Our Services

Get 15% Discount on your First Order

[rank_math_breadcrumb]

CR Deliverable 3

2

2

Deliverable 3 – Clinical Reasoning to Prioritize Care and Manage Complications

Top of Form

Bottom of Form

Assignment Content

1.

Top of Form

Competency

Integrate modes of inquiry to generate and evaluate hypotheses in the context of clinical reasoning.

Student Success Criteria

View the grading rubric for this deliverable by selecting the “This item is graded with a rubric” link, which is located in the Details & Information pane.

Scenario

You recently finished orientation in the emergency department (ED) of a rural 60-bed hospital, and tonight is the first shift you have worked independently. The Intensive Care Unit of the hospital has only four beds. Usually, the sickest clients needing complex care are referred to a regional medical facility 50 miles from your location. During orientation, you were told that treatment in this emergency department begins with triage, stabilization, and discharge or referred to the regional medical facility.

Tonight, the first client is an 82-year-old female named Ruth. Ruth was dropped off at the emergency department by a neighbor who said that she had been nauseous and vomiting for a week. Her husband was recently admitted to an Alzheimer’s Unit at a local Long-Term Care facility, and the neighbor thought stress was making it hard for Ruth to eat, but tonight she vomited fresh blood and appeared dizzy. The neighbor also brought in a bag of medication she found in the home but was unsure which medication belonged to Ruth or her husband.

You find a frail woman in a wheelchair in the hallway with labored breathing. She appears dirty with matted hair, clothed in a bathrobe with numerous food stains and a heavy cigarette smell. You notice the chart has a highlighted area noting the client has only Medicaid for insurance. You ask her if she understands why she is in the ER, and she asks, “Where is my husband? He is usually home by now.”

Past medical history:

· Two pack per day smoker for 58 years

· Type I Diabetic

Assessment data:

· Blood pressure: 178/98 mm Hg

· Heart rate: 84 beats per minute

· Oxygen saturation: 84 percent on room air

· Temperature: 101.8° degrees Fahrenheit

· Hyperactive bowel sounds in all four quadrants

· An open wound on the bottom of the right foot

Instructions

In a Word document, create notes for this client’s plan of care, including:

· Create three hypotheses for the client appropriate for the situation.

· Identify the priority hypothesis and support your choice with data from the scenario.

· Determine three solutions for the priority hypothesis, including supporting rationales and evidence from credible sources.

· Describe two potential complications for the case scenario or the priority hypothesis.

· Develop three solutions to manage the potential complications, including supporting rationales and evidence from credible sources.

Resources

·

APA 7th Edition Guide

·

Writing Guide

Submit a Word document with your notes for the client’s plan of care.

Title of Paper

Your Name

Rasmussen University

NUR4153: Clinical Reasoning and Clinical Judgment

Instructor Mindy Fadell

Date

Title of Paper

Introduction to the Case study

*Remember to erase Blue Font

*Remember to use reference support and in-text citation throughout

(What are important elements in this scenario?)

Three Hypothesis

Hypothesis One: (What cues led you to this hypothesis?)

Hypothesis Two: (What cues led you to this hypothesis?)

Hypothesis Three: (What cues led you to this hypothesis?)

Priority Hypothesis: (Why is this the priority over the others)

Three Solutions for Priority Hypothesis

(What are areas to improve? For example, improving mobility for a patient. Be sure that each solution is going to improve the priority hypothesis)

Solution One:

Solution Two:

Solution Three:

Two Potential Complications

(What are complications that could occur with your priority hypothesis? If a patient’s priority hypothesis is high blood pressure in a pregnant patient, a complication would be Pre-eclampsia)

Complication One:

Complication Two:

Three Solutions for the Potential Complications

(What are different ways the hypothesis can be resolved?)

Solution One:

Solution Two:

Solution Three:

Conclusion

References

See


Author’s Last Name, First initial. Middle initial. (Year). Title of article.
Journal Title, Volume Number(Issue number), Page numbers.

Clinical Reasoning Appropriate for the Situation

Format: Word Document

4 Mastery

3 Proficiency

2 Competence

Criterion 1

Three hypotheses included.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

Less than three hypotheses included.

Criterion 2

Well-developed hypotheses included detailed supporting data from the scenario and superior rationales.

Mostly accurate hypotheses included satisfactory supporting data from the scenario and sufficient rationales.

Somewhat reasonable hypotheses included occasional supporting data from the scenario and some logical rationales.

Attempted to develop hypotheses with minimal supporting data from the scenario and vague rationales.

Criterion 3

Skillfully selected priority hypothesis with detailed supporting data from the scenario and superior rationales.

Mostly accurate priority hypothesis with satisfactory supporting data from the scenario and sufficient rationales.

Somewhat reasonable priority hypothesis with occasional supporting data from the scenario and some logical rationales.

Attempted to select a priority hypothesis with minimal supporting data from the scenario and vague rationales.

Criterion 4

Three solutions for the priority hypothesis included.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

Less than three solutions included for the priority hypothesis.

Criterion 5

Skillfully selected solutions for the priority hypothesis with superior rationales and significant evidence from credible sources.

Mostly accurate solutions for the priority hypothesis with sufficient rationales and satisfactory evidence from credible sources.

Somewhat reasonable solutions for the priority hypothesis with some logical rationales and occasional evidence from credible sources.

Attempted to determine solutions for the priority hypothesis with vague rationales and minimal evidence from credible sources.

