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.
 The patient has been admitted in the care facility after being
diagnosed with bowel cancer.
 Upon patient assessment, he mentioned of improper therapeutic
communication.
 His blood pressure is low (99/50), temperature is normal,
respiratory and pulse rate is also normal.
 Further, it was seen that his oxygen saturation level is moderate
 His upper limb is stronger and has equal power but lower limb has
unequal strength due to injury in the right ankle.
 Patient was not emptied his bowel and last urinated at 9 AM.
 Blood glucose level and osteoarthritis related pain is also under
control.
Collect cues and/or information
Review / Gather / Recall
Record current information,
new information, knowledge
 It was mentioned in patient history that he suffered from diabetes,
chronic obstructive pulmonary disease and osteoarthritis and due to
these he suffered from critical health complications.
 He was admitted to the healthcare facility after being affected with
bowel cancer and as his surgery of bowel resection is tomorrow, he
was not provided with any food of liquid diet so that his bowel could
be emptied and cleaned before operation.
 Patient has 3/10 pain and all of these is due to his arthritis
condition.
 Patient has controlled blood glucose, fever, and pain of arthritis due
to the application of proper medications.
 However, he has a right ankle injury and he is feeling dizzy due to
which he is highly affected with risk of fall.
 Further, he is unable to drink on his own and hence he does not
have urge to drink water on his own.
Process Information
Interpret
Analyse data and come to
understanding of
signs/symptoms
after collecting the cues, it could be said that patients weakness and
dizziness was due to the healthcare application s the patient has a surgery
the next day and hence as per Huntington, Royall and Schmidt (2014), he
was not provided with any food or liquid as it could hinder the healthcare
process effectively.
Discriminate
Distinguish relevant from
Patients smoking history, and his mental health complication were irrelevant
in this condition as it does not affected any of his critical healthcare
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irrelevant information complications.
Relate &Infer
Cluster cues, make
deductions or form opinions
Due to the upcoming surgery, the patient was asked to keep away from
food and water and hence, he started feeling thirsty and the effect of this
condition could be observed in his lowered blood pressure and his
dizziness. Further due to his ankle injury, it is possible that he would
develop high risk of fall and hence, it should be treated. Further, it was seen
that he does not have urge for water and hence, this o=should also be
prevented for the healthcare of the patient.
Match
Match current situation to
past situations
The current condition of less pain and controlled osteoarthritis condition is
the applications of arthritis medications. Further, it was seen that the patient
consumed metformin that controlled his current diabetes, paracetamol that
controlled his current fever and applied Salbutamol due to which his airway
was clear and he was able to breathe freely.
Predict
Predict an outcome
If the patient is not provided with effective intervention for his risk of fall and
risk of dehydration, then it could affect his ability to overcome health
complications.
Identify problems / issues
Synthesise facts and
interferences and make a
definitive nursing diagnosis
After analysing the complete healthcare condition, synthesis of facts, and
developing interferences of healthcare complications, it was observed that
the high risk of dehydration was one of the critical health condition.
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