Nursing Process And Critical Thinking

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1. This week my goal for clinical is to work more on connecting with my patient on a personal level; I want them to know that they are more than just their illness to me and that I am there to help them and make sure everything that is done is in their best interest.
2. I would like to work on getting the answers for my subjective data form through a casual conversation with the patient rather than just asking them straight out. I feel I may receive more useful and detailed answers if I make the patient feel comfortable and less like they are being drilled for information.
Reflect on your clinical week giving specific examples of the following:
Use of nursing process/ critical thinking and problem solving to guide care
This week my patient suffered from a traumatic brain injury and had major cognitive deficits that required me to use critical thinking and the nursing process for his care. When performing the patients’ neurological checks, it was imperative that I not only note a change in mental status or pupil reactivity or decreased sensation but also that I understand the implications of this change and what it means for the patient. Even the most seemingly insignificant change can indicate a big problem; therefore, comparing the patients’ recent status with the current assessment information is important for finding these changes, no matter how small they may be. I had to use critical thinking while talking with my patient and trying to reorient him to reality
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