Unit III Thoughtful practice and the process of care
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Developing critical thinking skills
Now that you have had the opportunity to experience a clini-
cal reasoning framework applied to an exemplar case, draw
on your own experience and apply the framework again, as
follows. Recall a patient who you encountered on a clinical
placement; for example, one who was experiencing distress
and reported ‘having difficulty breathing’, or some similar
description. Review the situation and describe it. Refer back
to the clinical reasoning process outlined in Box 14-6 and
answer the following questions as they relate to this situation.
1.
What data should you collect? When you have made a
list, consider how you will interpret them. Which pieces
of information (what cues) that you have collected do
you think are most important to the situation?
2.
Now analyse the data. Were your observations within
normal limits? How can you synthesise the data that you
have collected with the patient’s statement and with
what you now know about the patient’s health history?
3.
What inferences can you make? Are there any assump-
tions that you should question? What conclusions can
you reach? What courses of action are available to you?
4.
How can you explain your reasoning? What will you
document in the patient’s record?
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