Clinical Reasoning Papers

Clinical reasoning: "Clinical reasoning is the cognitive process that uses thinking strategies to gather and analyze client information, evaluate the relevance of the information, and decide on possible nursing actions to improve the client's physiological and psychosocial outcomes". I had the opportunity to use clinical reasoning when caring for a patient that was admitted due to being hypotensive. It was after lunch and the patient wanted to go on a walk around the unit. Before hand I decided that even though the patient stated that she felt fine, it would be best to get a set of vital signs to see if she was stable enough. While assessing her blood pressure I discovered that it had quickly dropped to around the 80/40's. At that moment I

510). Role development can be seen throughout my nursing school profession, in my role as a student in the class room setting, in our clinical experience and in the lab. My role will continue to change as I graduate and start a new job in the medical field, not as a nursing student but as a registered nurse. As time progresses and I became more comfortable in my role as a student, the expectations that are set in front of me grew. The expectations that the clinical instructor has for each student is presented to us and we must rise to meet the standard in which we take on a new role that semester. I have quickly learned the techniques and methods needed for each clinical site. I transitioned from a sophomore learning basic skills in the lab to a senior taking on multiple patients and using skills learned a couple of years ago. This final semester we have the opportunity to take on the role of a nurse by following them throughout their

I believe that this program has really tried its best to explain diversity and help us understand how differences in our beliefs may effect the care that we will be giving to such a diverse population. Learning this will help me to improve patient outcomes and foster my relationship with my patients. In class we discussed the need and importance of respecting the differences in people and how being an effective leader is one who accepts patients of all races, ethnicities, religions, ages and genders. In clinicals I had cared for a patient who was fighting a battle with lung cancer that had metastasized and spread to other organs in his body. He decided that he wanted to go home and not have any palliative care. The doctors and the nurses kept trying to convince him but in the end they decided to respect his wishes. They told him that he only had about 3 more months to live. He stated that the Lord would take him when he was ready and that about a year ago he was told by another doctor that he only a few weeks to live but it was his faith that had kept him going. The nurse stated that it was good for the patient to relay on his spirituality to help him get through his condition. I have also been able to utilized the things I have learned outside of school. I currently attend an international church and I am apart of an RSO called Chi Alpha which is an