Spinal stenosis

This Journal Guide is intended to help you critically analyze your application of head-to-toe assessment skills in an adult acute care setting. Use the guide to help you tell the story of your patient and the concept chosen.
This journal will be a narrative, or a story, that helps you focus on what you Noticed, Interpreted the information, how you Responded and your Reflection on the assessment.
This guide provides you with a way of thinking about care that supports the development of your clinical judgment. Although there are many ways of organizing your thinking about patient care and professional nursing practice, Tanner’s (2006) Clinical Judgment Model provides the framework for the questions in this study guide. Your professional development is further supported with feedback from faculty.
Questions to address in Post Conference and in the Clinical Judgment Reflective Journal:
I. Noticing (Assessment): – What did you observe, assess, what object/subjective data did you collect?
1. What did you initially notice about the patient? What do you anticipate is the patient’s problem? What concepts did you notice affected this patient?
2. Describe what you noticed as you spent more time with the patient and/or family. Where your initial thoughts/findings? Are they the same after you completed a more thorough assessment?
II. Interpreting (Diagnosis and Planning):
1. Describe what you thought about the patient (e.g., disease causes, potential resolutions, patterns you noticed). What was the most important data you found to determine the patient’s primary problem (Concept)?
2. What other information (e.g. assessment data, evidence) did you decide you needed as you considered the patient and the patient’s problem? – Did you identify any patterns?
III. Responding (Intervention):
1. After considering the patient and his/her problems, what was your nursing response?
2. Describe stresses you experienced as you assessed the patient or others involved
with the patient.

IV. Reflection

Don't use plagiarized sources. Get Your Custom Essay on
Spinal stenosis
Get a plagiarism free paper Just from $13/Page
Order Essay

A. Reflection-in-Action (Evaluation):

1. What happened? What interventions did you provide for your patient? How did the patient, family, and/or staff respond? How are your intervention individualized to you patient?
2. What did you do next? What will you evaluate to know if your intervention were effective? What did you do if your interventions were not effective?

B. Reflection-on-Action (Evaluation):

1. Describe two ways your nursing assessment skills expanded during this experience.
2. Describe two things you learned about the concept/problem that you didn’t know before.
3. Name 2 things you might do differently when you do your next head-to-toe assessment.

You are to write a two-page, single spaced journal using correct spelling and grammar. Write a minimum of three complete sentences per paragraph. Use a 12 font, ½ inch margins.

Tulsa Community College
Career Mobility II Medical/Surgical
Clinical Judgment Rubric Scoring Sheet

Student Name: ________________________ Student TCC ID: _______________________
Clinical Course & Semester_______________________________________
Faculty Name: ___________________________ Date: ________________
Criteria: Grade Earned Faculty Notes
NOTICING:
1. Noticed about patient, what is the key problem
2. What were your initial thoughts and how did they stay the same/change after further assessment? S
NI
U
INTERPRETING:
1. Described your thoughts r/t the patients primary problem
2. What additional data did you need to obtain? S
NI
U
RESPONDING:
1. What care did you provide for the patient?
2. Described Stresses YOU experienced (not your patient) in providing care today. S
NI
U
REFLECTION-IN-ACTION
1. What happened? What interventions did you provide?
2. How did you evaluate your care and what did you do if it was not effective? S
NI
U
REFLECTION-ON-ACTION
1. Described 2 ways skills expanded
2. Named 2 things you would do differently
3. Describe 2 things you learned about the patient’s problem you didn’t know before? S
NI
U
FOLLOWED INSTRUCTIONS
1. Two page single spaced
2. 12 font, ½ inch margins
3. Correct grammar and spelling
4. Submitted per faculty instructions
5. Complete sentences S
NI
U

Master Homework
Order Now And Get A 20% Discount!
Pages (550 words)
Approximate price: -

Advantages of using our writing services

Custom Writing From Scratch

All our custom papers are written by qualified writers according to your instructions, thus evading any case of plagiarism. Our team consists of native writers from the USA, Canada, and the Uk, making it convenient for us to find the best to handle your order.

Unlimited Free Revisions

If you feel your paper didn't meet all your requirements, we won't stop till it's perfect. You're entitled to request a free revision within 7 days after we submit your paper.

Quality Writing In Any Format

If you have issues with citing sources and referencing, you need not worry. Our writers are highly knowledgeable in referencing, including APA/MLA/Havard/Chicago/Turabian and all other formatting styles.

Fast Delivery And Adherence To The Deadline

All our custom papers are delivered on time, even the most urgent. If we need more time to perfect your paper, we may contact you via email or phone regarding the deadline extension.

Originality & Security

At Master Homework, your security and privacy is our greatest concern. For this reason, we never share your personal information with third parties. We use several writing tools to ensure your paper is original and free from plagiarism.

24/7 Customer Support

Our agents are online 24 hours a day, 7 days a week, and are always ready to serve you. Feel free to contact us through email or talk to our live agents whenever you need assistance with your order.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

We work nonstop to see the best client experience.

Pricing

Flexible Pricing

We offer pocket-friendly prices that coincide with the preferred client's deadline.

Communication

Admission help & Client-Writer Contact

Our support team is always ready to ensure vital interaction between you and the writer whenever you need to elaborate on something.

Deadlines

Paper Submission

We deliver our papers early within the stipulated deadlines. We are glad to help you if there should be an occurrence of any alterations required.

Reviews

Customer Feedback

Your review, positive or negative, is of great concern to us and we take it very seriously. We are, consequently adjusting our policies to ensure the best customer/writer experience.