Case Study Scenario:
Joan Walker is an 84-year-old female who has had a productive cough of green phlegm that started four days ago that persists. She was started three days ago on prednisone 40 mg PO daily and azithromycin (Zithromax) 250 mg PO x5 days by her clinic physician. Though she has had intermittent chills, she had a fever last night of 102.0 F/38.9 C. She has had more difficulty breathing during the night and has been using her albuterol inhaler every 1-2 hours with no improvement so she called 9-1-1 and was brought to the emergency department (ED) where you are the nurse who will be 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.