Assessment on Clinical Reasoning Cycle 2022

Running head:ASSESSMENT ON CLINICAL REASONING CYCLE
ASSESSMENT ON CLINICAL REASONING CYCLE
Name of the Student
Name of the University
Author’s Note

1ASSESSMENT ON CLINICAL REASONING CYCLE
Introduction
The case study aims at the mental health aspect of a patient, and the patient is suffering
from major depressive disorder as per the diagnosis andthecase study will proceed from the
aspect of clinical reasoning cycle, as it gives a positive outcome of a patient’s point of view
(Levett-Jones, 2018).The nurses who have the responsibility to take care of mental health
affected patients should have their set of rules and implementations with a holistic approach so
that the patient is given the utmost care and facilities to heal quickly. Mr Jim Gray is a 28 year
old man, who is currently diagnosed with major depressive disorder after being admitted to a city
inpatient mental health unit. He attempted suicide five days before being diagnosed, as his
mental health was taking a toss due to his family’s economic issues. Jim is a son of grazier living
in the north of Brisbane, due to the sudden droughts faced in the area his farm is being
deteriorated, which is causing a financial strain in the family. His family is expecting him to take
over the farm after his father retires. However, this is increasing stress and pressure in his life
causing him major depressive disorder. The report below will be presented according to the
clinical reasoning cycle, which shows the data in a systematic format keeping in mind the
patient’s point of view and the information regarding the disorder.
Content
The person’s situation will be reflected upon using the clinical reasoning cycle. During
the handover, it was noted that the patient was irresponsive to most of the interactions and had no
interest in being cured. He showed signs of suicidal tendencies as he mentioned that he does not
want to live anymore, not waking up for breakfast, going to lunch after getting forced, not eating
anything in lunch, immediately returning to bed and not taking part in any activities so that there

2ASSESSMENT ON CLINICAL REASONING CYCLE
is no scope for any social interaction. His vital signs were routineas the blood pressure was
125/75 mm/Hg, pulse rate was 66 bpm, temperature was 36.3 C, and respiratory rate was 18 per
minute when I checked the parameters.
However, he had burn marks made by the rope he used to hang himself during the
attempted suicide and some minor bruising and skin tearing due to the fall. Venlafaxine an anti-
depressant and few multivitamins were prescribed to him when he was admitted. Moreover,
when I went for my routine check-up he showed no signs of enthusiasm or motivation to be
treated for his issues, he was not ready to talk to me, pulled his blanket on his face, and just said
that he wants to die. These signs show that he is suffering from severe depression. Being a nurse
in a mental health department,my roleis to help this patient in coming out of this black hole that
is decreasing his will to live. The processing of informationsis done though interepretion,
discriminating, matching, relating and predicting (Slavich & Irwin, 2014).
Major Depressive disorder is a disease that causes severe mood swings, hopelessness,
disinterest in the normal activities of life, detesting social interaction, showing vegetative
symptoms such as insomnia and loss of appetite. It has quite a no of root causes such as the
genetics, psychosocial issues, economic factors, health complications and other such problems
that can increase the stress or the mental depreciation of any individual (Otte et al., 2016).
After observing all the issues and health assessment results, the relevant threeissues seen were:
1. Family’s expectations
2. Financial burden
3. Feeling of Hopelessness