Migraine
A. Clinical Decision Making: Patient with MIGRAINE being treated with Imitrex
* Clinical decision making is the final section summarizes your critical thinking, decision-making and diagnostic reasoning skills and is a mandatory additional requirement of this assignment. It is a reflection of the thought process you used in caring for the patient. ALL information should be in your own words.
B. Pathophysiology of Migraine
C. Leadership / Professional Role: As a nurse practitioner , include detail in how you advocated for the patient with migraine. Also include how you identified your advocacy for the role of the Nurse Practitioner. Include how an individualized approach was applied to this patients care.
D. Ethical and or Cultural Concerns: Identify any ethical or cultural issues related to this patients care. Include how these concerns were addressed.
E. Critical Thinking / Clinical Decision Making:
– In this section, include the MIGRAINE differential diagnosis. This is an area that you would want to discuss what led to the diagnosis of Migraine and how you ruled out certain other differential diagnosis. You may want to include why a particular treatment was chosen, perhaps despite what the books and references say. You need to provide evidence that you are referring to your available resources and not just deferring to your preceptor. Address any personal biases related to aging, development, and independence that might interfere with delivering quality of care.
F. Evidence based practice
– Evidence-Based Practice (EBP) is a thoughtful integration of the best available evidence, coupled with clinical expertise. As such it enables health practitioners to address healthcare questions with an evaluative and qualitative approach. EBP allows the practitioner to assess current and past research, clinical guidelines, and other information resources in order to identify relevant literature while differentiating between high-quality and low-quality findings. The practice of Evidence-Based Practice includes five fundamental steps; • Formulating a well-built question • Identifying articles and other evidence-based resources that answer the question • Critically appraising the evidence to assess its validity • Applying the evidence • Re-evaluating the application of evidence and areas for improvement
G. Critique
– This is an area where you look over the data gathered and after a careful review of the available resources (i.e. text books, reference readings) will provide a reflection of what might have been added or deleted that would have made this note more conclusive or complete. This is not an area to critique the preceptor. What areas could you have changed?
