Case Study On Clinical Decision Making

1104 Words 5 Pages
3801NRS Advanced Clinical Decision Making
Student Name: Rebekah Stanley
Student Number: S2929435
Essay/Report Title: Case Study Essay
Assessment Item 1
WORD COUNT: TBA

Clinical decision making and reasoning can be seen as one of the most important roles taken on board by the registered nurse within the healthcare setting (Pinnock & Welch, 2014). It is a fundamental process involving the formulation of planned care for a patient, whilst engaging in critical thinking skills, in order to achieve the desired patient outcomes (Pinnock & Welch, 2014). The following essay will explore the author’s experience of patient interaction and clinical decision making, whilst planning the care of an elderly man with Chronic Kidney
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This may result in further damage to the kidneys and their waste removal abilities (National Kidney Foundation, 2010). Increased swelling around the face and ankles are a further indication that the kidneys no longer have the ability to remove extra fluid from the body, which causes this build up of waste (Kidney Health Australia, 2015). Albumin in the urine and results of a low GFR are key indicators that the kidneys are severely damaged. This also increases the risk of further renal deterioration and cardiovascular disease (Bolisetty & Agarwal, 2011). The deterioration in John’s renal system maximises the need for him to start taking control of his health immediately. If John remains non compliant, his condition many progress into further renal failure in the future (National Kidney Foundation, …show more content…
This includes avoiding foods high in sodium, saturated fats and sugar (Kidney Health Australia, 2015). John is also provided the education and resources to successfully quit his smoking addiction, which includes the commencement of Nicotine replacement therapy, providing John with self-help information and offering external support, such as Quitline. This will assist in a smoother transition of quitting and prevent the chances of relapse (Agboola, Mcneill, Coleman, & Leonardi, 2010). Lastly, John is referred onto a Nephrologist, who he will visit every one to three months to monitor his condition.
John’s blood pressure is now 140/60 and the swelling has subsided in his lower extremities. He is provided with both written and verbal information, as well as the appropriate referrals discussed. John expresses his readiness and commitment to start taking control of his health, which confirms he has been provided with efficient education and information to take these first steps of change (Campbell & Duddle, 2010). Through regular follow up with the Nephrologist, a desired outcome in the future would be to see a lowered blood pressure, an improvement in kidney functioning and increased quality of

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