Nursing 21 Clinical Views

Judgment : | Nursing

Clinical Requirement:

NURS121L-ClinicalJudgmentPlan.docx Clinical Judgement Plan Instructor: DATE Care Provided and UNIT: Student Name Clinical Judgement Plan West Coast University Professor Name Date Social History Patient Information Patient Initials: Admission Date: Chief Complaint: Age & Gender: Admission Weight: Allergies: Code Status: Living Will/ DPOA: History of Present Illness (HPI) Admitting Diagnosis & Pathophysiology Medical History & Pathophysiology Surgical History & Pathophysiology Erikson’s Developmental Stage Related to Patient (1) *List and discuss specific stage (based on objective assessment) Social Determinants of Health Ethnicity Occupation Religion Family support Insurance 3 Psychosocial Considerations/Concerns Teaching Assessment and Client Education Interprofessional Consults and Multidisciplinary Plan Discharge Planning Lab Tests with Values (Include normal ranges, dates, and rationales of abnormal results) Lab Tests or Diagnostic Tests Normal Ranges Admission Lab Values Current Lab Values Explain Abnormal Results R/T Your Patient (USE additional pages at the end of template WHEN NEEDED) Diagnostics (3) Relevant Diagnostic Procedures with Results (2) Medications Medication Name Include Generic name, Trade name, and Medication Class. Include OTC, herbal (non-pharmacological items) and PRN medications given during clinical Dose Route Frequency Purpose of Medication for Your Patient Mechanism of Action Side Effects/ Adverse Reactions Nursing Considerations Specific to Your Patient/Teaching Physical Assessment/Review of Systems HEENT Hormone Regulation/Reproduction/ Endocrine (13) IV Lines/Drains/Tubes Psychosocial (14) Vital Signs/Height/Weight (4) Temp: HR: BP: RR: SpO2: Pain: Height: Weight: Respiratory (7) Cardiovascular (6) Neurological (5) Genitourinary (GU) (10) Musculoskeletal and Activity (11) Hydration/Nutrition (8) and Gastrointestinal (GI) (9) Integumentary (12) Responding Observation Interpreting Implement Planning Analysis Assessment Take Action Generate Solutions Prioritize Hypotheses Analyze Cues Recognize Cues Evaluate Evaluation 1. 2. 3. 4. Reference Page
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Nursing Help FAQ: Nursing

How is a nursing research paper different from regular essays?

Nursing papers, especially in Nursing, require a heavy focus on Evidence-Based Practice (EBP). This means using peer-reviewed clinical journals (less than 5 years old), adhering strictly to APA 7th edition, and demonstrating how theory applies to clinical patient outcomes.

Can you write my DNP Capstone or MSN Thesis?

Yes. We have a dedicated team for doctoral and master's level nursing work. We help with PICO-T development, methodology chapters, and comprehensive literature reviews that meet university-level rigor.

What if I need my nursing paper in APA 7 format?

APA 7th edition is our default clinical language. We ensure perfect title pages, running heads, headings (Levels 1-5), and a comprehensive reference list with active DOIs.

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