Clinical decision making
You are asked to write a report on an aspect of an clinical care scenario.
Maximum Word Count: 2500 word assignment (+/- 10%)
Scenario
I was working with my nursing supervisor on a night shift. We was handed over a patient called Mr Justine Brown who is a 58 year old who has a leg ulcer and the leg ulcer was dressed earlier on the day shift. Mr Brown pressed the bell stating that he was given a regular paracetamol, then after 1 hour he was still complaining that he was in severe pain. My supervisor contacted the Doctor and explained to the doctors that the patient is still having pain and the doctor prescribed morphine for the patient. After the patient took the morphine he became reliefs.
Remember to talk about confidentiality and referenced by NMC 2018
The Pathophysiology will be pain.
Pharmacology of Morphine
Pick the one decision and explore it by using oneil’s clinical decision making attached
Define what clinical decision is and discuss the importance on it in few words
Mention key decision that was made in the case scenario there are several clinical decisions that was made, the key decision to contact the doctor to prescribe something stronger for the patient recommended morphine. This decision is name from O’Neils decision making and explain the process of o’neils process of decision making and relate it to the scenario .
The decision was made because……. And also in part one still discuss biomedical ethics. The decision to give patient morphine is it nonmaleficence or beneficence. Explain it and define it also talk about patient involvement in decision making.
Part 2
Pathophysiology of pain and how does pain works and occur.
Also talk about risk factor of pain
Pain management management.
Part 3,4,5
What are the evidence support the decision we ( me and my supervisor made) ( giving patient morphine. Look for literatures that talks about the use of morphine in controlling pain according to …..
what morphine does in the body
What does the nice guideline (national institute for health care excellence) and other guidelines (WHO) world health organisations say about pain and pain control guideline. What they are saying about pain when someone is having leg ulcer pain what do you do.
Pick 2 or 3 guideline of pain
Discuss analgesia ladder and relate it to the case study in this case study the patient was on paracetamol and the pain was not controlled.
6 patient was involve in the decision by asking the patient what pain killer he wasted he stated whatever is the strongest.
