NURS 420 Week 3 DB

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School

West Coast University, Ontario *

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Course

420

Subject

Medicine

Date

Feb 20, 2024

Type

docx

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1

Uploaded by mallariprince24

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Discuss the five priority setting frameworks (i.e., ABC, acute vs. chronic, emergent vs. routine, assessment first, safety, and risk reduction) and how to use them to make clinical decisions. For nurses, having priority setting frameworks will allow them to facilitate the appropriate formation of priorities relating to the interventions that are then delivered to separate patients and groups of patients with varied needs of fluctuating acuity and different priorities (Linton, 2016). An example of these frameworks is the airway, breathing and circulation framework (ABC). These are three basic needs that are very important in keeping a patient alive. Airway is the highest priority because it is necessary for breathing (Linton, 2016). Breathing is important to keep oxygenation of blood flowing (Linton, 2016). Lastly, circulation is important to maintain blood flow to reach the body’s tissues (Linton, 2016). Furthermore, the severity of manifestations should be highly considered when forming priorities. As another example, acute vs. chronic problems is another framework to help determine which patient is more of a priority. Furthermore, any acute manifestations are a higher priority than chronic manifestations (Harding, 2020). For example, if a patient is having sudden chest pain and another patient has chronic lower back pain, then the patient with the chest pain will be the higher priority because it is a more acute manifestation than back pain that has been identified for a longer period of time. In addition, another example of a priority setting framework is safety. When a nurse prioritizes his/her patients, the nurse should give priority to the patient that is at a greater risk to his/her physical well-being (Harding, 2020). Some risks that compromises safety are airway obstruction, bleeding or infection. Nurses will want to assess their patients and determine which patients are at more of a risk of harming or injuring themselves. Furthermore, priority goes to interventions that are least restrictive and least invasive to a client. In regards to least restrictive interventions, nurses want to offer alternative methods or techniques before restraining a patient such as providing a 1-on-1 sitter to closely monitor the patient. When talking about least invasive procedures, nurses want to choose least invasive procedures first. For example, if a patient is incontinent, the least invasive procedure to help with the incontinence is placing the patient on a bladder training program instead of inserting an indwelling urinary catheter (Harding, 2020). Furthermore, urgent needs present more of a danger to a client. Necessities become urgent when related to an intervention needed within a indicated interval (Linton, 2016). When caring for a group of clients, attend to the client with the most urgent need first. References: Linton, A. (2016).  Introduction to medical-surgical nursing  (6th ed.). St. Louis, Missouri: Elsevier. Harding, M. (2020).  Medical-surgical nursing : Assessment and management of clinical problems (Eleventh ed.). St. Louis, Missouri: Elsevier.
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