Module 2: Direct Comprehensive Primary Care in the LTC Setting
30 2.3.1 Decision Making
In nursing practice, decisions are guided by evidence & information and involves ongoing process that integrates:
- Research
- Clinical expertise
- Client preferences
- Relevant resources
It is important to use a variety of evidence-informed sources which may include:
- Best practice guidelines, including those from professional associations
- Scholarly research
- Current nursing texts
- The client’s broader health care team
- Provincial Nursing practice standards and guidelines
- Information resources[1][2]
Decisions & Prioritizing in LTC:
- Acute/Episodic illness
- New Diagnosis of Chronic Condition
- Exacerbation/worsening of previous chronic conditions
- Prognosis of illness and trajectory
- Medication(s) adjustments and treatments
- Primary Care and Preventative screening
- Treatments and Diagnostic investigations
- Life-Limiting Illness discussions[3]
Consider the following to support & guide prioritization in your practice:
- ABC’s
- Maslow’s Hierarchy of Needs
- Care Planning Activities
- M-A-A-U-A-R acronym[4]