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22 Cards in this Set
- Front
- Back
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What are the 8 steps of the clinical reasoning cycle? "Can Charlotte Play Indoors?" "Every Tuesday," Eve replies. |
1. Consider the patient situation. 2. Collect cues. 3. Process info. 4. Identify problems/issues. 5. Establish goals. 6. Take action. 7. Evaluate outcomes. 8. Reflect on process. |
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What is step 1 in the CRS? What does it involve & give an example. |
1. Consider the patient situation. Describe the facts, contexts objects or people involved with your patient. E.g. the 60 y.o patient is in ICU because of an aneurysm. |
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What is step 2 in the CRS? What does it involve (3 parts) & give an example. |
Collect cues. Review current info (h/o, charts), gather new info, recall knowledge. e.g. history of hypertension, recheck his BP, BP related to fluids |
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What is step 3 in the CRS? What does it involve (6 parts) & provide an example. |
Process info. Interpret, discriminate, relate, infer, match & predict. "I don't remember I mentioned play?" e.g. analyse data, take relevant info out, match it to knowledge, infer what is up, predict an outcome. |
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What is step 4 in the CRS? What does it involve & give some examples. |
Identify problems/issues. Synthesising of facts & inferences to make a definitive diagnosis of patient problems. e.g. he has low blood volume, epidural has worsened his BP by causing vasodilation. |
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What is step 5 in the CRS? Describe & give an example. |
Establish goals. Describe what you want to happen and within what time frame. E.g. I want his blood pressure up within the house. |
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What is step 6 in the CRS? Describe & give an example. |
Take action. Select a course of events between the difference alternatives available. E.g. I will ring the doctor and get an order to increase his IV rate. |
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What is step 7 in the CRS? Describe & give an example. |
Evaluate outcomes. Evaluate the effectiveness of outcomes and actions. Has the situation improved now? e.g. his BP is up after I have given him fluids. |
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What is step 8 in the CRS? Describe & give an example. |
Reflect. Contemplate what you have learned from this process & what you could have done better. |
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What are (4) examples of family types? |
- Nuclear family• - Blended• - Extended• - Single parent families |
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What is the family assessment "strengths" model doctrine? |
To view families under the lens of their best qualities and possibilities. |
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What is the family systems theory? |
That the family is an organisation with overt rules of function (to the observer) as well as covert. They run on a continuum that is either adaptable/resilient (to illness) or not. |
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What are open family systems characterised by? (3) |
1. Constant familial relationships 2. Maintain open communication channels 3. Tolerate autonomous behaviour |
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What are some characteristics of the impact of chronic illness on a family system? (4) |
1. Non-traditional family roles emerge 2. Old issues may be brought forward 3. Communication may break down 4. Joining with other systems for assistance |
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What are the (2) ways of mapping a family? |
Genograph (family tree) Ecomap (wider systems) |
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When doing a psychosocial assessment, what are some bits of information you may not normally gather for other assessments? (6) |
1. Mental status examination 2. Risk assessment 3. Psychosocial info: spirituality, culturally 4. Changes in behaviour + onset 5. Trauma (abuse) 6. Suicidal/self harm |
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What are some examples of people who can be vulnerable? (5) |
1. Poverty 2. Homelessness 3. Disability 4. Abuse 5. Migrant or refugee |
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What social determinants impact health? (4) |
1. Poverty 2. Education level 3. Housing conditions 4. Social support |
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How can vulnerability change? |
With change of environment e.g. hospital environment. |
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What are some alternative reasons for vulnerability? (4) |
1. Recent diagnosis of poor health 2. Recent end of close relationship 3. Recent death of loved one. 4. Major life transitions. |
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What modifiable social factors for vulnerability can nurses help change? (3) |
1. Poverty - refer to social help 2. Low education - refer to social help, educate within your scope re: health 3. Level of social support - refer to counselling, support groups |
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What are the stressors associated with migration? (4) |
1. Language 2. Customs 3. Values 4. Separation from culture and place of origin |
