Review the article Critical thinking at the bedside: Providing safe passage to p

Question

Review the article Critical thinking at the bedside: Providing safe passage to patients (Robert & Petersen, 2013).
Scenario:
Adam is a 10-year-old scheduled for discharge from the Emergency Department after a bicycle incident resulted in a fractured right ulna and radius. His arm has been casted, is immobilized and in a sling. Adam states, “My arm feels better now, and I am sleepy. The pain medicine makes me feel like I will vomit.” The RN is reviewing medications with Adam and his mother when the mother states, “We have a two (2) hour drive home from this emergency room. Can you give Adam something for nausea so he does not throw up in the car?” The RN has already completed the discharge paperwork, and the orthopedic physician who casted the arm has left the Emergency Department. The RN states, “No orders are available for Adam to have nausea medicine. I can give him another dose of pain medicine if you think that will help him sleep on the way home. Then he might not vomit.”

Initial Discussion Post:
Identify two (2) cognitive skills used in critical thinking the RN should have applied in this scenario Provide an alternative nursing intervention to ensure safe patient care in this scenario. Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Review the article Critical thinking at the bedside: Providing safe passage to patients (Robert & Petersen, 2013).
Scenario:
Adam is a 10-year-old scheduled for discharge from the Emergency Department after a bicycle incident resulted in a fractured right ulna and radius. His arm has been casted, is immobilized and in a sling. Adam states, “My arm feels better now, and I am sleepy. The pain medicine makes me feel like I will vomit.” The RN is reviewing medications with Adam and his mother when the mother states, “We have a two (2) hour drive home from this emergency room. Can you give Adam something for nausea so he does not throw up in the car?” The RN has already completed the discharge paperwork, and the orthopedic physician who casted the arm has left the Emergency Department. The RN states, “No orders are available for Adam to have nausea medicine. I can give him another dose of pain medicine if you think that will help him sleep on the way home. Then he might not vomit.”

Initial Discussion Post:
Identify two (2) cognitive skills used in critical thinking the RN should have applied in this scenario Provide an alternative nursing intervention to ensure safe patient care in this scenario. Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Review the article Critical thinking at the bedside: Providing safe passage to patients (Robert & Petersen, 2013).
Scenario:
Adam is a 10-year-old scheduled for discharge from the Emergency Department after a bicycle incident resulted in a fractured right ulna and radius. His arm has been casted, is immobilized and in a sling. Adam states, “My arm feels better now, and I am sleepy. The pain medicine makes me feel like I will vomit.” The RN is reviewing medications with Adam and his mother when the mother states, “We have a two (2) hour drive home from this emergency room. Can you give Adam something for nausea so he does not throw up in the car?” The RN has already completed the discharge paperwork, and the orthopedic physician who casted the arm has left the Emergency Department. The RN states, “No orders are available for Adam to have nausea medicine. I can give him another dose of pain medicine if you think that will help him sleep on the way home. Then he might not vomit.”

Initial Discussion Post:
Identify two (2) cognitive skills used in critical thinking the RN should have applied in this scenario Provide an alternative nursing intervention to ensure safe patient care in this scenario. Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

Explanation / Answer

In all human body organs, pain receptors are there. If the body senses pain, then the pain reflex travels to the brain via sensory neuron. From here, it comes back by motor neuron; resulting in causing pain.

Here, the patient is having pain, which results in vomiting. So, pain reflex is going to stomach; resulting in expulsion of stomach contents. The RN has focused on cognitive skills of the patient. The thalamus region of brain senses pain. On the other hand, medullary region is responsible for vomiting. This means that an interneuron has connected these two regions resulting in vomiting. When the patient thinks that he is going to vomit, then a stimulus is received by the interneuron between the two brain regions; resulting in a connection in the two regions. The RN has given medication for sleeping. While sleeping, the patient will neither think, nor sense pain. Note that thinking and sensing pain; both are cognitive skills.

Another nursing intervention can be:

Relax the patient by pressing his head, when he experiences pain. This will release the pain a little bit. Also, it will divert the patient’s attention from pain. Once pain sensation is relieved, the interneuron connection discussed above is also relieved; resulting in relief from vomiting. This intervention is an alternative, but, it may not effect if pain is severe.

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