Effectiveness Of Clinical Decision Making

She recalls the initial diagnosis of Stage IV metastatic ovarian cancer from her oncologist, Dr Harvey Kelekian. Dr Kelekian then proposes an experimental chemotherapeutic treatment regimen consisting of eight rounds at full dosage. Vivian agrees to the treatment.

The last stage of Ovarian cancer is the worst stage because it the most difficult stage to treat. Ovarian cancer found in the earliest

Clinical reasoning can be best described by the process of collecting indications, processing, understand the problem or situation, plan and implement interventions, asses outcomes and learn reflect on the whole process (del Bueno, 2005). Positive outcomes of this process can be determined by an individual’s preconceptions, attitude, perspective and willingness (mentally and physically) (McCarthy, 2003). In a report by the clinical excellence commission of NSW Health they conclude that there are three explanations for negative patient outcomes in which are failure to correctly diagnose, failure to adequately implement appropriate treatment and inability to manage complications. In this essay the author will outline a situation in which they were involved in explaining the background of the situation, factors which influenced a clinical decision to be made whilst describing the clinical decision making process.

The University of Texas MD Anderson Cancer Center. (2013, June 19). Patient education: Ovarian cancer. Retrieved February 8, 2016, from

There is still ongoing research that scientists are working on because the cause of ovarian cancer is not definite. Experts don't know precisely what causes ovarian cancer. Genetics, such as DNA changes, are a risk factor for some women. Some are understood to be caused by gene mutations in the BRCA1 or BRCA2 genes. The risk for women who have these gene changes is much greater than for women without them. Age, estrogen hormone replacement therapy, age when menstruation started and ended, and smoking are also thought to be risk factors.

Knowledge is seen as power, patients having knowledge gives them the power to be able to make informed health decisions (Henderson, 2003). Without any or limited knowledge, patients become vulnerable and are unable to make informed decisions about their health. The nursing culture of not sharing power with patients, causing an imbalance with the nurse having the all the power and the patient feeling powerless, with a lack of control and affecting how the nurses care for these patients. Nurses and patients need to work together to achieve the best outcome for the patient (Henderson, 2003)

Murphy, E. (2014, 6 6). Clinical Decision Support: Effectiveness in Improving Quality Processes and Clinical Outcomes and Factors That May Influence Success. Retrieved 10 6, 2017, from www.ncbi.nlm.nih.gov: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031792/

Ovarian cancer is a malignant form of cancer that develops from the ovary and it is unlikely to be discovered by most patients during its early stages because its symptoms are very delicate. The fact that prognosis is sometimes difficult to perform makes it impossible for some individuals to be able to effectively fight the tumor. Many women are unable to understand that changes occurring in their bodies are actually a result of ovarian cancer. Hundreds of thousands of women worldwide are diagnosed with ovarian cancer every year and it is thus essential for society to have a complex understanding of the disease, its symptoms, and methods of coping with it.

These cancers arise from the germinal epithelium lining the ovary. They can be further subdivided into several histologic cell types: serous, mucinous, endometrioid, clear cell, transitional, and undifferentiated carcinomas. The risk of epithelial ovarian cancer increases with age and is found predominantly in postmenopausal women. Borderline ovarian carcinoma is a histologic variant that is less aggressive than their invasive epithelial counterparts, are found in younger women, and are often confined to the ovary at diagnosis

Ovarian cancer is a disease of an uncontrolled division of abnormal cells that are in the ovaries. Ovaries produce eggs as well as hormones (estrogen, progestogen). Ovarian cancer is found in women because they have two ovaries (the size of an almond) located on each side of the ovaries (Ovarian cancer, 2000). Ovarian Cancer affects a lot of women. Statistics show that the risk of getting and dying from ovarian cancer is one in ninety-five. This cancer is the eighth most common cancer found in women. Women have a risk of one in sixty-five of getting this cancer in their lifetime. Therefore, there is a lot of research gathered that explains: the pathophysiology, clinical manifestation, and medical management.

Ovarian Cancer ascend from the fallopian tube mucosal epithelium, causing the tissue fragments of the female reproductive system to fuse together. The time of diagnosis, epithelial ovarian cancer are advanced-stage carcinomas (Nezhat, 2015). Ovarian cancer is common within the female population, with over 22,000 newly diagnosed cases in the United States and 14,000 cancer related deaths (Nezhat, 2015).

It would be important to delineate the term value to answer your question on what constitutes a good clinical decision-maker. For the purpose of this discussion, a value is simply defined as an inner force that provides the standards by which patterns of choice are made (O’Sullivan & Schmitz, 1994, p. 31). The choices we make as an individual or as a professional is dependent on our values. In our first written assignment, we discussed our professional core values. These professional core values serve as our foundation or basis for our day to day interactions at work with our patients and colleagues.

It is reported in literature that unilateral ovarian involvement and focal involvement of the ovary may be indicators of good prognosis, while poor prognostic signs include rapid growth of pelvic mass, severe systemic symptoms, bilateral ovarian tumors, and advanced stage at presentation [5,7]. Note that our patient has primary bilateral ovarian lymphoma, involving ovaries and regional lymph nodes without any evidence of disease at the remote sites. Also she remained in remission at 12 months after chemotherapy completion.

Ovarian Cancer is the type of cancer that starts in the ovaries. In the Reproductive System, for females, there are two ovaries. The ovaries are about the size of an almond, they produce eggs, estrogen, and progesterone. There are different types of “ovarian cancer” they are put into three categories depending on where they are located and how big they are.

Too often, patients are afraid to question the orders given by their doctors; some patients are more comfortable expressing concerns to nursing professionals, who then have a moral duty to advocate for patient concerns when appropriate. For some nursing professionals, this can be difficult, as it often involves standing up against individuals that might not be receptive to change. However, the bond between patient and nursing professional is often stronger than the bond that a patient has with his or her physician, particularly within the hospital setting. To this end, nursing professionals find it within their purview to maintain awareness of