Allied Healthcare: Critical Thinking and Application Allied Healthcare As a member of a medical team, sharpening your critical thinking skills is essential. What exactly does this mean? It is essential that you can make connections between a variety of facts and information, and use your knowledge base to make informed decisions. asks relevant questions assesses facts and examine situations carefully admits a lack of understanding and seek assistance defines a set of standards for analyzing information listens carefully to others and give appropriate feedback defers drawing conclusions until all facts have been gathered and well-thought-out disallows information that is incorrect or irrelevant is able to solve problems by applying facts to actual situations adapted from Ferrett, S. Peak Performance (1997). Graphics and visuals are extremely important in the healthcare fields. Whether you take an anatomy or pharmaceutical class, you are going to find some sort of graphic in your textbook and your instructors are going to expect that you can use this information. Additionally, certification exams will require your understanding charts, figures, or diagrams. As visual learners, diagrams and charts help us to better understand and apply information. Graphics are often more important than the paragraphs that surround them. Graphics most often: Condense pages of detailed information which can be organized into a clear chart or map. Clarify processes and relationships which can be more clearly understood visually than through pages of written information. Provide excellent study tools. In the field of healthcare, it is essential that you can think critically. It isn’t enough just to memorize facts; you need to know how to apply these facts to new situations, evaluate their significance and make well-thought out decisions. Someone’s life may be in your hands Don’t skip over maps, charts, graphs, diagrams or pictures when reading your textbooks. These visuals are used in medical records – understand how to get the most information from them. See how well you can understand the diagram on the structure of the human ear. 1. You are looking at one diagram of the ear canal. 2. Sound enters the ear through the auditory canal. 3. Sound enters through the auditory nerve to the cochlea. 4. Hearing problems are the result of damage to the eardrum. 5. If punctured, the eardrum cannot be repaired. 6. It can be assumed from the diagram that the malleus, incus and stapes are positioned to conduct sound from the eardrum to the oval window. 7. The basilar membrane is contained in the oval window. 8. The cochlea might be described as resembling a snail. 1. False, two diagrams. The inner ear and the cochlea 2. True 3. False, goes through the eardrum and oval window. It comes out through the auditory nerve 4. Can’t Tell 5. Can’t Tell 6. True 7. False, in the cochlea 8. True Work with your group members as you apply your critical thinking skills to the exercises given in class. 1. The Clavicle and Scapula are not components of the skeletal system. 2. The metatarsals and phalanges are bones in the hands. 3. The vertebral column starts at the pelvis. 4. The ilium is part of which skeletal structure? ________________ 5. The humerus is attached directly to the ribs. Which are the shortest bones? ___________________________ 2. What shape are most of the cranial bones? _______________________ 3. The most regular shaped bones in the body are the vertebrae. 4. In comparing the table with the diagram, it is easy to see why the skull and rib bones are considered flat. 1. 1. 2. 3. 4. 5. How many main layers of skin is there? __________ Which layer contains the pore opening? __________ Which layer houses the glands? _________________________ In which section does the hair follicle initiate? _________________ Nerve endings are found in which layer? _______________ ALLIED HEALTHCARE: APPLICATION AND CRITICAL THINKING READING A CHART GRAPHIC D: Use the table that follows to answer questions about patient care. Emergency Care, Chapter 12 Vital Signs and Monitoring Devices, 293 A patient has lost a lot of blood, what would you expect the quality of his heart rate to be? 2. An adult’s pulse has slowed down greatly, what are some possible causes for this? 3. What is a normal pulse rate of an infant in contrast to an adult’s? 4. A child who is 12 months old has a pulse rate of 155; should you be concerned with this situation? 5. A preschooler was climbing up a tree and fell. His pulse rate was 72 what might be the cause of this? 1. NORMAL PULSE RATES (BEATS PER MINUTE, AT REST) Adult 60 to 100 Infants and Children Adolescent 11 to 14 years 60 to 105 School age 6 to 10 years 70 to 110 Preschooler 3 to 5 years 80 to 120 Toddler 1 to 3 years 80 to 130 Infant 6 to 12 months 80 to 140 Infant 0 to 5 months 90 to 140 Newborn 120 to 160 PULSE QUALITY SIGNIFICANCE/POSSIBLE CAUSES Rapid, regular and full Exertion, fright, fever, high blood pressure, first stage of blood loss Rapid, regular and thready Shock, later stages of blood loss Slow Head injury, drugs, some poisons, some heart problems, lack of oxygen in children No pulse Cardiac arrest (clinical death) Infants and Children: A high pulse in an infant or child is not as great a concern as a low pulse. A low pulse may indicate imminent cardiac arrest.