Week 1 overview CJ (2).pptx

Overview and Clinical Judgement BRN100 Week 1 Evlautions Learning Objectives Orientation to the BRN100 course. Orientation to online and independent university-level learning with this course. Orientation to the BRN study guide. Overview pathophysiology and pharmacokinetics concepts...

Overview and Clinical Judgement BRN100 Week 1 Evlautions Learning Objectives Orientation to the BRN100 course. Orientation to online and independent university-level learning with this course. Orientation to the BRN study guide. Overview pathophysiology and pharmacokinetics concepts Examine clinical judgement model Review clinical judgement action plan Clinical Reasoning(40:52) ( 40https://youtu.be/OxKILfnH M1k For your review Resources Feng,c,. Bertix, R., Agonstini (ND). 1. health assessment and clinical judgement. Health Assessment guide for Nurses. Montgomery College https://pressbooks.montgomerycollege. edu/healthassessment/chapter/chapter- 1/ White, A (2022). The use of SMART goals in nursing. Leadrship: Nursing Practices. From Nursing CE Central https://nursingcecentral.com/the-use-of -smart-goals-in-nursing/ Nursing Process versus Clinical Judgement https://evolve.elsevier.com/education/expertise/apply-clinical-judgment/ngn-transitioning-from-the-nursing-process-to- clinical-judgment/ Clinical Judgement Model (CJM) https://pressbooks.montgomerycollege.edu/healthassessment/chapter/chapter-1/ recognizing analyze prioritize generate evaluate take action cues : cues: hypotheses: solutions outcomes identifying using listing identifying implementin determining cues from knowledge possible possible g the results of the to interpret client solutions to solution actions environment cues and problems the problem changes in patient make identifying selecting vital signs observations inferences priorities solutions effects of information recognizing with treatments from health relationships evidence for and records such among data best pharmacolog as laboratory points outcomes ic values, interventions health compare history, actual prescriptions outcomes distinguishin with g relevant expected from outcomes irrelevant information Clinical judgement Prompts https://pressbooks.montgom erycollege.edu/healthassess ment/chapter/chapter-1/  Part 1: Cues and Priorities Main Medical Diagnosis/ Part 2: Critical Thinking disease/ issue and definition Main Priority with Rationale in your own words (reference) Goal of care (SMART) Comorbidities and impact on List Impact with Rationale illness Generate Solutions Solution Evidence  nursing interventions (4-6) Assessment Subjective Objective  identifying possible solutions to the problem  selecting solutions with evidence for best outcomes identifying possible solutions to the problem Lab and Diagnostics (explain  selecting solutions with evidence for results and why they relate best outcomes to patient diagnosis) Medications Relationship to diagnosis Nursing Considerations Analysis Cues (6) Cues Why is this important and Take Action and Evaluate  using knowledge to how does it relate to your patient  appraise the interpret cues and interventions how Effective make inferences – the nurse knows what is relevant what they were fully Partially Effective effective, partially or is the most concerning need revision.  look at assessment Revision Needed data and manifestations and understand what is happening to your patient  recognizing relationships among data and information Priorities: (3)  listing possible client problems  Medical History: Chronic obstructive pulmonary disease (COPD) Diagnosed 10 years ago Frequent exacerbations managed with bronchodilators Hypertension Apply CJM Diagnosed 5 years ago to Simple Well-controlled with Amlodipine Medications: Case Study Tiotropium inhaler for COPD Amlodipine for hypertension Subjective Data: Recognise Cues The patient, an 78-year-old male, presents to the emergency department with a sudden onset of severe dyspnea and chest tightness. Analyse Cues Reports an increase in frequency and severity of COPD exacerbations over the past month. Denies recent upper respiratory infections or changes in medication compliance. Prioritise hypothesis Objective Data: Cyanosis noted on lips and fingertips Accessory muscle use during inspiration Generate solutions Decreased breath sounds, especially over the lower lung fields Vital Signs: Take action Blood pressure: 160/90 mmHg Heart rate: 110 beats per minute Respiratory rate: 30 breaths per minute Evaluate outcomes Oxygen saturation: 88% on room air Lab Test Results: Arterial blood gas shows low oxygen levels Check Board for Groups CJM applied to Functional Ability Spinal cord injury C4 T5 T8 Paralysis Delirium Dementia Multiple sclerosis Parkinson's Groups to apply model to simple case studies https://docs.google.com/docum ent/d/1z1XbqeMXrcq0McWR7TJ 7ZHiiJn7xIB0dN3miKkO230Y/edi t?usp=sharing Remember to apply pathophysiology reasoning throughout  They help nurses and patients create clear and achievable objectives by breaking down Smart Goals Specific, overall goals into smaller, manageable steps. Measurable , Used not only for personal and professional development but also to assist patients in https://nursingcecentr Attainable , setting and reaching their own goals related to their care. al.com/the-use-of-sma provide a framework for rt-goals-in-nursing / Relevant nurses to progress towards their goals in various areas of Timely nursing, such as safety, patient care, accuracy, efficiency, and professional development. is crucial for continuous improvement and success in the field.  Week 2 Functional Ability Brief Introduction  refers to an Introduction to individual's capacity to perform everyday activities including physical, Functional required for independent living, cognitive, and psychosocial domains. Ability including self-care, mobility, and communication. Factors and Illnesses Affecting Functional Ability Chronic Neurological health Aging disorders conditions Musculoskele Mental health Arthritis tal issues challenges Parkinson's Stroke Dementia disease Traumatic injuries  Patient History: Gather information about the Application of patient's medical history, Pathophysiology: including any chronic conditions, previous injuries, or surgeries to Subjective that may affect functional ability. Assessment - how Patient's Perception: does disease or illness impact ? Explore the patient's subjective experience of their functional ability. Ask about any limitations, challenges, or changes in daily activities. Assess the impact of impaired functional ability on the patient's  Physical Perform a thorough physical assessment, focusing on mobility, strength, coordination, and balance. Examinati Evaluate joint range of motion and muscle strength to on: identify any impairments. Application of Observe the patient's ability to perform activities of daily Functional Pathophysiology : Assessme living (ADLs), such as dressing, grooming, eating, and ambulation. to Objective nt: Use standardized assessment tools to quantify the level of functional impairment. Assessment - how does disease Cognitive Assessme Assess the patient's cognitive function, as impairment or illness impact? nt: may affect decision-making and safety during activities. Psychosoc ial Consider the patient's mental health, emotional well- being, and social support, as these factors can influence Assessme functional ability. nt: