(PDF) Nursing assignment sample
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Added on 2021-04-24
(PDF) Nursing assignment sample
Added on 2021-04-24
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Running head: NURSING ASSIGNMENTNursing AssignmentName of the StudentName of the UniversityAuthor Note
1NURSING ASSIGNMENTAccording to Moorhead et al. (2014), numerous factors influence the care plan ofpatients who are suffering from chronic conditions. It is the duty of the primary health carenurse to procure care based on clinical priority and the requirement of the patient. Accordingto Lehne and Rosenthal (2014), prioritization is an integral part of nursing care andprioritization of care helps to maximize the effectiveness of nursing interventions. Lehne andRosenthal (2014) have further opined that prioritization can be achieved via integration andcollaboration of different aspects of patients’ requirement. The following essay aims toanalyze two main priorities of care via critically evaluating the case study of Peter Mitchellunder the light of the clinical reasoning cycle. Clinical reasoning cycle can be defined as the process via which the healthcarepersonnel employ their deductive, inductive cognitive skills in order frame the clinicaldecisions on priority basis, and this in turn helps to procure safe care to the patient (Audétatet al, 2013). Audétat et al (2013) has also stated that clinical reasoning cycle helps the nursingprofessionals to step wise tabulate the process involved in framing and procuring care startingfrom the collection of cues, processing the information, establishment of goals, action takingand simultaneous evaluation of outcomes. The first step of the clinical reasoning cycle is “considering the patient situation”.The main factors that must be taken into consideration in the case study of Peter Mitchell is,he is suffering from morbid obesity along with type 2 diabetes mellitus. The major symptomsexperienced by him include obesity ventilation syndrome, poorly controlled diabetes andsleep apnoea. Other associated symptoms include increased hunger, diaphoresis andsymptoms of shakiness. These facts are important in relation to clinical reasoning towards thedirection of framing priority based patient care plan. According to Sturm and Hattori (2013),morbid obesity entails serious health consequences in comparison to the moderate obesity.Sturm and Hattori (2013) have further opined that severely over-weight individuals who are
2NURSING ASSIGNMENT100 or 200 pounds ( 90 to 45 Kgs) or even more than that have far more complex healthissues and encounter various challenges in healthcare system in comparison to the moderatelyobese individuals. In case of Peter Mitchell, he is 145 Kg and hence his obesity can surely beconsidered an important factor to describe the patient’s conditions. Poorly controlled Type 2Diabetes is another factor for describing patient situation because, glycemic control in type 2diabetes patients who are also severely obese are difficult to achieve and is frequentlyassociated with hypertension and high concentration of bad lipoprotein or low-densitylipoprotein in blood (Brethauer et al. 2013). Other important list of factsAge52 yearsGenderMaleOther symptomsDifficulty in breathing while sleepingOther habitsSmokes 20 cigarettes per day for the last 30 yearsSource: case studyThe second step of clinical reasoning cycle is “collecting cues or information”(Audétat et al, 2013). The past medical history of entails that Peter Mitchell was obeseweighing around 145 Kilograms approximately. Initially he use to weigh around 105 but afterhe lost his job and went on the insulin medication because of diabetes, his weight bar escalateexponentially. Peter Mitchell has been diagnosed with type 2 diabetes mellitus 9 years agoand has also been suffering from depressing (3 months ago) along with hypertension.According to Inzucchi et al. (2012), uncontrolled rate of type 2 diabetes mellitus leads tosevere obesity and this might be the case in case of Peter Mitchell. Moreover, his depressionwhich might have stem due to sudden loss of job but this depression has further aggravatedthe chronicity of the type 2 diabetes. According to the reports published by Rotella andMannucci (2013), depression is an important risk factor behind the development of the type 2diabetes mellitus and persistent depression increases the severity of type 2 diabetes mellitus.
3NURSING ASSIGNMENTAs per the research findings of Cheung and Li (2012), diabetes and hypertension frequentlyoccur together. They are of the opinion that there is substantial overlap between diabetes andhypertension in etiology and disease mechanisms and increase in hypertension leads toincrease in severity of diabetes mellitus or vice-versa. Moreover, he still smokes 20 cigarettesper day for which further resulted in uncontrolled condition of hypertension high bloodpressure making him susceptible towards developing chronic cardiac anomalies in the nearfuture (Pan et al., 2015). Peter Mitchell has not followed the diet plan provided by hisdietician and this might be another reason behind his high gain in weight (Markwald et al.,2013). The third step of clinical reasoning cycle is “processing of information” (Audétat etal, 2013). Two important connections that are found in the case study are uncontrolled typediabetes mellitus and weight gain. The scenario is significant because of high abnormalweight, high blood pressure.Name of the conditionPatient parameterNormal parameterWeight145 kg in respect to 170 cmsof height60 to 72 KgBlood pressure180/92120/80(Source: Elliott & Coventry, 2012)The main gaps in the cue is whether Peter Mitchell is a addicted to any kind specialdiet plan (fat rich or sweet rich) which has further acted as a catalysts towards the high gainin weight. Moreover, the information is relation to gastro oesophageal disease reflux disease(GERD) seems irrelevant under this context because, here the focus is diabetes and obesity.According to Chen, Magliano and Zimmet (2012), there is no direct relation behind thedevelopment of type 2 diabetes mellitus or its associated weight gain with GERD.
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