Case Study Scenario:
JoAnn Smith is a 68-year-old who presents to the emergency department (ED) after three days of progressive weakness. She denies chest pain, but admits to shortness of breath (SOB) that increases with activity.
She also has left arm pain that has been intermittent for 20-30″ over the last 3 days. Her left arm pain has become worse and is radiating into her neck. Her husband called 9-1-1 and she was transported to the hospital by emergency medical services (EMS). She is 5′ 3″ and weighs 62 kg.
Each case study has two levels of complexity to use at a fundamental or advanced level to strengthen and develop clinical judgment skills!
- SKINNY Reasoning level: Concise and versatile level that can be used in class and clinical post-conference to apply knowledge and make learning active!
- Has 2 parts-2 pages each
- Basic clinical reasoning skills include noticing what is most important, interpreting its meaning, and priority interventions
- UNFOLDING Reasoning level: Increased complexity that is best suited for advanced students or clinical replacement activity.
- 8-10 pages in length
- Higher-level clinical reasoning skills including problem recognition, SBAR communication, and an unfolding change of status
Why KeithRN Case Studies?
KeithRN clinical reasoning case studies provide educators with the following innovations that make them valuable tools for developing clinical judgment:
- Provide a consistent framework of higher-level, open-ended questions (no multiple choice!) that use the nursing process with Tanner’s Clinical Judgment Model (which aligns with the NGN model).
- Use complex, real-world patient scenarios as a case-based, low-fidelity simulation.
- Unfold sequentially, just like a nurse experiences patient care in practice.
- Replicate clinical decision-making in the classroom without using manikins or a simulation skills lab.
- Include comprehensive answer key.