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 …show more content…
It has also been found that consuming an unhealthy diet full of saturated fats, sugars and salt increases the risk and severity of kidney disease by a large percentage (Goraya, 2012). These are the areas that must be addressed.
In order to improve John’s current health condition, both immediate and long-term goals must be established. The immediate goals are to lower John’s blood pressure within the next hour and to reduce the swelling in his feet and ankles. The long-term goals for John are to see improvements in his renal function and to prevent further deterioration through improved self-care. This will be achieved by quitting smoking and introducing healthier foods into his diet.
The student nurse calls the doctor to have the patient reviewed. John is prescribed ACE Inhibitor medication to lower his blood pressure and diuretics to help maintain the balance of fluids in the body, which he will now take on a daily basis. According to Sidorenkov and Navis, 2014, Ace inhibitors remain the first line therapy for patients with CKD, reducing protein excretion and slowing kidney decline (Sidorenkov & Navis, 2014). The nurse raises the foot of the bed and elevates John’s legs on a pillow, which effectively redistributes fluid build up (Simon,
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 …show more content…
It has also been found that consuming an unhealthy diet full of saturated fats, sugars and salt increases the risk and severity of kidney disease by a large percentage (Goraya, 2012). These are the areas that must be addressed.
In order to improve John’s current health condition, both immediate and long-term goals must be established. The immediate goals are to lower John’s blood pressure within the next hour and to reduce the swelling in his feet and ankles. The long-term goals for John are to see improvements in his renal function and to prevent further deterioration through improved self-care. This will be achieved by quitting smoking and introducing healthier foods into his diet.
The student nurse calls the doctor to have the patient reviewed. John is prescribed ACE Inhibitor medication to lower his blood pressure and diuretics to help maintain the balance of fluids in the body, which he will now take on a daily basis. According to Sidorenkov and Navis, 2014, Ace inhibitors remain the first line therapy for patients with CKD, reducing protein excretion and slowing kidney decline (Sidorenkov & Navis, 2014). The nurse raises the foot of the bed and elevates John’s legs on a pillow, which effectively redistributes fluid build up (Simon,