Critical Thinking Is Imperative When Establishing Accurate Nursing Diagnosis

Critical Thinking Is Imperative When Establishing Accurate Nursing Diagnosis

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Critical thinking is imperative when establishing accurate nursing diagnosis. According to Lunney, “continuous development of critical thinking (CT) abilities for use in the diagnostic process is needed because diagnoses of human response are the foundation of nursing care. The purpose of nursing care is to provide interventions that relieve problems, reduce risks, or promote optimum health”(Lunney, 2010, p. 82). In the case of clinical management of a patient with uncontrolled hyperglycemia, several cognitive skills and habits of the mind can be applied.
An example is a case study of a Mrs. V, 52-year-old Hispanic female complaining of extreme fatigue, visual changes, and numbness in her fingers. She has a history of Type 2 Diabetes and has been non-compliant with managing her disease. Her medications include Metformin and Insulin. Her current BS is 350 and she was treated at the hospital last week for the same symptoms. Mrs. V states “I do not have any test strips to check my glucose level so I just take the medicine every day.” She works as an accountant and states she is “overwhelmed because tax season is such a busy time.” Mrs. V is married and has a young son. Her husband does not work due to a disability and her son was recently released from the hospital after “breaking his foot while playing.” Her diet consists of mostly “Hispanic foods such as rice and pork” and she exercises by “working in her garden.” She states “at times I feel depressed because I have to do everything myself.” She states that she quit smoking 6 months ago but her current situation has led her to “smoke a few cigarettes a day.”
Cognitive skills and habits of the mind that could be used to form an accurate nursing diagnosis are as follows:
• Analyzi...


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...”(Lunney, 2010, p. 83). As the nurse creates accurate diagnoses for this diabetic patient, she must encouraged that with the collaboration of the patient and other health care professionals, positive health outcomes will emerge.

After using the critical thinking process and habits of the mind, the nurse can formulate nursing interventions specific to this patient’s needs.
1. Achieving and maintain blood glucose levels in the normal range or as close to normal as is safely possible
2. Prevent, or at least slow, the rate of development of the chronic complications of diabetes by modifying nutrient intake and lifestyle
3. To address individual nutrition needs, taking into account personal and cultural (Hispanic) preferences and willingness to change
4. Help client to recognize ineffective coping strategies and set goals to manage stress and increase physical activity.

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