Tanners Clinical Judgment Model by

Has diabetes

2024-02-01 17:53:52 UTC

2024-02-01 17:53:53 UTC

in denial

Lots of medications

2024-02-01 17:53:57 UTC

2024-02-01 17:54:00 UTC

New chronic diagnosis adjustment

Smoking for 20 years

2024-02-01 17:54:02 UTC

40 pack year smoker

Denies smoking effects on health

2024-02-01 17:54:10 UTC

Likely had no support

2024-02-01 17:54:10 UTC

2024-02-01 17:54:12 UTC

care planning

Not ready to make changes

2024-02-01 17:54:13 UTC

2024-02-01 17:54:15 UTC

limited support system near by

No support- divorced and kids live far

2024-02-01 17:54:16 UTC

2024-02-01 17:54:19 UTC

health teaching

2024-02-01 17:54:24 UTC

Understanding lab results

2024-02-01 17:54:26 UTC

Low health literacy

2024-02-01 17:54:30 UTC

May be difficult to make necessary lifestyle changes

May need education about new diagnosis

2024-02-01 17:54:30 UTC

may affect job stability even more in future

2024-02-01 17:54:41 UTC

2024-02-01 17:54:43 UTC

Resources for home healthcare needs

2024-02-01 17:54:44 UTC

monitoring his oxygen levels (o2 sats, RR)

2024-02-01 17:54:44 UTC

QoL

Disbelief/distrust in health professionals

2024-02-01 17:54:46 UTC

Needs education about medications and diagnoses

2024-02-01 17:54:49 UTC

2024-02-01 17:54:59 UTC

Work of breathing through ADLs

2024-02-01 17:55:04 UTC

many SDOH impacting him

2024-02-01 17:55:08 UTC

Government help? Community support?

How to approach in a non-condescending manner as a nurse

2024-02-01 17:55:11 UTC

Mental health effects

2024-02-01 17:55:11 UTC

2024-02-01 17:55:24 UTC

Prescriptions, follow up?

What is his life expectancy? How does he want to proceed with care?

2024-02-01 17:55:27 UTC

2024-02-01 17:55:30 UTC

Limit pharmacological intervention where possible

Involving social work

2024-02-01 17:55:30 UTC

2024-02-01 17:55:37 UTC

Home nursing?