Analyzing complex situations外文.pptVIP

Margot Phaneuf, RN, PhD The nursing process ? ? Analysis of a complex situation Inductive thinking Systemic thinking The complexity of a situation may result from a variety of factors. ? Two main types of data collection Situation 1: Serious abdominal injury Issues Physiology What signs and symptoms have I seen? (CQAST) What is the patient saying about it? Do I get the feeling that it’s serious? Does it remind me of anything that I’ve already seen or learned about? What do I know about this subject? What should be checking or monitoring? Is there an intervention model or protocol that would apply? What is the treatment? What do I need to plan? Issues General nursing plan What are the patient’s emotional, psychological and social needs? What are the patient’s reactions, expectations, fears and complaints? Are there family members who need to be contacted or who need support? What are my nursing diagnoses? What do I need to explain to or teach the patient? What do I need to plan? Situation 1. Potential complication: State of shock Issues Physiology What signs and symptoms have I seen? (CQAST) What is the patient saying about it? Do I get the feeling that it’s serious? Does it remind me of anything that I’ve already seen or learned about? What do I know about this subject? What should be checking or monitoring? Is there an intervention model or protocol that would apply? What is the treatment? What do I need to plan? Issues General nursing plan What are the patient’s emotional, psychological and social needs? What are the patient’s reactions, expectations, fears and complaints? Are there family members who need to be contacted or who need support? What are my nursing diagnoses? What do I need to explain to or teach the patient? What do I need to plan? Situation 2. Suicide attempt: Antipsychotic poisoning Model of relative motivation (McEwen) Issues Physiology What signs and symptoms have I