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Clinical Decision Making - Essay Example

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Clinical Decision Making Why is it difficult to distinguish between clinical-decision making errors solely due to intuitive judgment or analytical judgment? Paramedics do not work in perfect conditions with all the medical instruments they require in order to make the right decision…
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Download file to see previous pages Experience is particularly helpful in such circumstances. However, even in the case of experienced paramedics, this can present difficulties. The danger is in the bias produced by both the intuitive judgment and analytical judgment. If the paramedic focuses too much on the unusual characteristic(s), a characteristic of paramedics who use guidelines to inspect patients, he or she may ignore other aspects unintentionally (Rajkomar and Dhaliwal 2011). On, the other hand, intuitive judgment could also present problems. When a paramedic relies too much on intuitive judgment he or she may unconsciously ignore more subtle signs that are not often seen in his or her work experience. It therefore becomes difficult to determine, particularly when errors are made, where exactly the error was made during the process of diagnosing the illness in the patient. Current literature points to a debate surrounding the reliability of intuitive clinical reasoning in comparison to the analytical, hypothetico-deductive, process of reasoning. Discuss and debate current findings. The intuitive clinical reasoning process is typically experiential, intuitive, or tacit. It is a reactive process whose activation takes place in automated mode. It generates an intuitive response, in that this response is produced without effort and is beneath the threshold of discernible consciousness (Ferreira, Ferreira, Rajgor, Shah, Menezes and Pietrobon 2010). The intuitive process is therefore quite swift. It makes use of aspects such as the visual information which is readily available, and functions on the premise of the identification of a characteristic pattern of signs, or of comparisons with previously encountered situations. The approach of the clinician is holistic as well as partial (Bendall and Morrison 2009). The partial aspect is because only part of the existing information may be processed; while the holistic aspect may be because the clinician or paramedic may make a general evaluation of the situation and then approximate. The reaction that is produced instinctively is highly reliant on contextual signals or indicators. The second type of clinical reasoning is identified as the analytical reasoning and it is usually rational or deliberate (Jensen, Croskerry and Travers 2009). This type of reasoning is made from a cogent and deliberate judgment that is based on supplementary information that is gathered actively by the clinician in his or her environment, and the cognizant application of regulations that have been gained through learning. It is a somewhat gradual process that can be quite demanding for cognition. It has been hypothesized that clinical reasoning patterns are at variance between novice and expert clinicians (Fournier, Demeester and Charlin 2008). Pattern recognition is usually only possible when there are a lot of inexperienced clinicians and a well-ordered knowledge base, and, as a result, is usually not used by untested clinicians. It has been suggested that clinicians who have just completed their studies but have no experience in their field use the model of hypothesis-testing clinical reasoning on a more frequent basis. In most clinical situations, pattern recognition permits clinicians to devise management options and diagnostic assumptions swiftly and instinctively (Sibbald and Cavalcanti 2011). These will be ruled out systematically through a hypothetico-deductive procedure. The ...Download file to see next pagesRead More
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