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Please respond to the following post with a paragraph

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Critical thinking as defined by (The Foundation for Critical Thinking, (n.d.) is the “ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care”. Nurses must use critical thinking in every aspect of the nursing process. For example the nurse taking care of an elderly man with pneumonia who is requiring high flow oxygen, understands and uses critical thinking prior to showering the patient without continuous oxygen while in the bathroom. She understands that his tissue perfusion will be altered for such activity. Instead the RN chooses to bathe the patient while in bed, with continuous oxygen, also includes breaks to preserve energy while ensuring patient safety is maintained. Using such skill improves patient outcomes. “Critical thinking skills are very important in the nursing field because they are what you use to prioritize and make key decisions that can save lives” (NurseJournal.org, 2018).

“The term evidence-based practice has become pervasive in the health care industry. This concept signals a major shift in how health care providers deliver their services, and in how health care institutions function. It is no longer acceptable just to perform in a given way because “that’s how it’s always been done.”(Melnyk, B., & Fineout-Overholt, E. (2005). An example of evidence based research change would be instead of automatically inserting foley catheters for convenience of the nurse, the nurse instead would evaluate the need of an indwelling catheter and by doing such evaluation she/he prevents a hospital acquired infection.

Finally evidence base practice and the use of critical thinking both play important roles in providing safe and effective patient care, while improving patient outcomes. If a nurse does not use critical thinking while providing care, injury may happen.

References

Melnyk, B., & Fineout-Overholt, E. (2005). Evidence Based Practice in Nursing and Healthcare: A guide to best practice. New York: Lippincott Williams & Wilkins.

The Value of Critical Thinking in Nursing Examples. (2018). NurseJournal.org. Retrieved from https://nursejournal.org/about-us/#Published

The Foundation for Critical Thinking. (n.d.). Retrieved from https://www.criticalthinking.org/pages/critical-th…

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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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Mr. C is a 32 y.o. single male, with a BMI of 45%, on a low sodium diet and employed at a telephone center (a sitting position). Due to his morbid obesity and sedentary lifestyle, he is already showing signs of health risk: high blood pressure, sleep apnea, hyperglycemia, hypercholesterolemia, and now peptic ulcer disease that will cause reflux. Even with the health problems he is exhibiting the risk of gastric surgery would not be recommended at this time. “Gastric bypass surgeries are typically done only after you’ve tried to lose with by improving your diet and excercise habits” (Mayo Clinic, 2019). Mr. C does meet the BMI and health risk criteria, but he has shown no diet or exercise plan or attempts to lose weight. He needs to change his diet and exercise routine first in an attempt to lose weight and improve his health risk, most of the health risk will improve with the change.

Medication schedule

6 a.m. Sucralfate/Carafate 10ml

10 a.m. Mylanta 15ml

11 a.m. Sucralfate/Carafate 10ml

3 p.m. Mylanta 15ml

5 p.m. Sucralfate/Carafate 10ml

9 p.m. Mylanta 15ml

10 p.m. Mylanta 15ml, Sucralfate/Carafate 10ml and Zantac 300mg

Functional Health Patterns

Health perception and management- Mr. C recognizes that he is very over weight, that is having health issues because of his weight and is looking for help to prevent further complications.

Nutrition/Metabolic patterns- he has already started a low sodium diet to help with blood pressure, but this will not help in the weight loss. Due to diet and obesity he now has other health issues being identified: hyperglycemia and hypercholesterolemia.

Exercise- Mr. C is employed in a sitting job and does not get any exercise.

Sleep- complains about sleep apnea

Cognitive perception- realizes he is overweight and is having helath issues, so is seeking help to lose weight.

Self perception- realizes he has gained 100 pounds over the past 2 years and that he needs help to lose it.

Sexuality- 32 years old and single

Coping/stress tolerance- seems like he is trying to rationalize his weight, states he has always been heavy even as a child. Lack of exercise will make you feel bad, and sleep apnea is a stress on the body.

5Problems

No exercise. Mr. C works in a job that does not provide any activity. Exercise, even just walking 15-30 min a day can help improve his health and lower his blood pressure and labs, along with losing some weight.
Sleep apnea. “serious sleep disorder, when you stop breathing repeatedly during sleep resulting in the brain and body not getting enough oxygen” (Ambardekar, 2018). Mr. C is at risk because of being male and overweight; sleep apnea “can increase risk for high blood pressure and diabetes” (Ambardekar, 2018).
Borderline diabetes. Mr. C has a BMI of 45%, his fasting blood sugar was 145 H, triglyceride 312mg/dl, and he gets no exercise.
Heart failure is a potential problem. He is obese, high blood glucose, cholesterol 250 H, hypertension, sleep apnea, and no exercise all of which are contributing factors to heart disease.
Depression is a potential problem. Mr. C is only 32 yr. old, still single, overweight, limited social interactions, and now serious health issues starting to appear.
Ambardekar, N., (2018). Sleep Apnea. WebMD. Retrieved from

https://www.webmd.com/sleep-disorders/sleep-apnea/…