Criterion 6

Two potential complications included.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

Less than two complications included

Criterion 7

Well-developed description of potential complications with superior rationales and evidence from credible resources.

Mostly accurate description of potential complications with sufficient rationales and evidence from credible resources.

Somewhat reasonable description of potential complications with some logical rationales and evidence from credible resources.

Attempted to describe potential complications with vague rationales and evidence from credible source

Criterion 8

Three solutions for the potential complications included.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.

Less than three solutions included for the potential complications.

Criterion 9

Skillfully selected solutions for the potential complications with superior rationales and significant evidence from credible sources.

Mostly accurate solutions for the potential complications with sufficient rationales and satisfactory evidence from credible sources.

Somewhat reasonable solutions for potential complications with some logical rationales and occasional evidence from credible sources.

Attempted to determine solutions for the potential complications with vague rationales and minimal evidence from credible sources.

Criterion 10

Formal style is demonstrated throughout the document, including no spelling, grammar, or APA format errors.

Formal style is demonstrated throughout most of the document, with minor spelling, grammar, or APA format errors.

Formal style is demonstrated in some parts of the document but not maintained throughout. Some spelling, grammar, or APA format errors present.

Lack of formal style in the document. Numerous spelling, grammar, or APA format errors are present.

image1.png

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

NUR 620

1. Reply from Daniela Barbeito Depression Case Summary of the Clinical Case Ms. Z is a 28-year-old assistant store manager who appears sad after she had a breakup one month ago. On the subjective, she complains that she has low mood, oversleeping, fatigue despite long sleep duration, lack of concentration

NUR 504 Module 4 Discussion

Module 4 Discussion   The Homeless Patient Evaluation & Management Plan The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not

Clinical module 4 discussion

Module 4 Discussion   Weekly Clinical Experience 4 Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? (identifying the needed studies needed for the patients’ symptoms) · Describe the assessment of a patient, detailing the signs and symptoms (S&S),

Interprofessional Education

see attachment The purpose of this assignment is to evaluate how interprofessional education has evolved within the health care environment to support a more team-based approach to patient-centered health care. In a paper of 500-750 words, address the following points: 1. Define interprofessional education, explain how it was developed, and discuss the goals

Children and Families Clinicals Discussion 4

Weekly Clinical Experience 4 Describe your clinical experience for this week with a 10-month-old male with conjunctivitis · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least

Children and Family Discussion 4

Approaches to Disease Management: Dermatologic Disorder Discuss Impetigo in pediatrics, a dermatologic disorder, and its treatment modalities. Submission Instructions: · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

see attachment

MUST BE ORIGINAL WORK. 4-6 pages long. APA format. 3-5 scholarly resources from the last 5 years. On topic below.  Teaching Plan Paper (30 points) APA Paper  • Target Population: Adolescent boy ages 13-17 pertaining to mental health, 14 participants  o Who is your target audience? – include age of

NUR 620

 Patient Care After studying Module 1: Lecture Materials & Resources, discuss the following: The unlawful restraint of a patient can be a legal pitfall for the PMHNP.  K.W. was found eating hamburgers out of a Mcdonald’s dumpster and drinking water from an old water hose.  She had not taken a bath

HW

Professional Goal and Objectives: (SMART) · Professional goals and objectives are related to this course’s clinical rotation (practicum).  · Please note that the SMART goals and objectives you submit must be professional in nature. · During your clinical practicum, you will have the opportunity to work side-by-side with an expert (RN

Discussion

Module 5 Assignment PICOT Question Assignment effective strategies to decrease pediatric obesity in primary care settings.  This is certainly an area/challenge that FNPs are constantly faced with in primary care and particularly with some specific cultures or ethnic groups

Week 3 discu

General Instructions: Conflict is common in healthcare settings. Common team sources of conflict include hierarchical relationships, authority differentials, poor communication, negative or disruptive behaviors, and multigenerational interprofessional teams.    Include the following sections:  Application of Course Knowledge: Answer all questions/criteria with explanations and detail.  Describe a conflict you have encountered in your nursing

NUR509W4

DISCUSSION: The nurse practitioner (NP) is working at a health clinic in a homeless shelter during the early evening. A 48-year-old African American man approaches the practitioner and asks to have his blood pressure taken, saying that he has not had it checked “in a while”. The man appears to

NUR509CL 4

DISCUSSION: Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. (CASE: R shoulder

nurse sam

Anemia Classification Instructions: For each of the scenarios below, identify the following: 1. Type of anemia a. Folate Deficiency b. Anemia of Inflammation c. Iron Deficiency Anemia d. Vitamin B12 Deficiency e. Thalassemia 2. Classification of anemia a. Microcytic-hypochromic b. Macrocytic-normochromic c. Normocytic-normochromic 3. After identifying the type and class,

nursing

To Prepare: Review resources about contextual factors. Consider how contextual factors will impact your advocacy priority.  By Day 3 of Week 4 Post a response detailing the following:  Which contextual factors will promote getting your advocacy priority on the agenda?  Which contextual factors might work against it?

nursing

To prepare: Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by

AMP450Effective Leadership Approaches and Models in Health Care

Effective leadership is integral to quality health care. Following global crisis, crucial leadership skills are needed to not only navigate stressful situations with the collaboration of the interprofessional health care team but also to lead with innovation and find solutions for the future.

AMP450Topic 1 DQ 2

Describe two unique challenges that health care leaders face and how leadership theories can address these challenges.