Clinical Reasoning Cycle for Mr Cyril Smith's Case

ATHC 1 Assessment Three (3) template
Student Name:
Student Number:
Tutor Name:
Patient Name:
Complete the following table using information from Mr Cyril Smith’s story
Clinical Reasoning Cycle
Consider the patient situation
In this section, providea
relevant and concise
description of your
observation of the context
and patient situation.
 While considering the patient Mr Cyril Smith’s condition
several aspects should be noted.
 The patient had admitted in the hospital after being
diagnosed with Bowel cancer.
 The vital signs of the patient mentioned that his airway was
patent and his body temperature, respiratory rate, pulse
rate were normal.
 The blood glucose level was under control and hence no
abnormality was observed.
 The patient did not have bowel and urinated at 9 AM.
 He mentioned of dry mouth and dizziness however, his
level of consciousness was accurate.
Collect cues and/or information
Review / Gather / Recall
Record current information,
new information, knowledge
 The cues from past health condition of Mr. Smith indicated that
patient suffered from diabetes and osteoarthritis.
 Besides this, she suffered from chronic obstructive pulmonary
disease (COPD) and hence, these are the healthcare complications
that the patient suffered from healthcare complication.
 Further, it was seen that due to his bowel cancer surgery, that is
schedules the day after this assessment, he was not provided with
food and drink.
 Hence these are the complications that indicated the critical
healthcare complication of the patient.
Process Information
Interpret
Analyse data and come to
understanding of
signs/symptoms
his blood pressure was low (90/55) as he was fasting due to his surgery the
next day. Further, he was provided with all the medication so that his
COPD, diabetes, his body temperature and other condition could be
maintained.
Discriminate
Distinguish relevant from
irrelevant information
The irrelevant information in this case study was his smoking related habit,
as this case study did not discuss about the COPD condition of patient.
Further, it was seen that majority of the healthcare complication of the
patient was sue to his prolonged diet and lack of hydration. As these are the
primary risk factors that could lead to bowel cancer.
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Relate &Infer
Cluster cues, make
deductions or form opinions
it was seen that the COPD and diabetes condition of the patient were
normal and hence no such critical healthcare condition arise when he
admitted in healthcare facility, his primary concern was the bowel cancer
and hence, intervention for this should be provided to the patent.
Match
Match current situation to
past situations
His COPD condition was controlled due to the application of Salbutamol.
Further his temperature and diabetes condition was also controlled through
the application of paracetamol and metformin. Due to his controlled diet,
weight and physical activities, he was able to maintain his activities of daily
life. Hence, these are the aspects that should be assessed for the
identification of healthcare priorities.
Predict
Predict an outcome
Improper medication and identification of healthcare complication, it could
increase the health complication of patient and make him prone to suffer
from critical dehydration and fall.
Identify problems / issues
Synthesise facts and
interferences and make a
definitive nursing diagnosis
after complete analysis of the process, it was seen that due to the past
healthcare complication, and current healthcare complication, Risk of fall
and risk of dehydration could lead to critical healthcare condition in the
healthcare condition of Mr. Smith.
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