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24 Aug
2019

One attachment is assessment n another is required reading for it. Assessment 1 – Clinical… – NO PLAGIARISM

One attachment is assessment n another is required reading for it.Assessment 1 – Clinical Reasoning CycleDue Date : Monday 26th August 2300Scenario – Mrs WilliamsonMrs Williamson is a 76-year-old woman admitted to your Orthopaedic ward from the EmergencyDepartment (ED) after she had a fall at home. The ED doctor has referred Mrs Williamson forinvestigations regarding a possible left foot metatarsal bone fracture and ordered further investigations.Mrs Williamson has had an initial dose of 1000mg Panadol in ED 3 hours ago; with an ongoing order of1000mg of Panadol PRN 6 hourly. The physical exam shows that Mrs Williamson has pain and redness ofher left foot, which has increased over the last 3 hours despite analgesia, and her pain level now is 8/10.She is unable to bear weight on the affected foot. Mrs Williamson is oriented and alert, but concerned asshe was brought to the hospital alone.Mrs Williamson has a history of high blood pressure (hypertension) and she is on antihypertensivemedication, Avapro 150mg/day. Mrs Williamson was an active member at the local bowling club and localchurch, but since her husband died 12 months ago, she has not attended church or bowling. When youintroduce yourself to Mrs Williamson, she tells you that she “does not want to be in hospital” and asks you“when can I go home?”Mrs Williamson’s vital signs upon admission to the ward are:• Blood pressure 145/90 mm Hg• Temperature 36.8° Celsius• Pulse rate 110 beats per minute Respiration rate 18 breaths per minute• Oxygen saturation 95%Note: The purpose of this assessment is to gain knowledge of the theoretical aspect of the ClinicalReasoning Cycle.Required ReadingIngham-Broomfield, B. (2018). Chapter 11: Critical Thinking and the Nursing Process. In A. Berman, S.Snyder, T. Levett-Jones, T. Dwyer, M. Hales, N. Harvey, …D. Stanley, Kozier and Erb’s fundamentals ofnursing (4th Aust. ed., Vol 1, pp. 192-203). Melbourne, Vic.: Pearson.Levett-Jones, T. (2018). Chapter 13: Diagnosing. In A. Berman, S. Snyder, T. Levett-Jones, T. Dwyer, M.Hales, N. Harvey, …D. Stanley, Kozier and Erb’s fundamentals of nursing (4th Aust. ed., Vol 1, pp. 221-229). Melbourne, Vic.: Pearson.Levett-Jones, T. (Ed). (2018). Clinical reasoning: Learning to think like a nurse. Frenchs Forrest, NSW:PearsonLevett-Jones, T., Hoffman, K., Dempsey, J., Jeong, S., Noble, D., Norton, C., . . . Hickey, N. (2010).The five rights of clinical reasoning: an educational model to enhance nursing students abilityto identify and manage clinically at risk patients. Nurse Education Today, 30(6), 515-520.doi:10.1016/j.nedt.2009.10.020Task Instructions:The following questions will explore each aspect of the clinical reasoning cycle. You MUST use therequired readings, the scenario, and the Clinical Reasoning Cycle (CRC) (Levett-Jones, 2018) to assistyou to answer these questions. APA referencing is required for these readings and any additionalreferences, such as relevant assessment tools and nursing literature.You will also be expected to use your critical thinking skills when providing your answers. Criticalthinking can be defined as, -the art of analysing and evaluating thinking with a view to improving it- (Paul& Elder, 2009). Short answer questions are those written in sentence and paragraph format, and can be upto 500 words. Use the word count provided for each question as a guide to how much detail you shouldprovide in your answers.Task Format/ Presentation:• Short answer questions must use full sentences and paragraphs unless stated otherwise (i.e. when askedto list you may use bullet points), and formal academic English.• APA style in text referencing and an APA style reference list on a separate page at the end of yourassignment• Direct quotations are NOT to be used for this assignment• 11 pt Arial font, with 1.5 line spacing.• Include each question number as a subheading when presenting your answers (i.e. Question 1, Question2, etc.)• Include your name, student number, the NURS1201 course code, assignment title, and page numbers inthe header and/or footer of your document.• Word Count 1800 words.Task Questions:1) Using the Levett-Jones et al. (2010) article, discuss the importance of clinical reasoning in relation topreventing patient deterioration and maintaining safe nursing practice. (200 words maximum) [4 marks]2) The first phase of the CRC is: Consider the Patient Situation. Identify the aspects that are consideredwhen evaluating the patient situation; and why it is an important initial step in the CRC? (100 wordsmaximum) [2 marks]3) The second phase of the CRC is: Collecting Cues and Information (250 words maximum) [Total 8marks]a) Discuss the importance of collecting cues. In your answer consider the possible consequences for notcollecting enough cues, and how therapeutic communication could impact the collection of cues. [2marks]b) Current information: Using the scenario, provide a list of all the cues that you identify based on the

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