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Key components of UNFOLDING Reasoning:
I. Data Collection
*Identify what data from the chart is clinically significant from the history of present problem as well as lab results
II. Patient Care Begins
*After VS and nursing assessment data is obtained, identify what is relevant & clinically significant
III. Clinical Reasoning Begins
*Template of clinical reasoning/nurse thinking questions that emphasize nursing process, priority setting, and anticipating the worst possible complication
*State the rationale for primary care provider orders, and priority set which orders do you implement first and why
*Common change of status with alterations in VS/assessment that must be recognized by the nurse!
V. Education Priorities/Discharge Planning
*Based on the scenario, what will be the emphasis with patient education and discharge priorities
VI. Caring and the “Art” of Nursing
*Reflective questions that encourage nurse empathy, engagement, and caring
UNFOLDING Reasoning case study topics:
- Acute Coronary Syndrome/Acute MI
- Heart Failure/Acute Renal Failure
- Peripheral Arterial Disease
- DKA w/Chronic Renal Failure
- Anorexia with multiple F&E abnormalities
- Breast Cancer w/chemotherapy complications
- Post-op Pain Management (surgical) 1 of 2
- Post-op Pain Management: Cardiac Arrest (narcotic over sedation) 2 of 2
Each case study purchased gives the educator the right to use/post for their INDIVIDUAL use. Please purchase a site license to share this case study with other members in your department.