BEDSIDE CLINIC

DR. MAHESWARI JAIKUMAR.maheswarijaikumar2103@gmail.com

DEFINITION• “A bedside clinic is a process in

which a clinical teacher and a group of learners sees a patient, elicits or verifies physical signs, discusses provisional diagnosis, diagnostic or therapeutic options in the clinical setting”. GABERSON

PURPOSES• To portray nursing problem and

to provide a complete picture of the related nursing care by associating with a specific individual.

• To improve the quality of nursing care.

• To improve the student’s ability to solve nursing problems by detailed study and analysis of nursing situation.

• Helps the students to sharpen their observation skill in a systematic and organized manner.

• To realize the need for understanding every patient as an individual and appreciate their problems and outlook.

• Provides a learning experience for nursing students to collect information about the patient.

• To plan and execute nursing care plan according to the needs and problems of the patient.

PHASES / STEPS•1. INTRODUCTION PHASE.

•2. THE DISCUSSION PHASE.

•3. EVALUATION PHASE.

INTRODUCTION PHASE• A prior permission is sought

from the patient and the relatives for conducting bedside clinic.• The information thus collected

are kept confidential.

• The instructor gives a brief account regarding the name of a patient, venue and other details so as to help the students to study the case sheet in advance before discussion takes place.

DISCUSSION PHASE• The discussion is initiated by the

instructor or the student who is responsible for the patient care.

• No criticism is made over the patient’s condition such as to humiliate him.

• The patient may contribute to the discussion group if he chooses depending on his condition.

• The students are allowed to interact with the patient for further clarifications.

• The discussion phase may take about 30 – 40 minutes of time.

EVALUATION PHASE• Once the interaction is over, the

patient is set free.

• Further the students discuss on doubts and can clarify.

• The bedside clinic ends with a summary, recapitulation of important aspects and feedback from the students.

ADVANTAGES• Bedside clinic allows the students

to prepare extensively in advance to participate effectively in patient care.

• It helps the students to develop autonomy.

• It allows students to select patients with disease conditions of common interest.

• It helps the students to ably review and investigate the quality of clinical practice.

• Bedside clinic allows the students to develop and maintain professional competence.

• It promotes a better understanding among the students in terms of health, illness and health care system.

• Bedside clinic promotes clinical competencies like reasoning, psychomotor and communication skills among students.

• It develops the ability of the students to evaluate critically and improve own performance.

DISADVANTAGES• Bedside clinics may be an

encumbrance to the patients.

• It’s narrowness limits the utilization of the process.

• Bedside clinic is an expensive procedure.

• It may disturb the privacy of the patient.

• Results in poor standardization.

THANKYOU