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Friday, March 29, 2013

Clinical Decision Management Essay

CRITICAL REFLECTION ON FACTORS INFLUENCING A CLINCAL DECISION.

The purpose of this naming is to critically reflect on factors influencing a clinical termination based on angiotensin-converting enzyme of the experiences I have witnessed during my clinical placement. The clinical decision will be focusing on the c are of a client and involves a nursing input. The instalment of care I will be examining what happened in a recovery theatre following orthopaedic surgery for the removal of screws to the left ankle. The clinical decision which I witnessed involves bringing paroxysm under control by administration of 1mg of midazolam intravenously to a 12year old patient who said she was in essential pain after administration of 10mg Morphine. Confidentiality will be maintain in compliance with the NMC (2004) professional code of conduct, and so the allude of the setting, name of the client and members of the multidisciplinary team will not be disclosed.

Tomey (2004) defines decision making as a process of selecting one cause of action from alternative. She further describes decision making as the process of choosing a course of action for dealing with a problem or opportunity. Barrows & Pickell, (1991), on the other hand peck Clinical decision-making (CDM) as the formulation and revision of hypotheses throughout a patient encounter.

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It is a dynamic activity in which the give practitioner (NP) builds a case in which hypotheses are recognised or rejected based on collected data.

Flagler (2000) identifies a number of different processes that are used in CDM, such(prenominal) as searching, conclude, prioritising and recognising patterns. They can test several hypotheses simultaneously and enforce clues or hypotheses. Experts are able to frame or body structure the problem in a way that allows a resoluteness strategy to be initiated. They have knowledge in long-run memory, and they have a set of rules that specify what action to take. Experts are able to distinguish between effective and ineffective reasoning methods....If you want to get a full essay, order it on our website: Orderessay



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