Decision Making Essay Nursing

Once the patient is relaxed, the chief complaint must be assessed, followed by anamnesis morbid. In this case, the patient stated that he had never felt a pain of this nature before, suggesting that this could be the onset or acute phase of a particular illness (Rogers, A., & Pilgrim, 2010). Therefore, it is necessary to assess the life history of the patient in order to reveal the underlying causes of this pain (Edwards & Elwyn, 2009). In the review of Mr. Singh, there were indications that he was susceptible to cardiovascular diseases. The risk factors that were obtained from the assessment of Mr. Singh include hypertension, which was previously diagnosed and presently at 160/100. Mr. Singh was also a smoker who was suffering from depression and anxiety (Goldberg & Fawcett, 2012). In addition to these factors, Mr. Singh also had been previously diagnosed with hyperlipidemia and type II diabetes which made him susceptible to diabetic heart disease. Due to the fact that the parameters were normal except for his blood pressure and the sense that he was at risk of developing a cardiac disease, Mr. Singh had to undergo several additional tests to determine his cardiac function. There is a need for shared decision making as Mr. Singh did not present any major signs or symptoms upon his visit to the hospital (Thomson, Kinnersley & Barry, 2012). Other further complications in Mr. Singh’s situation will also be analyzed in the following sections when analyzing the psychosocial issues involved....
Once the patient is relaxed, the chief complaint must be assessed, followed by anamnesis morbid. In this case, the patient stated that he had never felt a pain of this nature before, suggesting that this could be the onset or acute phase of a particular illness (Rogers, A., & Pilgrim, 2010). Therefore, it is necessary to assess the life history of the patient in order to reveal the underlying causes of this pain (Edwards & Elwyn, 2009). In the review of Mr. Singh, there were indications that he was susceptible to cardiovascular diseases. The risk factors that were obtained from the assessment of Mr. Singh include hypertension, which was previously diagnosed and presently at 160/100. Mr. Singh was also a smoker who was suffering from depression and anxiety (Goldberg & Fawcett, 2012). In addition to these factors, Mr. Singh also had been previously diagnosed with hyperlipidemia and type II diabetes which made him susceptible to diabetic heart disease. Due to the fact that the parameters were normal except for his blood pressure and the sense that he was at risk of developing cardiac disease, Mr. Singh had to undergo several addition tests to determine his cardiac function. There is need for shared decision making as Mr. Singh did not present any major signs or symptoms upon his visit to the hospital (Thomson, Kinnersley & Barry, 2012). Other further complications in Mr. Singh’s situation will also be analyzed in the following sections when analyzing the psychosocial issues involved. After clinical assessment, Mr. Singh was diagnosed with Acute Coronary Syndrome, and was referred to the call of medical team for admission. There are several stages that are involved in the assessment of Acute Coronary ...Show more

Applying Clinical Decision Making in Adult Nursing Essay

3734 WordsMay 16th, 201215 Pages

Applying Clinical Decision Making In Adult Nursing

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This assignment will critically analyse and justify the decisions based around a fictitious patient using a clinical decision making framework highlighting its importance to nursing practice. The chosen model will demonstrate clinical decision making skills in the care planning process. The patient’s condition will be discussed in-depth explaining the pathophysiology, social, cultural and ethical issues where appropriate in the care planning and decision making process. Any vulnerability that the patient may experience will be discussed and dealt with in the care planning and decision making process. The supporting evidence based literature will be analysed and…show more content…

Huber (2006, p154) states that clinical decision making in nursing relates to the quality of care the patient receives and how competent the nurse is.

Over the past 30 years nursing has evolved from a task-oriented to a logical and systematic approach to care, using theories and models to guide practice. According to Jasper (2007, p117) theories of decision making in medicine tend to favour logical, precise analytical models which are held to be testable, unambiguous and repeatable, therefore satisfying scientific principles. These represent important ideas of certainty and rationality that are intended to provide a sense of security and reliability. When used correctly a nursing model should give direction to nurses working in a particular area, as it should help them understand more fully the logic behind their actions. It should also act as a guide in decision-making and so reduce conflict within the team of nurses as a whole. This in turn should lead to continuity and consistency of the nursing care received by patients according to Pearson et al (1999,p ).

Banning (2008, p ) states knowledge for decision making is obtained from many sources and has been described as both informative

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