Full Answer Section

• • Patient history: Medical history, social history, family history, allergies.
  • Assessment findings: Physical examination findings, including respiratory status, cardiac assessment, and neurologic assessment.
• Data Collection Methods:
  • Physical examination
  • Medical record review
  • Laboratory tests
  • Imaging studies
  • Patient interviews
  • Family interviews

Information:

• Synthesized Data:
  • The patient’s medical history, current symptoms, and diagnostic test results were analyzed to determine the severity of the COPD exacerbation.
  • Information was gathered regarding the patient’s social support system, living situation, and access to resources.
  • The patient’s medication list was reviewed for potential drug interactions and adherence.
• Interpretation of Data:
  • The patient’s elevated blood pressure and elevated blood glucose levels were noted.
  • The chest X-ray revealed hyperinflation and areas of atelectasis, consistent with COPD.
  • The arterial blood gases indicated hypoxemia and hypercapnia, requiring supplemental oxygen therapy.

Knowledge:

• Clinical Knowledge:
  • Understanding of the pathophysiology of COPD and its complications.
  • Knowledge of the medications used to treat COPD and their potential side effects.
  • Understanding of the importance of early identification and treatment of complications such as respiratory infections and acute respiratory failure.
• Nursing Process: Application of the nursing process (assessment, diagnosis, planning, implementation, evaluation) to guide patient care.  
• Communication Skills: Effective communication with the patient, family members, and other members of the healthcare team.

Wisdom:

• Recognizing the importance of holistic care: Understanding that effective patient care requires addressing not only the patient’s physical needs but also their emotional, social, and spiritual needs.
• The value of interdisciplinary collaboration: Recognizing the importance of collaborating with other healthcare professionals, such as physicians, respiratory therapists, and social workers, to provide comprehensive and coordinated care.
• The importance of patient education: Recognizing the importance of educating patients about their condition, medications, and self-management strategies to improve long-term outcomes.

Dissemination of Knowledge:

• Shared findings with the healthcare team: Presented the patient’s assessment findings and care plan during rounds and team meetings.
• Educated the patient and family: Provided education on COPD management, including medication adherence, breathing exercises, and pulmonary rehabilitation.  
• Documented findings in the medical record: Accurately documented patient assessments, interventions, and outcomes in the electronic health record.

Feedback Received:

• Positive feedback: Received positive feedback from colleagues for providing thorough and compassionate care to the patient and their family.
• Constructive feedback: Received constructive feedback from a preceptor regarding the importance of documenting the patient’s response to interventions more thoroughly.

This scenario demonstrates how the DIKW paradigm can be applied to clinical practice. By collecting and analyzing data, nurses can gain knowledge and develop wisdom that informs their clinical decision-making and improves patient outcomes.