clinical judgment


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judgment

 [juj´ment]
the ability to make logical, rational decisions and decide whether a given action is right or wrong.
clinical judgment the process by which the nurse decides on data to be collected about a client, makes an interpretation of the data, arrives at a nursing diagnosis, and identifies appropriate nursing actions; this involves problem solving, decision making, and critical thinking.

clinical judgment

the application of information based on actual observation of a patient combined with subjective and objective data that lead to a conclusion. See also clinical reasoning.

clin·i·cal judg·ment

(klin'i-kăl jŭj'mĕnt)
Cognitive or thinking process used for analyzing data, deriving diagnoses, deciding on interventions, and evaluating care.

clinical

1. pertaining to a clinic or to the bedside and therefore carried out on the living animal.
2. pertaining to or founded on actual observation and treatment of patients, as distinguished from theoretical or experimental.
3. productive of clinical signs; thus clinical disease as distinct from subclinical.

clinical data storage
storage of clinical data about patients; may be paper or computerized.
clinical decision analysis
the application of clinical, epidemiological and other data to influence outome probability and alternative decisions in such areas as surgery and pharmaceutical treatment.
clinical epidemiologist
an epidemiologist who sees patients and herds in a clinical capacity but with an epidemiological viewpoint. An investigator of clinical problems affecting populations.
clinical epidemiology
the application by a veterinarian who provides direct patient care of epidemiological methods to the study of diagnosis and therapeutics in order to promote efficiency in clinical care.
clinical examination
an examination of a patient including taking the history, physical examination by palpation, auscultation and percussion, clinicopathological examination and examination of the environment.
clinical judgment
exerted while the patient is still alive; the critical decisions made on the basis of scientific observations but with the added skill provided by long experience of similar cases. To this must be added an innate ability to make balanced judgments based not only on the state of the animal and its predictable future but also on some consideration for the patient's overall well-being and the client's financial status and degree of psychological, or in some cases actual, dependence on the patient.
clinical nomenclature
a catalog of the names given to diseases and problems of animals; usually alphabetical, may be numerical. Should contain keywords (including key diagnoses and key signs) and synonyms with each list related to the other. Because of the need to sort banks of clinical data into categories it is essential that recording be accurate and that the catalog be limited—a policy of limited vocabulary.
clinical pathologist
a veterinarian skilled in clinical pathology.
clinical pathology
the examination of diseased tissues, fluids or other materials from a living patient, using all of the techniques available including chemistry, hematology, enzymology, cytology, microbiology, parasitology, protozoology, immunology and histopathology.
clinical pharmacology
the study of the actions and metabolism of drugs in living animals.
clinical policies
professional rules of thumb which are used to decide on the management of a case when there are no research results on which to base decisions. They are policies originated by the senior members of the profession, especially those in academic posts.
clinical propedeutics
preliminary training in the clinical sciences; the introduction to veterinary medicine, surgery and animal reproduction.
clinical qualifiers
adjectives used to qualify diagnoses using terms from within a group of standard variables, e.g. chronic or acute, ovine or bovine, benign or malignant, clinical or latent.
clinical record
the record, made at the time, of clinical examinations, treatments and advice given, complete with dates, names of individuals concerned and drugs or tests used. The record is desirable for the purpose of evaluating the patient's progress, and essential from the legal point of view if arguments should arise about competence or justness of charges made.
clinical signs
the abnormalities of structure or function observed in the patient by the veterinarian or the client. These are customarily graded according to severity, e.g. severe, moderate, mild, and according to speed of onset and progress, e.g. peracute, acute, subacute, chronic, intermittent.
clinical trials
a planned experiment, conducted in the field, designed to test the efficacy of a treatment in herds of animals by comparing the outcome under the test treatment with that observed in a comparable group of animal herds receiving a control treatment.
clinical vocabulary
a catalog of terms approved for use in the description of clinical signs and problems, and for the definition of diagnoses and diseases.
References in periodicals archive ?
Second, the clinician needs to realize that prognostic clinical judgment is not about individual cases but about the natural history of a particular disease under different management strategies.
Discussion Documented research on the usefulness of clinical simulation as a teaching tool suggests that this teaching strategy is beneficial for promoting both critical thinking and clinical judgment, among other positive attributes, in nursing students (Alaska Center for Rural Health, 2008; Bambini el al.
Several instruments have been designed to evaluate clinical judgment.
Thought processes underlying clinical judgment lead a nurse to notice, interpret, and respond to health concerns or problems and then to reflect on the situation (Tanner, 2006).
A collaborative project to apply and evaluate the clinical judgment model through simulation.
In this paper, the authors report on an educational innovation with the goal to assist in the development of clinical judgment among novice nurses in a critical care setting.
2d, 302 (2007), the court concluded that "the decision to apply restraints is a medical decision requiring clinical judgment and intellectual skill," and that the "plaintiff's complaint is a claim for medical malpractice, thus requiring compliance with the rules requiring presuit declarations regarding the act which allegedly constituted the malpractice about which the plaintiff complained.
This ability to objectively appraise the available external evidence in the context of individual patients is in fact what clinical judgment is all about.
Opening chapters cover clinical judgment in critical care, cardiovascular anatomy and physiology, indications for cardiac surgery, and preoperative cardiac surgery nursing evaluation.
She had also failed to appreciate the gravity of the patient's condition and to provide appropriate standards of clinical judgment.
How will we value clinical judgment and support the decisions of doctors who practice the art of medicine in the murky world of incomplete evidence and second-guessing?
The health body also urged healthcare providers to rely on clinical judgment before taking a decision to carry out a confirmatory test or administer the anti-viral drug.

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