the nurse can therefore know whether the expected results have been achieved. In the care plan the nurse is also required to document whether he/she believes whether the diagnoses,assessment, planning and the implementation were correct. In addition to support his/her position the nurse will also have to include
It alerts the nurse of potentially life-threatening events 5. CLINICAL DECISION SUPPORT
Introduction Crowding within the dental arch is a common symptom found in most orthodontically treated patients. Therapy options include conservative methods such as the distalisation of molars or the transversal expansion of the dental arch as well as the extraction of permanent teeth [1]. Whereas the extraction of carious teeth to solve space problems within the dental arch was proposed as early as 1771 by John Hunter [2], the benefits and necessity of systematic extractions of healthy and sound premolars as enforced by Begg, Jarabak and Tweed [3] are still a matter of controversy. Within the last decades, the indication of extraction treatment has come to be based on the individual situation of the patients [4]. The decisive criteria are
The x-ray is very helpful if you have pneumonia it is very good at detecting it and the x-ray can even do it within
The NICE guidelines explain a multifaceted approach for the clinical identification of gastroenteritis, the nurse would complete several clinical assessments, as part of a multidisciplinary team, simultaneously, whilst ensuring the rights of the child are up held in line with the NMC Code of Conduct (2015) which centres around dignity, privacy and confidentiality. Due to the onset of diarrhoea and vomiting assessment of hydration is paramount, “Assessment of hydration has three main elements: clinical assessment, review of fluid balance charts and review of blood chemistry.” (Scales and Pilsworth, 2008). Clinical assessment refers to a physical examination, this may include assessing the tongue and mouth for moisture, however “The first part of the physical assessment is to ask patients if they feel thirsty, as thirst is the first clinical indicator of dehydration.” (Epstein, Perkins, Cookson, de Bono, 2004).
Although sometimes neglected, many healthcare professionals glean information on family morbidity of particular diseases (e.g. cardiovascular diseases, autoimmune disorders, mental disorders, diabetes, cancer) to assess whether a person is at risk of developing similar problems (Rich E. C. et al, 2004) CONCEPT 3- NURSING ASSESSMENT. This concept was taken from module 1.2 entitled “purpose of health assessment” Nursing health assessment involves collecting, validating and clustering of data about health challenges of an individual, and their health needs. It is first step in nursing process. Even though nursing have always performed assessment on client prior giving nursing care, until recently assessment was considered the official domain of the physician via the
informational material concerning what does and does not constitute a medical emergency. This is the thorough diagnosis as opposed to the problem. 2. Develop Alternative Solutions: We need multiple solutions so that if the first one does not work or proves ineffective we can move on to another more valuable solution. Or just to understand the different options available before putting your resources behind one idea.
Pediatric pneumonia is the most common cause of mortality in children. Although , there are cures for this infection , if not detected early , it can pose to be life threatening. Most cases of pediatric pneumonia are found in developing countries like Bangladesh , Nigeria and the Sub Saharan Region. According to WHO , as of 2013 , the causality rate caused by pneumonia is at 2 million, amongst children under the age of five. This dramatically rising number proves that there is a need to understand the etiology of this infection , and determine what factors can be assessed to help in early detection of pneumonia.
