Students' Corner
Exploring Indigenous health using the clinical reasoning cycle
Victoria Grace Meissner
School of Nursing and Midwifery, University of Newcastle, Callaghan NSW
PP: 082 - 089
Abstract
As a requirement for a third year nursing subject based on Australian Indigenous Health and Community Nursing, an assessment was undertaken based on the clinical reasoning cycle. The clinical reasoning cycle refers to clinical judgements and clinical decision-making which can be conceptualised as a logical process of cue collection, processing information, understanding the situation, planning and implementing interventions, evaluating outcomes and reflecting on the process (Levett-Jones et al., 2009).
The clinical reasoning cycle for this assessment relates to interactions with Murray (pseudonym), an Australian Indigenous male being treated for alcohol dependence within a community setting. This paper will explore the nursing care of Murray through the clinical reasoning cycle, focusing on community-based, culturally appropriate nursing care.
Keywords
nursing; clinical reasoning cycle; Indigenous; nursing student; case report; abstinence; education; alcohol dependence
References
Altman, J. (2003). The economic and social context of Indigenous health. In N. Thomson (Ed.), The health of Indigenous Australians, Chapter 2. Melbourne: Oxford University Press.
Berman, K. (2008). Spider angiomata. Medline Plus. Retrieved April 17, 2010 from http://www.nlm.nih.gov/medlineplus/ency/article/001095.htm
Bryce, S. (2002). Lessons from East Arnhem land: Improving adherence to chronic disease treatments. Australian Family Physician, 31(7), 617-621.
Charney, D. A., Zikos, E., & Gill, K. J. (2010). Early recovery from alcohol dependence: Factors that promote or impede abstinence. Journal of Substance Abuse Treatment, 38(1), 42-50.
Clifford, A., Pulver, L. J., Richmond, R., Shakeshaft, A., & Ivers, R. (2009). Disseminating best-evidence health-care to Indigenous health-care settings and programs in Australia: Identifying the gaps. Health Promotion International, 24(4), 404-415.
Cooper, R. (2009). Gynecomastia. Medline Plus. Retrieved April 17, 2010 from http://www.nlm.nih.gov/medlineplus/ency/article/003165.htm
Curtis, J. (2009). Substance-related disorders and dual diagnosis. In R. Elder, K. Evans, & D. Nizette (Eds.), Psychiatric and mental health nursing, Chapter 20 (pp. 346-349). Chatswood, NSW: Elsevier.
Department of Health. (2007). Clinical guidelines for nursing and midwifery practice in NSW: Identifying and responding to drug and alcohol issues. SHPN (MHDAO) 060187. North Sydney: Clinical Nursing Officer.
Department of Health. (2010). Clinical management of alcohol problems. Australia: Department of Health. Retrieved April 17, 2010 from http://www.health.gov.au/internet/alcohol/publishing.nsf/Content/426B5656C2395CC3CA2573360002A0EA/$File/alc-treat-guideindig-2.pdf
Dugdale, D. (2009). Partial thromboplastin time. Medline Plus. Retrieved April 17, 2010 from http://www.nlm.nih.gov/medlineplus/ency/article/003653.htm
Hagarty, D. E., & Clark, D. J. (2009). Using imagery and storytelling to educate outpatients about 12-step programs and improve their participation in community-based programs. Journal of Addictions Nursing, 20(2), 86-92.
Hansell, N., Agrawal, A., Whitfield, J., Morley, K., Gordon, S., Lind, P., et al. (2010). Linkage analysis of alcohol dependence symptoms in the community. Alcoholism: Clinical and Experimental Research, 34(1), 158-163.
Jethwa, H. (2009). Social and psychological aspects of alcohol misuse and dependence. Drugs and Alcohol Today, 9(4), 29-35.
Kelly, A. B. (2006). Alcohol problems and psychological health in a remote Indigenous Australian community: A preliminary quantitative study. Australian Journal of Rural Health, 14(2), 86-87.
Kelly, J. F., Stout, R. L., Magill, M., Tonigan, J. S., & Pagano, M. E. (2010). Mechanisms of behaviour change in alcoholics anonymous: Does alcoholics anonymous lead to better alcohol use outcomes by reducing depression symptoms. Addiction, 105(4), 626-636.
Latt, N., & Saunders, J. B. (2002). Alcohol misuse and dependence. Australian Family Physician, 31(12), 1079-1085.
Lee, L., & Grap, M. J. (2008). Care and management of the patient with ascites. Medsurg Nursing, 17(6), 376-381.
LeMone, P., & Burke, K. (2008). Medical-surgical nursing: Critical thinking in client care (4th ed., pp. 101-124). Upper Saddle River, NJ: Pearson Prentice Hall.
Lesch, K.-P. (2005). Alcohol dependence and gene x environment interaction in emotion: Regulation: Is serotonin the link? European Journal of Pharmacology, 526, 113-124.
Levett-Jones, T., Hoffman, K., Dempsey, J., Jeong, S., Noble, D., Norton, C., et al. (2009). The 'five rights' of clinical reasoning: An educational model to enhance nursing students' ability to identify and manage clinically 'at risk' patients. Nurse Education Today 30(6), 515-520.
Lopatko, O., McLean, S., Saunders, J., Young, R., Robinson, G., & Conigrave, K. (2002). Alcohol. In G. Hulse, J. White, & G. Cape (Eds.), Management of alcohol and drug problems (pp. 158-211). South Melbourne: Oxford University Press.
Martin-McDonald, K., & McCarthy, A. (2008). Marking the white terrain in Indigenous health research: Literature review. Journal of Advanced Nursing, 61(2), 126-133.
McHugh, R. K., Hofmann, S., Asnaani, A., Sawyer, A., & Otto, M. (2010). The serotonin transporter gene and risk for alcohol dependence: A meta-analytic review. Drug and Alcohol Dependence, 108(1-2), 1-6.
Moraes, E., de Campos, G. M., Figlie, N. B., Ferraz, M. B., & Laranjeira, R. (2010). Home visits in the outpatient treatment of individuals dependent of alcohol. Addictive Disorders & their Treatment, 9(1), 18-31.
Neil, K. (2010). Jaundice. Medline Plus. Retrieved April 17, 2010 from http://www.nlm.nih.gov/medlineplus/ency/article/003243.htm
Pathology tests and their meanings. (2010). University of Newcastle. Retrieved April 17, 2010 from http://blackboard.newcastle.edu.au/courses/1/063449.2010.S1/content/_1069587_1/pathology%20-tests%20and%20diagnostic%20procedures.pdf?bsession=37120914&bsession_str=session_id=37120914,user_id_pk1=2203682,user_id_sos_id_pk2=1,one_time_token
Villanueva, C., & Balanzo, J. (2008). Variceal bleeding: Pharmacological treatment and prophylactic strategies. Drugs, 68(6), 2302-2324.

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