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The Unconventional Guide to Clinical Reasoning Cycle
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A process by which nurses collect the information, ability to understand a patient’s situation or problem, plan and implement interferences, analyze outcomes or current situation, and reflect on, and learn from the procedure.
Understanding the Clinical Reasoning Process
Clinical consultation is the practical process by which data are considered, assembled, and integrated into a diagnosis form that can lead to suitable and proper management. The main components of a clinical consultation, which is considered in this process, include:
- A procedure but directed clinical history, with subsequent testing through specific and particular questioning.
- Selection of a primary diagnosis process and further diagnosis in order of probability.
- Physical examination managed at assembly further data required to confirm or disprove the hypothesis.
- Critical and thoughtful selection of examination to gather whole data.
- Execution of a targeted and justified management plan.
Clinical reasoning is a skill to be learned. Medical students are provided with knowledge helpful to patient diagnosis carefully.
8 Main Steps of the Clinical Reasoning Cycle
- Step 1: Consider the patient situation.
- Step 2: Collect cues and information.
- Step 3: Process information.
- Step 4: Identify issues and problems.
- Step 5: Establish the goals.
- Step 6: Take action.
- Step 7: Evaluate the outcome.
- Step 8: Reflection.
Why Clinical Reasoning Cycle is Important?
Clinical reasoning is a process involving professional and registered nurses indulge in developing an understanding regarding the patient’s current status and constructive care plan.
The Clinical reasoning process is used to determine the patient’s recovery status or his/her condition would deteriorate. If a nurse’s clinical reasoning skills are not good, then the possibility of a patient’s health can be in danger.
The top three reasons why clinical reasoning is important–
- Failure to identify the correct diagnosis.
- Failure to implement relevant medical treatment.
- Inefficient management of medical complications.
If the nurses are unable to diagnose the problem, and not prepare a treatment plan, unable to handle complications, the health of a patient may have unpropitious effects. These issues can be controlled easily when a nurse is well experienced with the clinical reasoning cycle which is important for the patient’s recovery.
With clinical reasoning skills, accurate patient diagnosis can come instinctively, increasing the chances of quality of care. Moreover, it’ll take a lot of practice.
How to Apply the Clinical Reasoning Cycle?
Introduction to the clinical reasoning cycle case study
Nurses who are highly experienced in numerous clinical reasoning operations for every patient’s care during the course of his/her clinical practice. A professional nurse who is highly experienced in their profession can instantly take notes of considerable data in a patient’s room and make conclusions about the patient’s condition and easily instigate suitable care for them. This can be assigned to clinical reasoning, which is a learned skill.
Author’s name– (Louis & John, 2017)
“In this case study- Here I will apply the 7 important stages of the clinical reasoning cycle to this case study that I was involved in during my clinical reasoning cycle nursing final placements. During clinical practice, my assignment help experts help me a lot to understand things easily. In this case, the clinical decision required responding to a change in the condition of the patient.”
According to his 7 stages of the clinical reasoning cycle nursing –
The First Stage of the clinical reasoning cycle requires knowing the patient’s situation or his/her details. This is the first stage, where the nurse is introduced to the clinical reasoning cycle case in detail. Adding more, during my placements, the situation was a 67– year–old woman (Mrs. M) who was brought to the emergency ward complaining of sickness, pain in the chest and the back, discomfort in the chest, and dizziness. The patient described that she had been working in her kitchen and garden earlier that day and enjoyed a family party.
The Second Stage states of the cycle have collected the patient’s whole information. That means, assessing the patient’s information, collecting new data, and recalling knowledge that I learned during my clinical nursing. Mrs. M’s past medical history includes high blood pressure, high cholesterol, artery disease, and chest pain.
According to the medical reports, the patient took 1 aspirin every day and had a nitroglycerin tablet to manage chest pain. At that time physician ordered an ECG; the results turned negative. In this case, it’s really important to do further cardiac tests because her symptoms were not good and her characteristics of myocardial infarction.
