When making clinical decisions, nurses need to consider many different aspects including clinical knowledge, clinical standards, experience and patient-centered decision making. It requires nurses to have a high level of critical thinking. Professional boundaries which acts as limits to maintain therapeutic relationship between professionals and clients can be regarded as a basis of clinical decision making. In the given scenario, Sam Mills is an RN who works with five general practitioners and two other RNs. Sam’s neighbor, Lee, came for redressing chronic wound one day. Lee has a history of cerebral palsy and underweight, and he is currently living in a shared house with a friend. After finishing work, Lee, who typically hates eating alone, asks whether if he can join Sam’s dinner in Vinny’s pasta with other staff in GP clinical. It is a challenging decision for Sam due to it may bring bad result to them with each of the two choices. …show more content…
In regarding to standards, rn should treat pt individually and respect variety and provide pt concerned care, to achieve better outcome for pt. In regarding this, nurses are suggested to practice with patient centered care. According to …, pt centered care refers to putting patient at the center of decision making and considering patient’s preference in in planning, developing and monitoring care to make sure it meets their needs. Patient-centered care can generally be practiced in many aspects, including but not limit to eliciting and respecting patient preferences, engaging patients in the care process, treating patients with dignity and designing care processes to suit patient needs. In general, the most central part of patient-centered care is respecting and considering for patients’ needs and preferences when providing care. By accept Lee’s request, Sam can build more information from Lee so that can improve the quality of health