Case Study Scenario:
John Gates is a 59-year-old male with a history of diabetes type II and hypertension who was at work when he had sudden onset of right-sided weakness, right facial droop, and difficulty speaking. He was transported to the emergency department (ED) where these symptoms continue to persist. It has been one hour from the onset of his neurologic symptoms when he presents to the ED. You are the nurse responsible for his care.
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.