Clinical Reasoning Cycle for Medical Complications in Type 1 Diabetes Mellitus Patient

Running head: ASSIGNMENT
ASSIGNMENT

ASSIGNMENT 1
Table of Contents
Part 1................................................................................................................................................2
Part 2................................................................................................................................................4
Article 1...........................................................................................................................................4
Article 2...........................................................................................................................................5
Article 3...........................................................................................................................................7
Reference list...................................................................................................................................9

ASSIGNMENT 2
Part 1
The case study that has been presented describes the medical complications faced by Ms.
Jones, who is only 17 years old and suffers from Type 1 Diabetes Mellitus. She was brought to
the Emergency Unit of the local healthcare department as she had a high fever of 2/7 hx along
with dysuria and flank pain. The nurses who were responsible for the care of Ms. Jones had the
duty of making proper observations of her primary and final conditions along with a focus on the
changes she was going through (Dalton, Gee & Levett-Jones, 2015). This is done through the
Clinical Reasoning Cycle by Levett-Jones so that it can be used as a tool for the identification,
assessment, implementation, and finally, evaluation of care (Levett-Jones et al., 2010). This
model involves eight specific steps to provide care and medical assistance in a proper way. The
steps are:
1. The situation of the patient has to be considered
2. Collecting cues
3. Processing available information
4. Identification of the problem
5. Goal establishment (Levett-Jones et al., 2010)
6. Taking proper measures
7. Evaluation
8. Reflection on the whole process.
Ms. Jones was polyuric while she was in the ED, and output of urine fluid was noticed at
1.7L, which was way above average. She was admitted in the medical ward under the
observation of RN Cameron and RN Grace, who was a new graduate employee (Dalton, Gee &

ASSIGNMENT 3
Levett-Jones, 2015). She remained under their care in the medical ward from 1800hrs to 0730hrs
the next morning after which she was quickly shifted to the Intensive Care Unit due to
deterioration in her condition. When she was initially admitted to the ED, the observations that
were taken by the nurses were described as between the flags, which mean that she was within
the safety net of appropriate care. The first reading that was taken showed Ms. Jones to have
105/60 blood pressure, her temperature was 38.3 degrees, heart rate was at 108, and the
respiratory rate was 21. The blood sugar levels were at 9.4mmol/L, and Sao2 was 97%. The
second reading that have been provided showed her a little rise in her temperature to 38.8
degrees, P 128, BP was 89/40, and RR was 29 (Liou et al., 2016). Finally, when she was shifted
to the ICU, Ms. Jones had 39.4 degrees temperature, HR was 156bpm, BSL rose to 33.4mmol/L,
RR was 32, and blood pressure dropped to 65/36, which is critical. She was already admitted for
management of pyelonephritis, and later diagnosis of sepsis was made.