This case study analysis paper focuses on the case of Jonathan Yung, a 16-year-old suffering from critical condition after a bubble soccer match. The primary aim is to apply the Levett-Jones clinical reasoning cycle to understand his health condition and provide appropriate healthcare intervention.
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Running head: CASE STUDY ANALYSIS CASE STUDY ANALYSIS OF JONATHAN Name of the student Name of the university Author note
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1CASE STUDY ANALYSIS Introduction Priority based care is the concept that should be applied to the healthcare of patients that are suffering from critical and crucial healthcare situations as with the help of this, critical care could be provided to the patients (Toode et al. 2014). This case study analysis paper is focusing on the case of Jonathan Yung (16) who is suffering from critical condition immediately after his 1 hour long bubble soccer match. The primary aim of this paper is to apply the Levett- Jones clinical reasoning cycle and then collect the cues to process then to understand the health condition that is associated with health condition (Dalton, Gee and Levett-Jones 2015). Collection of cues Jonathan Yung is a 16 year old obese guy who has moved to this locality few times ago and in this aspect, prior to apply any healthcare intervention, it is important to understand his past medical history. As per the case study, in past he has suffered from low blood pressure (111/60), whereas his pulse rate, heartbeat and others are effectively operating and the body temperature is normal. The critical situation arise after the bubble soccer match that he played for 1 hour in the summer afternoon in which the temperature was 32 degree Celsius and the humidity was 20%. As per Lindsay et al. (2014) in such weather, any strenuous and exhausting activity could lead to severe healthcare complication and hence, 1 hour of such extensive physical activity could lead to critical condition. Similar condition was observed that the vital signs such as high blood pressure (130/70), increased pulse (140) as well as respiratory rate (29) whereas, high body temperature (38.5). On the other hand, he was observed with flashy skin and exhausting sweating and due to these his heart heartbeat observed due to which he was unable to
2CASE STUDY ANALYSIS walk properly (Hickerson and Henderson 2014). Hence, these are the cues that should be collected and applied in the healthcare intervention of Jonathan. Analysis and interpretation of the collected cues It was mentioned in the research of Myers et al. (2015) that obesity is the critical condition due to which people that attempt high physical activity, suffer from critical healthcare condition exactly similar to which is observed in the healthcare condition of Jonathan. As per Lucan and DiNicolantonio (2015), with increased physical activity and workload, conditions such as increased heart rate, increased blood pressure and elevated respiratory rate observed. Similar condition was observed in the case study as Jonathan played the Bubble soccer game for 1 long hour in sunny afternoon and hence, such condition arise and conditions such as dehydration, stress and anxiety increased. Similar research was conducted by Billinger et al. (2014) with athletes and it was seen that majority of the athletes developed the risk of cardiac diseases after severe physical activity. Further it was also seen that Jonathan also were seem to have flush skin and developed severe sweating due to which he developed dehydration and in the research of Marcos et al. (2014), it was mentioned that dehydration in such condition could lead to cardiac condition. Therefore, in such weather, environment, and physical condition the signs and symptoms related to restlessness, dehydration and increased blood pressure were observed. While searching for the reason of such critical healthcare condition, several research article was found as per which, in a research by Clough et al. (2016) mentioned that adrenaline and strenuous physical activity are associated with each other and with increased physical activity adrenalin released and flushed skin and increased sweating is also observed. Adrenalin is a hormone which increased the dilation of the blood vessel due to which high temperature, high blood pressure, pulse rate and heart rate increases and similar situation was observed with
3CASE STUDY ANALYSIS Jonathan. Besides this as he performed the physical activity in such humid and hot weather for a longer time and therefore, this is the condition that was observed and performed by Jonathan as his increased heart rate and pulse rate indicated that his heart required to pump faster so that his blood requirement could be achieved (Lucan and DiNicolantonio 2015). Hence, depending on these cues that should be collected and processed so that Jonathan and his healthcare condition could be managed and intervention could be applied to treat his ailment. Identification of problems These collected cues of Jonathan’s healthcare conditions should be processed and then the healthcare condition could be treated with healthcare interventions. Homeostasis condition is the primary aspect which was observed in the healthcare condition of the patient. He was observed with low blood pressure, high heart rate, pulse rate and increased heart rate during playing the bubble soccer game and immediately after the game, all the critical condition arise. As per Marks (2015), homeostasis imbalance, the bodily glands, organs and cells are affected and then blood pressure, gas exchange and blood sugar increased, and hence, this entire imbalance occurred in the game, his physiological condition as affected. Further, it could be also mentioned that his obesity could also invested in affecting his healthcare condition by disrupting his healthcare balance and elevating the risk of cardiac heart condition. As per Ursini, Maiorino and Forman (2016), with homeostasis balance disruption, patients starts intensive sweating and flush skin and hence their heart rate, pulse rate and respiratory rate increased with elevated body temperature. Therefore, these are the conditions that affected the healthcare condition of the patient (Billinger et al. 2014). Further, while analyzing the condition, it was seen that ventricular gallop is a condition which is observed in the athletes that perform strenuous activities and hence, contribution of this factor in the healthcare condition of Jonathan could be included in the
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4CASE STUDY ANALYSIS healthcare condition of the patient. Therefore, these three aspects, such as the disruption of the homeostasis balance, increased and strenuous physical activity, occurrence of ventricular gallop and risk of cardiovascular condition could be the collected and then healthcare condition could be applied (Marcos et al. 2014). Further in the interventions, application of ample hydration increased and balanced physical activity and application of proper diet and nutrition should be applied so that his sudden critical condition would be relieved and then with proper application of the healthcare diagnosis his prolonged healthcare condition could be assessed (Clough et al. 2016). Further, these applied interventions would help to maintain his blood pressure and with breathing and cardiac output related risk so that all the critical healthcare condition could be eliminated and applied in the healthcare condition of Jonathan.
5CASE STUDY ANALYSIS References Billinger, S.A., Arena, R., Bernhardt, J., Eng, J.J., Franklin, B.A., Johnson, C.M., MacKay- Lyons, M., Macko, R.F., Mead, G.E., Roth, E.J. and Shaughnessy, M., 2014. Physical activity and exercise recommendations for stroke survivors: a statement for healthcare professionals from the American Heart Association/American Stroke Association.Stroke,45(8), pp.2532-2553. Clough, P., Mackenzie, S.H., Mallabon, L. and Brymer, E., 2016. Adventurous physical activity environments: a mainstream intervention for mental health.Sports Medicine,46(7), pp.963-968. Dalton, L., Gee, T. and Levett-Jones, T., 2015. Using clinical reasoning and simulation-based educationto'flip'theEnrolledNursecurriculum.AustralianJournalofAdvancedNursing, The,33(2), p.29. Hickerson, B.D. and Henderson, K.A., 2014. Opportunities for promoting youth physical activity:Anexaminationofyouthsummercamps.JournalofPhysicalActivityand Health,11(1), pp.199-205. Lindsay, A.R., Hongu, N., Spears, K., Idris, R., Dyrek, A. and Manore, M.M., 2014. Field assessments for obesity prevention in children and adults: physical activity, fitness, and body composition.Journal of nutrition education and behavior,46(1), pp.43-53. Lucan, S.C. and DiNicolantonio, J.J., 2015. How calorie-focused thinking about obesity and relateddiseasesmaymisleadandharmpublichealth.Analternative.Publichealth nutrition,18(4), pp.571-581.