Quick Essentials On The Clinical Reasoning Cycle
Posted 2022-06-04 10:28:55
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Do you need a quick revision of the clinical reasoning cycle? Then, go through this write-up to briefly overview the vital points. Then, brush up on the essentials before that interview or assessment.
Here we go.
What Is Clinical Reasoning?
In medical literature, clinical reasoning, clinical judgment, decision-making, and critical thinking are synonymous. They are used interchangeably to describe the process by which nurses & healthcare-givers:
Collate clues,
Process information,
Come to an understanding regarding a patient’s condition or problems,
Plan & implement interventions,
Evaluate outcomes, and finally,
Reflect & learn from the whole process
Let us now have a look at the cycle itself.
The Clinical Reasoning Cycle
Below is a diagram of the clinical reasoning framework. It is cyclic as it represents the ongoing & continual nature of clinical evaluations, intervention, and reflection.
There are eight main steps or phases in the entire cycle. However, the boundaries or distinctions between every phase are not clearly defined, as many overlap with preceding or succeeding stages.
The eight main steps in the cycle can be broken down as follows.
Look & Consider
Collect
Process
Identify & Plan
Establish Goals
Act
Evaluate
Reflect
Let’s dig into each step concisely.
Look & Consider: Describe & list facts and information about the patient's condition, context, and objects.
Collect Cues/Information: Review current information (patient history, charts, investigative findings, and previous assessments); gather new information via instruments and undertaking patient assessments; and recall knowledge necessary to evaluate & analyse collected data.
Process All Information: Interpret data, discriminate between relevant & irrelevant and redundant information, relate to knowledge & experience, infer & make logical deductions, match current situations to past situations, and predict outcomes using an expert thought process.
Identify The Issue: Synthesise facts and inferences to deliver a definitive & decisive diagnosis.
Establish Goals: Describe desired outcomes, a time frame and what you want to happen.
Act: Select an appropriate course of action after carefully mulling over the objectives.
Evaluate: Examine the effectiveness of outcomes & actions.
Reflect & Learn: Contemplate and introspect on the things learnt from the entire event. Think of the things that could have been done differently.
And that wraps up this write-up. Here's hoping it acts as a quick reference for anyone looking to understand the clinical reasoning cycle.
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