Decision Making in Practice - Essay Example

Comments (0) Cite this document
Decision Making In Practice Name Institution This paper discusses and analyses my decision making during my management of a patient who had undergone Total Abdominal Hysterectomy/ Bilateral Salpingo- oophorectomy (TAH BSO). I will outline the nursing care and management on the patient and how this relates with legal, ethical and professional issues…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER96.3% of users find it useful
Decision Making in Practice
Read TextPreview

Extract of sample "Decision Making in Practice"

Download file to see previous pages Overview Total Abdominal Hysterectomy (TAH) This refers to the excision of the uterus and cervix. This procedure is indicated in a variety of conditions including ovarian cancer, cervical dysplasia, pelvic relaxation, uterine prolapse, endometriosis and uterine fibroids (leiomyomas). About 10% of TAH is done for cancer, but the remaining 90% is performed due to non emergency and non cancerous reasons. This procedure may also be performed in when a patient continually experiences unusual pelvic pain. TAH ensures that a woman is not able to bear children again. The procedure is of advantage as it allows a total examination of the abdomen and pelvis, hence, it allows for the investigation of cancer and other unclear growths. Statistics reveal that approximately 300 women out of 100,000 women in the US undergo TAH. Even in non emergency and non cancerous conditions, TAH poses remarkable challenges for omen and health care practitioners (Anspach 2009, p65). During TAH, the uterus and cervix are detached from the fallopian tubes, upper vagina, ovaries, and the adjoining connective tissue and blood vessels. As a result of this, complications arising from the procedure are likely to be marked. The procedure, lasting about 2 hours, is normally performed in general anesthesia so that the patient does not wake up during the procedure. In order to minimize infections, vaginal cleansing is done and antibiotics are administered to the patient before the procedure is done. A urinary catheter is first passed through the patient’s urethra so that the bladder is emptied. This urinary catheter will remain in the patient throughout the procedure and some time after the procedure. Vertical and/or horizontal incisions are then made on the abdomen so that the uterus is exposed (Mehta 2008, p56). Bilateral Salpingo-Oophorectomy (BSO) This refers to the surgical excision of both sets fallopian tubes and ovaries. It is commonly done with TAH and is referred to as TAH/BSO which is done in about one third of all hysterectomies. BSO is done to treat gynecological cancers and infections. It is also indicated in cases of ectopic pregnancies that occur in the fallopian tube. Just like in TAH, general anesthesia is given to the patient before the start of the procedure, before an incision is made to remove the organs (Ricks 2008, p78). Management of the patient BAH/BSO is a surgical procedure, hence, it has a lot of complications ranging from surgical site infections, extreme pain and bleeding. All these, if not controlled, will are fatal. After the surgery, the patient stayed in the recovery room for some hours. The patient was then monitored to check whether there were any signs of pain. The patient had some pain, hence, we administered some analgesics and we also administered broad spectrum antibiotics to the patient so that infections would be prevented. Since the procedure requires close monitoring and management, the patient was required to stay in the hospital for about 4 to 5 days. There was also par vaginal bleeding, which we controlled and managed through the use of sanitary towels. Since it is normal for a patient who has undergone the procedure to have bloody vaginal discharge, we provided a lot of sanitary pads to the patient for purposes of controlling the excessive bleeding (Berek 2008, p87). Catheter Care The catheter was placed to the ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
(“Decision Making in Practice Essay Example | Topics and Well Written Essays - 1500 words”, n.d.)
Retrieved from
(Decision Making in Practice Essay Example | Topics and Well Written Essays - 1500 Words)
“Decision Making in Practice Essay Example | Topics and Well Written Essays - 1500 Words”, n.d.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Decision Making in Practice

Decision making

...? This paper examines two fundamental approaches to decision making: the rational theory and the prospective theory and how they relate to decision making in making demands during international mediation in inter-state conflicts. In the rational theory, the players identify the best results for the highest number of people before taking decision. The prospect theory on the other hand involves a situation where parties in negotiations seek the best results for themselves by consolidating their strengths and taking risk where they have weaknesses. This aims at maximizing self-interest goals of each party. The paper uses the two concepts to...
12 Pages(3000 words)Research Paper

Case Study: Practice Case Involving the Model of Ethical Decision Making

...?Case Study: Practice Case Involving the Model of Ethical Decision Making The biggest challenge that presents itself in ethical professionalpractice is resolving a conflict that arises when professionals like counsellors are supposed to choose between ethical principles that are competing. In this case, the ability to reason ethically becomes a very important aspect of such professionals as counsellors. There are some models of ethical reasoning that help professionals at such dilemmatic moments to come up with a final decision. Examples of thee models include Utilitarianism, Kant's-Formalist-Theory and Wallace’s Ethical Contextualism. These theories vary in their values...
4 Pages(1000 words)Case Study