The Third Stage of this case study is the clinical reasoning cycle demand working on the information that has been collected. In this stage, the professional processes the present patient’s health status of the patient and establishes the possible outcomes for the results that are to be made. When she was admitted, Mrs. M had mentioned that she had been involved in some activities that morning she had done some kitchen work and gardening; therefore, there was the probability that her symptoms were related to muscle pain.
However, there was required to worry because her medical history shows her chest pain (angina) and CAD. So, I decided to monitor her cardiac markers. That time when the heart is harmed, cardiac markers levels go up high every time, and this is why blood tests for the patient are really necessary. The chest pain and shoulder pain indicating that she had suffered a severe heart attack problem. It is worth observing that levels of enzymes do not go up immediately following myocardial infarction. Because of that, I decided to treat Mrs. M according to the symptoms that a heart attack had occurred and then evaluated for a more accurate diagnosis.
The Fourth Stage of this cycle involves identifying the problem of the patient and establishing the reason behind the patient’s present condition. In different words, this phase is where the nurse synthesizes facts and conclusions and uses them to make a conclusive diagnosis of the problem that the patient is suffering. According to the information I had processed in the 3rd stage, and finally, I come to an end that the patient had suffered a severe heart attack.
The Fifth Stage states the clinical reasoning cycle is to focus on objectives. This is where one establishes the motive of treatment with consideration of the situation of the patient. Notably, the arrangement of treatment is neither supposed to be open–ended nor time–oriented. The medical profession should know the following steps to take and observe how fast he or she will recover.
The Sixth Stage of the cycle requires taking steps. That means that the health professional executes the following steps that are required to meet the suitable treatment objectives of the patient. The healthcare teams are often brought on board; therefore, each and every person is assumed to be given updates regarding the objectives of treatment for the specific patient. With this theory in mind, I phoned the doctor to get instructions from him that to take care of Mrs. M.
The Seventh Stage of the clinical reasoning cycle involves is evaluation. This stage requires assessing the planning of the course of steps that have been taken and establish the decision whether to make changes or stick the diagnose is dependent on the nurse. After my involvement, the patient’s symptoms improved that she stopped complaining of chest pain, and back pains.
Conclusion of the Clinical Reasoning Cycle Case Study
Nurses who have efficient clinical reasoning skills end up hitting patient outcomes positively. On the opposed, those that have clinical reasoning skills, which outcomes in a “failure to release”. From my story, it is quite obvious that I am a professional registered nurse, as I was successfully able to prevent Mrs. M’s health from aggravating by applying the 7 stages of clinical reasoning to a clinical decision. I, always continue to be serious and ready to capture the things in the intentional practice of the skills for continued learning.
For nurse training and education delivery, the funnel of clinical reasoning can be incorporated into learning and training sessions to discuss the clinical reasoning judgments and conclusion making during care and applying the ‘nursing education process’. The nursing environments are an ideal educational practice to test clinical reasoning decisions and skills.
Nurses are the important presence in the wardrooms, providing the monitoring and making decisions from the clinical reasoning at every shift over a patient’s hospital journey. Responding to critical events requires sophisticated abilities which expand further knowledge, such as responding and assessing to clinical worsening.
In the current financial drive for cost–cutting measures across medical (nurses make up the majority of the medical care, so are often seen as a costly component), the drive to replace with lower–skilled, and eventually these are the elements for the nursing profession to examine.
Nurses need to be available every time to understand and explain the patient’s situation and the profile of what it requires to be a nurse and the effectiveness of such type of skills to maintain levels of safety and care.
Thinking on decision making are the skills to develop and with experience but need to be included in nurse training. Nurses with beneficial clinical reasoning nursing skills and knowledge have a positive result on patient outcomes. It’s important to remember always, in the course of all this deliberation of the patient and speculative process from the nurse.
FAQ Related to Clinical Reasoning Cycle
What is the Clinical Reasoning Cycle?
Its a process of collecting information to understand a patient’s situation, implement interferences and analyze outcomes.
Who Created the Clinical Reasoning Cycle?
In 2009, Levett Jones describes Clinical Reasoning Cycle