Case Study Analysis: Peter Mitchell

Running head: CASE STUDY ANALYSIS
CASE STUDY ANALYSIS (PETER MITCHELL)
Name of the student
Name of the university
Author note

1CASE STUDY ANALYSIS
In the care process for terminally and critically ill patients, the most important and crucial
part for healthcare professionals is to understanding the link between the healthcare
complications of the patient and then prioritizing specific accurate interventions for them (West
et al. 2015). In this aspect, they need to understand the crucial healthcare situation and then
identifying the intervention depending on the priority to provide the patient with maximum benefit
(Lartey, Cummings & Profetto‐McGrath, 2014). Clinical Reasoning cycle by Levett-Jones, in this
aspect, helps the nursing professionals to understand the healthcare situation of the patient by
collecting the healthcare cues and then depending upon the patient's assessment and
information, determines the needs or priorities of the patient (Levett-Jones, 2017). In this case
study analysis, the case study of Peter Mitchell (52) would be assessed who is suffering from
prolonged diabetes, extreme risk factors of sleep apnoea, a breathing disorder, and elevated
weight. Therefore, the paper would provide healthcare interventions for the two priorities which
are his sleep apnoea due to breathing disorder and weight gain due to prolonged diabetes and
depressive conditions.
The identification of Peter’s healthcare complication would commence with considering
his healthcare conditions. Peter Mitchell (52) is suffering from critical type 2 diabetes from 9
years and it has created several distresses in his personal and professional life. Upon suffering
from adverse conditions, he was referred by his healthcare professional with insulin therapy and
physical activities so that his uncontrolled and poorly managed diabetes condition and extreme
weight gain could be controlled. He is a chain smoker and is continuing smoking 20 cigarettes
every day for 30 years. He used to work in the Moranbah coal mine; however, due to elevated
weight and lower self-esteem, he quit his job because he was very concerned about his ‘Biggish
appearance”. Besides this, the primary reason he quit his job for, was the commencement of
insulin therapy, however, due to an inactive lifestyle and decreased physical activity, improper
management of diabetes and social stigma increased his weight gain and increased more than
40kg weight. Socially Peter is unable to connect to his peers and society members because of
his prolonged health concern and increased social stigma and despite his two sons, he lacks
support mentally. Despite this, it is observed in the case study that he is motivated to overcome
his health complications and with proper assistance and guidance, he could overcome his
elevated weight. Therefore, these are the considerations that would help to collect cues in the
following section.
The first clue that is observed as the primary source of all the ailments is the prolonged
diabetes condition of the patient. The patient was unable to manage his type 2 diabetes due to

2CASE STUDY ANALYSIS
which he started gaining weight and increased all the associated and secondary risk factors.
Further, due to inability to manage his insulin therapy with his tedious working hours in the
Moranbah coal mine he quit his job and hence, he lost his financial independence, and
increased the risk factors related to excessive weight gain, and risk factors for sleep apnoea
and cardiovascular disorders (Lu et al., 2015). Further, with the increased sedentary lifestyle,
his weight increased uncontrollably and he gained more than 40 kg weight. Moreover, this
increased weight was the reason for the increased social stigma, depression, stress and other
mental healthcare complications due to which the quality of life decreased and the patient
decreased his ability to manage his healthcare conditions. Socially and on family grounds, the
patient becomes alone and this is also a severe healthcare complication that increases in this
situation. Further, another healthcare cue that is identified form the healthcare condition of Peter
was his workplace as Moranbah coal mine was another reason due to which his breathing or
airway conditions might arise (Kaminsky et al., 2017). Therefore, this was the healthcare cue
that increased his risk of sleep apnoea, the risk of cardiovascular diseases and other crucial and
severe health complications. Therefore, these were the healthcare cues that could be identified
and collected from the healthcare complication of the patient and hence, it would be used to
process the information and then prioritize the healthcare issues that would be targeted for the
healthcare improvement of the patient (Lu et al., 2015).
Upon processing the above-mentioned cues, it was identified that each healthcare
complication of the patient was associated with another and due to increased healthcare
complication from one reason; he suffered from another healthcare complication. The patient
was unable to manage his severe diabetic condition because he was not aware of the
healthcare complication, the management strategy and the medication or preventive measures.
Hence, poor management of diabetes was observed (Steven et al., 2014). Further, due to his
increased risk of breathing healthcare condition due to his workplace in Moranbah coal mine, he
suffered from sleep apnoea and cardiovascular healthcare conditions. He quit his job to comply
with the proper insulin therapy however, his sedentary lifestyle and improper lifestyle; he started
gaining extreme weight, more than 40 kg. Hence, his prolonged healthcare condition, lack of
healthcare condition, healthcare literacy, ignorance of his family members and increased mental
healthcare complications lead him to suffer from tremendous physical and mental healthcare
conditions (Lu et al., 2015). Hence, it was noticed that due to his mental healthcare and physical
inabilities, he was suffering from such complications and depending on these; the healthcare
priorities would be developed.