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 ?
Mariani, Cantrell, Meakim, Prieto, and Dreifuerst (2013) used the LCJR to compare clinical judgment among students exposed to various types of debriefing.
Goldman gave the example for the tacit dimension of clinical judgment in terms of a surgeon who knows exactly how much force to exert when suturing.
In the clinical judgment model (Tanner, 2006) nurses' knowledge and values have a major influence on their clinical decision-making.
We believe that the task we used in this study is relevant to the assessment of clinical judgment (see also Hauser, Spada, Rummel, & Meier, 2006).
The central role of clinical judgment and expertise in decision-making, within the framework of EBM, has been pointed out earlier.
Although our article emphasized the limitations of evidence on the predictive value of the clinical evaluation of driving fitness, we encourage physicians to use their clinical judgment to decide when a patient's cognitive deficits or behavioral symptoms preclude safe driving.
Under the present rules the Ombudsman is not allowed to examine complaints concerning clinical judgments and of the 582 referred to him last year, 423 were outside his jurisdiction for one reason or another.
Q In order to meet Category A CERP requirements do I have to have both Clinical Judgment and Clinical Inquiry CERPs?
MONTREAL -- New guidelines for the management of community-acquired pneumonia provide an excellent framework for site-of-care decisions, but they must be augmented with a good dose of clinical judgment, according to Glenn Tillotson, Ph.
Healthcare professionals using evidence-based medicine determine a patient's treatment based on an assessment of evidence from the literature and current studies as well as clinical judgment and the patient's values.
compared with using clinical judgment to assess risk for recidivism.
Management was based on clinical judgment on the progress of pathologic features.

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