Clinical Case Studies For Medical Surgical Nursing
Fall 2020 Clinical Assignment
Students are to complete the case studies listed below and develop a concept map according to the attached “Nursing Process Paper: Concept Mapping”. After the student completes the Case Study and Concept Map, please grade the case study (answers attached) and grade the concept map according to the “Concept Map Evaluation Criteria”.
At the end of the semester the following must be submitted:
- Completed case studies graded
- Completed Concept Maps graded with a completed rubric for each one
- Completed Student Evaluation Clinical Case Studies For Medical Surgical Nursing
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Please note all documents are attached to assist your success.
CASE STUDIES
Harding, M. & Snyder, J.S. (2016) Clinical Reasoning Cases in Nursing (7th ed.). St. Louis, MO:
Elsevier Mosby. – Required Textbook
Diabetes Type 2
Case Study 91 Page 411-414
Benign Prostatic Hyperplasia
Case Study 70 Page 313-316
Inflammatory Bowel Disease with Small Bowel
Case Study 62 Page 279-283
Adult Respiratory Distress Syndrome
Case Study 40 Page 180-185
Fractured Hip with Postoperative Complications
Case Study 46 Page 205-209
Coronary Artery Disease and Heart Failure
Case Study 4 Page 14-18 Clinical Case Studies For Medical Surgical Nursing
ZOOM
LIU has purchased an upgraded zoom account in which you can meet with your group of students for an unlimited amount of time. You will need to set up a zoom account through the LIU Zoom: liu.zoom.us (log in and password are the same as your LIU username and password). Once you have a zoom account, there are webinars, live and pre-recorded that you can access to learn how to use zoom. The basics are intuitive, but if you have never done it before, play with it before you meet with your group. Here is a link to a 30 minute introductory webinar to learn the basics: https://liu.zoom.us/rec/play/ucYoIumtq243G9fAswSDUPArW9W-eKis1Cga8_EPmk7mAnFQMAevZ7IQZefBr9eLpOtBNxuUZZ4WFxrQ?continueMode=true
LIU Information Technology (IT) is also available to help with any technical difficulties you or your students might have. Below is the IT contact information. Centralized helpdesk support will be available daily for faculty by emailing IT@LIU.edu or by calling 516-299-3300/718-488-3300. An extensive online support library is also available at http://IT.LIU.EDU Clinical Case Studies For Medical Surgical Nursing
Introduction
To provide safe, quality care, nurses need to have well-developed
clinical reasoning skills. As new graduates, you will make decisions
and take actions of an increasingly sophisticated nature. You will
encounter problems you have never seen or heard about during your
classroom and clinical experiences. You will have to make complex
decisions with little or no guidance and limited resources.
We want you to be exposed to as much as possible during your
student days, but more importantly, we want you to learn to think.
You cannot memorize your way out of any situation, but you can think
your way out of any situation. We know that students often learn
more and faster when they have the freedom to make mistakes. This
book is designed to allow you to look at how to solve problems and
find answers without the pressure of someone’s life hanging in the
balance. We want you to do well. We want you to be the best. It is our
wish for you to grow into confident, competent nursing professionals.
We want you to be very, very good at what you do!
What Is Clinical Reasoning?
Clinical reasoning is not memorizing lists of facts or the steps of
procedures. Instead, clinical reasoning is an analytical process that can
help you think about a patient care issue in an organized and efficient
manner. Five steps are involved in clinical reasoning. Thinking about
these steps may help you when you work through the questions in
your cases. Here are the five steps with an explanation of what they
mean Clinical Case Studies For Medical Surgical Nursing.
1. Recognize and define the problem by asking the right questions:
Exactly what is it you need to know? What is the question
asking?
2. Select the information or data necessary to solve the problem or
answer the question: First you have to ask whether all the
necessary information is there. If not, how and where can you
get the additional information? What other resources are
available? This is one of the most difficult steps. In real clinical
experiences, you rarely have all of the information, so you
have to learn where you can get necessary data. For instance,
patient and family interviews, nursing charting, the patient
medical chart, laboratory data on your computer, your
observations, and your own physical assessment can help you
identify important clues. Of course, information can rapidly
become outdated. To make sure you are accessing the most
current and accurate information, you will occasionally need
to use the Internet to answer a question.
3. Recognize stated and unstated assumptions; that is, what do you
think is or is not true? Sometimes answers or solutions seem
obvious; just because something seems obvious does not mean
it is correct. You may need to consider several possible
answers or solutions. Consider all clues carefully and do not
dismiss a possibility too quickly. Remember, “You never find an
answer you don’t think of.” Clinical Case Studies For Medical Surgical Nursing
4. Formulate and select relevant and/or potential decisions: Try to
think of as many possibilities as you can. Consider the pros
and cons of the consequences of making each decision. What is
the best answer/solution? What could go wrong? This requires
considering many different angles. In today’s health care
settings, decision making often requires balancing the wellbeing needs of the patient, the preferences and concerns of the
patient and caregiver, and financial limitations imposed by the
reimbursement system. In making decisions, you need to take
into account all relevant factors. Remember, you may need to
explain why you rejected other options.
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5. Draw a valid, informed conclusion: Consider all data; then
determine what is relevant and what makes the most sense.
Only then should you draw your conclusion.
It may look as if this kind of reasoning comes naturally to your
instructors and experienced nurses. You can be certain that even
experienced nurses were once where you are now. The rapid and
sound decision making that is essential to good nursing requires years
of practice. The practice of good clinical reasoning leads to good
thinking in clinical practice. This book will help you practice the
important steps in making sound clinical judgments until the process
starts to come naturally Clinical Case Studies For Medical Surgical Nursing.