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To diagnose the cause, blood culture is mostly required for identification of causative bacteria or fungus. A nurse caring for a patient with acute leukaemia is many a time confronted with the clinical scenarios where he or she is required to make clinical decision to take blood culture from a febrile patient. The nurse may herself make the decision to obtain a blood sample for culture on suspicion of an infection or may act on the orders of a physician. In an autonomous decision, the complexity and the nature of the decision task affect the approach taken towards problem solving (Thompson, Kirkness & Mitchell 2007). The decision taken by the nurse can be analysed for the application of evidence based medicine in routine clinical situations.
Decision analysis allows to share a decision with seniors and colleagues and to evaluate its advantages and disadvantages (Bucknall 2003). Nurse uses the domains of prior knowledge about the patient and his circumstances, ethical knowledge and specific knowledge. This knowledge is accessed and applied by the means of pattern recognition and heuristics (Bohinc & Gradisar 2003).
First of all, the component of problem recognition requires the nurse to identify the ‘cues’ or clinical symptoms such as fever in this case. The recall of these cues leads to formulation of a hypothesis of a problem (Jenks 1993). Once the problem has been recognised, the decision maker proceeds on to the next step of assessment in which the data is gathered, assimilated and analysed (Klein 2005). The nurse records the temperature, maintains a temperature chart and records associated symptoms such as chills, sweating, cough and pattern of fever etc. as a part of data collection.
To be able to form a judgement, it is imperative to evaluate and make a choice (Higgs et al 2008; Connolly, Arkes & Hammond 2000). The nurse evaluates the data and infers about what should be done (Thompson &
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He also felt that it was time to decide on stopping her support systems and symptomatic treatment for palliative sedation and thereby raise the quality of her remaining life and allow her to go smoothly and comfortably. The decision was to be made by the family as the patient was slipping into unconsciousness.
One such health problem is Mold which is a special type of fungus. Although molds are present in the environment as microscopic cells, they need moisture to grow which essentially means that these organisms thrive in the presence of excess moisture at the onset of a flood.
The ultimate aim of this context is to examine the aspect of clinical judgment and decision-making. This is done by identifying a clinical judgment and decision-making in a clinical environment. It also examines a theoretical framework and associated concepts that has been studied and that is considered relevant in judgment and decision-making.
Therefore, it is upon the nurses to make choices that pertain to the kind of care they will offer their clients to ensure they recover from the sicknesses (Royal College of Nursing, 2006, p.24). The nurses are faced with difficulties since they have to make a quick choice before the situation gets out of control (Jones, R.
They usually have to take into account the fact that the patient may have extra symptoms of distress that are less obvious or whose identity can only be revealed by more sophisticated medical equipment. In such cases, the paramedics have to use deeper reflection to consider all the possibilities (Pelaccia, Tardif, Triby and Charlin 2011).
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.
Chronic diseases account for nearly 35 million people worldwide. This number has mainly been aggravated by a number of reasons that have consequently affected the provision of health care services, especially in pre-hospital settings. To begin with, the World health Organization (WHO) presents that chronic health conditions have become rather difficult to handle due to a wide societal perception that low and middle income earners within the society tend to lay more emphasis on controlling infectious diseases prior to tackling chronic diseases (Dalal et.al 2011, pg.
In the event of an earthquake in Papua Guinea’s capital Party Moresby, a declaration of a state of disaster would be deemed fit taking into consideration of a wide range of health issues and the possible mass casualty incidents that would subsequently call for making of critical clinical decisions to avert the problem.
Joan John who is Tobias’ wife of 50 years meets Dr. Smith at the hospital’s gate and frantically tries to explain the condition of his husband. She explains that her husband’s condition worsened and she was forced to call the ambulance to rush him to the hospital.
gement.co.uk (2010) further adds to this, citing its importance in managing the concerted efforts of a company’s different departments as well as its role in a company’s growth. QuickMBA.com (2010), a site focusing on tips for business majors and full-fledged executives
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