Nursing clinical

CLINICALMAIN.docx

Betty/Bob Hickman: Clinical Reasoning Pre-Work

Definition & Pathophysiology of the following Disease Processes/Comorbidities ( in your own words):
Heart Failure (HF)
Atrial Fibrillation (A-Fib)
Hypothyroidism
Hypertension (HTN)

Assessment: ( what assessment findings would you anticipate seeing with the above listed comorbidities:

NEURO/PAIN

CARDIO/Vascular Access

RESPIRATORY

GI

GU

ID
(Infectious Disease)

INTEGUMENTARY/ MUSCULOSKELETAL
(Skin/Drains/Mobility)

ENDO

MENTAL HEALTH
(Psych & Social)

*** For a “Focused Assessment” highlight which three systems would be your priority? ***
Based on your patient’s multiple disease processes (comorbidities), integrate all possible findings into the following, provide your rationale for each answer .

Priority Assessment: What are the important assessments to make?
1.
2.
3.

Potential Complications: What complications can occur and what will you do if the complication occurs?
1.
2.
3.

Priority Interventions: What interventions will prevent the complications listed above?
1.
2.
3.

Priority Labs and Diagnostics:
1.
2.
3.

Priority Education:
1.
2.
3.

Anticipated Priority Orders:
1.
2.
3.

Healthy People 2030 is a national initiative to recognize health disparities of the American population and identify objectives to improve individuals’ overall health and well-being. Some of the goals of Healthy People 2030 include realizing health equity, encouraging healthy behaviors, and preventing disability and death.
Based on your patient’s comorbidities, access Healthy People 2030 at https://health.gov/healthypeople and explore the relevant objectives. Which objective would you choose and how would you implement that objective in the care and health promotion of your patient?

1

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