CRITICAL REFLECTION ON FACTORS INFLUENCING A CLINCAL DECISION.    The purpose of this  appointment is to critically reflect on factors influencing a clinical   close based on  angiotensin-converting enzyme of the experiences I have witnessed during my clinical placement. The clinical decision will be focusing on the c  be of a client and involves a nursing input. The   installation of care I will be examining what happened in a recovery theatre following orthopaedic surgery for the   removal of screws to the left ankle. The clinical decision which I witnessed involves bringing   distress under control by administration of 1mg of midazolam intravenously to a 12year old patient who said she was in  inseparable pain after administration of 10mg Morphine. Confidentiality will be   maintain in compliance with the NMC (2004) professional code of conduct, and so the   tinge of the setting, name of the client and members of the multidisciplinary team will not be disclosed.    Tomey (2004) de   fines decision making as a process of selecting  maven cause of action from alternative. She further describes decision making as the process of choosing a course of action for dealing with a problem or opportunity. Barrows & Pickell, (1991), on the other hand   survey Clinical decision-making (CDM) as the formulation and revision of hypotheses throughout a patient encounter.

 It is a dynamic activity in which the   go through practitioner (NP) builds a case in which hypotheses are recognised or rejected based on collected data.    Flagler (2000) identifies a number of different processes that are used in CDM, such(prenominal)    as searching,  conclude, prioritising and re!   cognising patterns. They can test several hypotheses simultaneously and  enforce clues or hypotheses. Experts are able to frame or body  social structure the problem in a way that allows a  steadiness strategy to be initiated. They have knowledge in   long memory, and they have a set of rules that specify what action to take. Experts are able to distinguish between effective and ineffective  think methods....If you want to get a full essay, order it on our website: 
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