SHERMIN NUWAN PATHIRATHNA (500193700)
Ageing and the promotion of healthy ageing remains the main area of focus in today's world. Modern practice environments are unpredictable, much dynamic and reactive too. e remains higher increase in the number of adx’erse patients in Australi essay had ighted an intemietv with an elderly person, named John Dixon aged ' promoting healthy ageing who had been residing in Australia.
The topic itself says in advancing towards the opporninities required for older persons to take an active part in the society which is required for good health, Though ageing is not necessarily a burden, it also does not necessarily decrease the ability in contributing to the society of a person, still older people are sufficient enough for valuable contribution to the society. It helps them in enjoying a good quality of life and they feel relaxed when they take part in any activities of the society. By concentrating only what they are able to do rather than not highlighting what they are unable to do helps to create the right condition in the environment and also boost their moral support. It drives them to do more by participating in regular healthy diets, physical actix'ities, participation in meaningful activities. fulfilling social responsibilities and several other activities.
Clinical reasoning or clinical .judgment is often the most used words which are quite ofien used interchangeably. However, this essay has highlighted the term Clinical reasoning which includes the process performed by nurses to collect cues, analy set information, and understand the condition or the situation of the patient. Then plan accordingly to implement the intenentions, after that calculate and evaluate the final outcomes which basically reflect in the process. Most importantly, this process highly depends on a deep critical thinking process termed
as disposition”. Though clinical reasoning is not at all a linear process but snntiltaneoush it can be capitalized as a spiral or netu ork series of ongoing and linLed clinical encounters
Clinical Reasoning C›clc
The cycle consists of a diagram which is shou n belou with a cycle u hich begins at 1200 hours and thereby gradually inoi’ing in n clock»’isc direction (Latorre-Pclliccr e/ o/. 201G. p 561). The circle basically explains the mod ement of clinical ongoing nature of the clinical inter entions and the significance of reflection and evaluation (Beard ct al. 2016. p.2150). There are eight priman phases in thc c; cle of clinical reasoning: ho» ei’er. the differences bet» een the phases are also not seemed to bc that itiuch clear There is no such strict rule to foIIou these process in a continuous clocku’ise cycle. hou’ei’er. the nurse can oi’erlook one step and can combine it to the next one. The nurses have the feasibility to go ct en in anti-clocku ise direction too (Se gaert ct a/. 2018. p 12). The steps of clinical reasoning can be broken doc n as be loud
Firstly. the nurse needs to look after the patients about the condition.
Then the nurse u ill collect data about the serioiisncss of the patient.
After that. the nurse processes them and consults u ith the doctor.
On consulting with the doctor, the nurse decides further strategies.
Further plans are established u hich are required to execute henceforth (McCluskey e/ a/, 201S,
It's the tiitie to exccutc the plan: hence the nurse needs to act accordingly.
At the same time of the process. the outcome of the strategies and plans need to be evaluated.
On processing these new’ learning’s. the nurse gains effects.’e know’ledge o hich helps in
perfonning better in future.
Importance of Clinical Reasoning Ci'cle
According to the Australian Health Surx’ey Report of 2016. the health condition was found pretty bad in older nge groups of people (15%) whose ages w’ere 65 years or oi’er out of total 3.7 million Australians. This is comparatively higher with respect to 5% of people faced health ageing problems in 1926 and 9% people in 1976. Hou’ex’er, this number is expected to grow’
more, It is pro,jected to 8.7 million by 2056 where 22% of the people are going to get affected if this continues like this.
Clinical Reasoning Process
In the profession of nursing. it is of utmost importance to link the theoretical data svhile performing and practicing various clinical duties shich are based on clinical understandings (Namasisayam ct of. 2016. p.10). The process through a bit larger. how ever. a few processes are being focussed over here in this essay which includes the follo›ing:
Nurses are required to have a proper diagnosis by seeing the patient's critical condition. Cues include the environment of the clinical situation in the context of care (Norman ct al, 2018, p.28).
After proper diagnosis. ther need to collect data of the patient in order to continue the treatment (Forsberg ct al. 2014. p 540). Nurse students need to learn the risL of critical patient and lion to act accordingly.
Since the data are collected. it needs to get processed (Nightingale e/ o/. 201fi. p 9). Right reason does not alivai s nnply the correct reasoning process but it actually resembles that the reasoning is legal, ethical and professional (Dalton er of. 2018. p.2'2).
The outcomes of these processes get reflected the outcomes of the knou ledge (Hege e/ n/. 2017.
p.175). Nurse students engage theinseli es in obseri rug to 50 critical patients in an eight-hour shift of medical unit Hence. it tells about the punctuality‘ of them (Ycung e/ o/. 2015. p. I C9G). This action basically defines the bclia ior after the dccision or judgment.
Hospitals and nursing homes are hat rug an increasing number of patients u itli severe complex health problems u ho are admitted in a serious condition The promotion of clinical reasoning process has been highlighted Nurscs u ith lou critical reasoning skills quite ofien fail to dctect deteriorating the condition of the patient u hich creates an add erse effect on the patient
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