Case Study Scenario:
Harper Anderson is a 5-month-old female who was brought into the physician’s office for diarrhea and vomiting over the past two days. She had two loose large loose stools the first day and now her mother reports that she has been less active, is not interested in playing, and has been more sleepy today.
She is unable to keep any feedings down today. She has had four loose, watery stools and emesis x3 this morning. She has not had a wet diaper since yesterday evening. She is 25 inches (63.5 cm) in length and weighs 14 pounds, 2 ounces (6.4 kg). She weighed 15 pounds, 2 ounces (6.86 kg) at her last office visit two weeks ago. Harper is a direct admit to the pediatric unit where you are the nurse responsible for her 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.