Instruction
A. Components of critical thinking
Identify assumptions
Identify data inconsistencies in the case
Cluster related data according to either 1) body systems or 2) Gordon's Functional Health Patterns
Identify missing data
Identify conclusions
B. Most significant pathological process
Etiology
Pathology
Clinical manifestations
Diagnostic tests
Provide rationale for abnormal lab data
C. Identify 5 priority nursing/collaborative diagnoses with expected outcome (goal statement)
Nursing diagnostic statements must be written correctly
Outcome (goal) statements must be measurable, realistic, and include a time frame
D. Identify priority interventions for each diagnosis
Include the rationale for each intervention (identify why this intervention is necessary for the care of this patient)
E. Identify clinical practice guidelines or research (evidence) that supports your interventions and is the standard for medical care
F. Evaluate medical therapy
Provide the rationale for each medical order
Medications: identify the class, indications for use, action, and nursing implications for each
In relation to the identified clinical practice guidelines for this case, identify medical orders you would question that would require you to seek clarification or verification
G. Identify legal and ethical issues in the case
Identify the issues
Identify the stakeholders and their involvement in the issue(s)
Discuss how the nurse should address the issues