Making decision

...? MAKING DECISION BY PRESENTED Making decisions In a couple of sentences outline why it is difficult to distinguish between clinical-decision making errors solely due to intuitive judgement or analytical judgement Hammond (1996) explains that intuition is a cognitive process that provides answers and idea solutions without using any conscience, or logically defensible processes. In other words, intuition cannot be made explicit while an analysis can be made explicit. As Bendal & Morrison (2009) assert, nurses are called to hold on the highest degree of professionalism in making any decision. As Bendal & Morrison (2009) elaborate, nurses in most cases have to apply evidence based practices to alive at any decision where a patient... , and...
3 Pages(750 words)Assignment


...? Professional Behavior & Evidence-Based Practice Question Arnold (2006, pg.502) presents that promoting professional behaviour is currently the main concern across the continuum of medical education. As such, one of the critical components of such an initiative involves carrying out assessment in professional manner. This is considered critical because it is through this assessment that a medical professional can ascertain the historical details of a patient, crucial for determining subsequent way of treatment and progress of the a patient. Arnold (2006, pg. 502) further elaborates that proper assessment of a patient, therefore, requires an examination of the state of the art. The American Board of Internal Medicine...
4 Pages(1000 words)Essay

Nursing Practice and Decision Making

...? Nursing Practice and decision making Nursing Practice and decision making Mr. Singh arrived to the hospital under normal conditions, however, the chest pain he experienced required further assessment to be carried out. Such assessment included anamnesis morbid and anamnesis vitae and more in depth descriptions of the chief complaint, which was a sudden onset of chest pain. As there are several etiological factors to chest pain which include cardiac, pulmonary or digestive system malfunctions, the above mentioned parameters such as history of disease and lifestyle have to be considered in order to see which system is affected more and is...
10 Pages(2500 words)Essay

Decision Making

...Decision Making: A Crucial Part of Life al Affiliation Decision making is a crucial stage in human interaction. No purposeful and successful dealings can be made without it. Hence, every human act is based on a particular and definite decision and that every aspect of society considers this process before making a conclusion. A decision is mainly defined as the act or process of deciding or the report of a conclusion (“Decision,” n.d.). When it is combined with the term making, it proposes a meaning which purports that it is a process wherein an idea is being analyzed before acting it...
2 Pages(500 words)Admission/Application Essay

Find this article and answer the following questions: A process of decision making by caregivers of family members with heart failure. Research & Theory for Nursing Practice, 25(1), 55-70 by Sanford, J., Horigan, A.,&Hall, P. (2011)

...Sanford, J. Horigan, A., Hall, P. and Townsend, J. . A process of Desicion Making by Caregivers of Family Members with Heart Failure. Researchand Theory Nursing Practice, 25(1), 55-70. Article Critique Name Institution Article Critique Heart failure is one of the most challenging cardiovascular problems. The number of people who suffer from this condition continues to rise. During the illness continuum, patients, their families and caregivers encounter numerous situations that call for informed decision making. Normally, when the patients’ situations worsen, decision making becomes a prerogative of the caregivers. However, some of the...
2 Pages(500 words)Essay

Practice in creating, justifying, and explaining a decision-making proposal. All elements involved in the creation of this proposal, from problem definition through action plan

...Decision Making Process of Executive Summary The paper is a critical study of a decision making problem, where the process is carefully explained through a case study of an organization. The problem within this paper is about high attrition rates of employees within a specific department of branch level banking unit and prime reason behind it is identified as lack of proper induction system, job definition, role clarity and work training. The employees feel frustrated with dissatisfaction at work and leave the job. The project chooses to hire a new operations head in order to provide training and guidance to staff from the industry. It is believed that external head shall...
8 Pages(2000 words)Essay

HPHP6000 Clinical Decision Making in Contemporary Paramedic Practice

...Introduction The portfolio is a comprehensive evaluation of decision making in clinical settings within the Contemporary Paramedic Practice of the University of Cumbria. I am currently working with one of the large metropolitan ambulance services within the central station in the city. I am a full-time front-line paramedic for the last 2 years. The shifts therein involve rotation patterns between the staff and trainee student ambulance technicians. In addition, I get involved in regular shifts where I work as a single responder for the first-response cars. Among my professional contacts in practice include the patients, the relatives, health professionals, and the...
29 Pages(7250 words)Essay

Fundamental Duties Influences Practice and Decision Making of a Nurse

... Nursing Ethics Fundamental Duties Influences Practice and Decision Making of a Nurse In accordance with the Hippocratic Oath and Nightingale pledge, the fundamental duties of a nurse can be apparently observed as adopting along with executing various preventives measures for eliminating any sort of risk that arise during the treatment procedure or at the time of conducting clinical works and delivering positive outcomes in future. By evaluating the Hippocratic Oath and Nightingale pledge, it can be reckoned that the nurses will provide quality care to the patients by taking guidance of the oath. This eventually influences the practice and also the...
1 Pages(250 words)Coursework
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Essay on topic Decision Making in Practice for FREE!

Contact Us