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In Cody’s article (2002), he describes how critical thinking has become a buzzword in nursing and educational literature, void of any real substance.He gives an example of a medical-surgical nursing textbook in which Critical thinking in nursing practice is in the title, but the textbook is void of any real content on critical thinking, other than traditional nursing practice. Critical thinking in nursing is just that, but in a clinical setting.
You explain that there is a game going on and he asks several important questions.
If you try to answer these questions fully, it will quickly become apparent that we carry around certain assumptions and values.
We support a certain team, for instance, because it makes us feel like we're a part of a community.
He peed like a racehorse (and was NOT happy with me for making that happen! And he was off of oxygen before he went down to get his pacemaker. She was on a dilaudid PCA and still complaining of awful pain. She said the pain meds would just knock her out and she’d sleep for a little while but wake up in even worse pain. Diabetics with neuropathy would talk about similar pain… “So if this works for their nerve pain, could it work for a patient who has had an amputation? I called the PA for the surgeon and asked them what they thought about trying something like gabapentin for her pain, after I described my patient’s type of pain and thought process. I’ll write for it and we’ll see if we can get her off the opioids sooner.” She wrote for it. It takes a few days to really kick in and once it did, the patient’s pain and discomfort was significantly reduced.
My patient just had her right leg amputated above her knee. I thought about other patients that report similar pain.. Then I remembered that many of my patients with diabetic neuropathy were taking gabapentin daily for pain.