Clinical Judgment Model Concept Map
Title: ______________________ Name:____Shahed Asfahani___ Date: March 13, 2023
Recognize Cues
Filter information from different sources
(eg: signs, symptoms, medical history, etc)
Analyze Cues
Organizing and linking the recognized cues
above to step to the client’s clinical
presentation. Candidates should establish
probable client needs, concerns, or
problems.
Prioritize Hypothesis
Evaluating and ranking hypotheses
according to priority (urgency, likelihood,
risk, difficulty, time, etc.)
Generate Solutions
Identifying expected outcomes and using
hypotheses to define a set of interventions
for the expected outcome
Take Action
Implementing the solution(s) that
addresses the highest priorities. Important
to recognize that sometimes no action is
an action itself
Evaluate Outcomes
Comparing observed outcomes against
expected outcomes
Post-Op Rt TKA. Hx of Asthma and DM. Pain 7/10, PCA
pump (Morphine, 1mg with 6 minute lockout). Wound
dressing intact. O2sat 92%, otherwise VSS. Complaints
of itchiness and nausea. No SOB. NKA,
Pt self administered a dose of morphine. Re-assessed in
15-30 minutes, Pt. presenting with hives on chest and
neck. HR elevated, otherwise VSS. Appears to be a
common side effect.
Allergic reaction- mild – airways remain patent.
Remove PCA pump. Administer appropriate PRN
medication, consult with physician regarding change in
presentation, and inquire about different pain
medication and discontinue Morphine.
Continue to monitor patient ensuring reaction does not
become severe.
Follow policy and update allergy list on chart and apply
appropriate armband to identity allergy.
Stop medication immediate, administer PRN medication
for pruritus and nausea, contact physician to d/c
current medication and order new medication.
Pt allergic reaction resolves, pt. is comfortable. New
analgesia controls pain.