This paper discusses the case study of Jonathan Yung, a 16-year-old boy who developed a critical healthcare condition after playing bubble soccer. The Levett-Jones clinical reasoning cycle is applied to determine the priority-based nursing intervention for the patient.
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Running head: CASE STUDY ANALYSIS JONATHAN YUNG CASE STUDY ANALYSIS Name of the student Name of the university Author note
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1CASE STUDY ANALYSIS Introduction The primary aim of this paper is to discuss the case study of Jonathan Yung (16) who is suffering from sudden healthcare condition after playing the bubble soccer game in a hot summer afternoon. As per Dalton, Gee and Levett-Jones (2015), application of Levett- Jones clinical reasoning cycle should be done to determine the priority based nursing of the patient so that with applicationofproperandaccurateintervention,healthcareconditioncouldbeimproved. Therefore, this Levett- Jones clinical reasoning cycle should be implemented in the healthcare condition of the patient. Collected cues from Jonathan’s health condition Jonathan Yung is a 16 year old boy who was playing bubble soccer game with his friends for 1 long hour and in a 32 degree Celsius hot and 22% humid weather condition. After 1 hour long exhausting physical condition, Jonathan developed critical healthcare condition and he developed critical health situation. However, in this condition, prior to apply the healthcare intervention, it is important to determine priority of nursing and then with proper application of assessment related to medical history, he should be provided with proper healthcare condition. The previous healthcare situation of the patient was associated with his critical and decreased blood pressure 111/60, however in such situation; he had adequate body temperature, pulse rate and respiratoryrate. Therefore,in this situation,the bubble soccer gameand associated healthcare condition that arises in the case study of Jonathan. In this situation, after 1 hour of exhausting physical activity, it was seen that the patient developed healthcare condition such as high blood pressure with 130/70 reading, moderately high body temperature with 38.5 and simultaneously he developed extensively high sweating and flush skin. These inhibited the
2CASE STUDY ANALYSIS normal health condition of the patient and caused him suffer from critical healthcare condition. Hence, these are the cues that should be collected and processed for understanding the healthcare intervention for Jonathan. Analysis and interpretation of the collected cues In this case study, it was mentioned that the patient had low blood pressure in the past and despite this he performed 1 hour long strenuous and exhausting bubble soccer game in a sunny and humid summer afternoon. As per Edmonds and Dengerink (2014), in such healthcare condition, lower blood pressure could be critical and severe healthcare condition, as in such condition, if any one performs exhausting healthcare condition, then their heart beat and respiratory rate increases and hence, their blood pressure also increases so that their requirement of blood and oxygen could be met.Another factor that could be associated with this healthcare condition is the homeostasis balance, due to which all the bodily organs, glands and up to the tissue and cellular level is controlled and with this, the gas exchange, blood pressure, blood flow and other system functions properly (Griffin, Charron and Al‐Daccak 2014). As per Sun et al. (2016), disruption of this body balance could be another reason due to which such healthcare condition arises and the patient Jonathan developed such healthcare condition. Another research finding should be included in this aspect as Myers et al. (2015) mentioned that with increased physical activity, risk of cardiac diseases and other healthcare condition such as increased pulse and cardiac rate increases. Similar aspect was observed in the healthcare condition of Brook et al. (2016) as it was seen that the patient developed critical healthcare condition in with the occurrence of increased blood pressure and body temperature. Similarly due to the critical healthcarecondition,theoccurrenceofseverehealthcareconditionrelatedtoanxiety, dehydration, extensive sweating and hence, risk of severe healthcare condition increased for
3CASE STUDY ANALYSIS Jonathan after the critical situation. This is related to his game play as majority of the researchers has mentioned that such condition could lead to critical healthcare condition as similar condition was observed in case of Jonathan (Walsh 2018). Besides these explanations, another concept of hormonal change in excessive physical condition should be discussed as adrenaline is the hormone that increases with physical activity and dilates the blood vessels and in this situation the heart pumps faster than the regular health condition and leads to critical health outcomes if not controlled properly (Caddick and Smith 2014). These are the cues that should be collected and processed for identification of the reasons that arises in the healthcare condition of Jonathan mentioned in the case study. Identification of problems After collection of the cues as per the Dalton, Gee and Levett-Jones (2015), the health information of Jonathan should be processes and arranged for identification of healthcare complication of the patient. As per the collected cues, three aspect arises as the primary aspect of the healthcare of Jonathan and these are his homeostasis imbalance, his athletic sickness and associated healthcare complications. Homeostasis imbalance is a crucial health complication that could affect the physical balance of the patient (Nash 2014). As mentioned in the case study, after playing the exhausting game of bubble soccer the patient starts feeling restlessness, started sweating extremely and then with increased blood pressure developed anxiety. These are the condition that arises due to the healthcare condition of homeostasis imbalance and as per Griffin, Charron and Al‐Daccak (2014), affected the healthcare condition of the patient. Sun et al. (2016) also mentioned that improper homeostasis balance could lead to critical healthcare condition and in such situation intensive sweating and flush skin and heart rate, pulse rate and respiratory rate increased. Hence, this was the critical issue associated with health of Jonathan. After this, it
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4CASE STUDY ANALYSIS should be mentioned that majority of the healthcare condition associated with low blood pressure leads to symptoms developed by him. As per Myers et al. (2015) lower blood pressure affected person develops such condition after extensive physical activity and hence, it should be provided with effective intervention to eliminate the risk of cardiac disease. Therefore, as per the case study, after playing the bubble soccer game, he developed such critical healthcare condition as he was obese, therefore this could also be the reason due to which he should be provided with intervention related to low blood pressure (Brook et al. 2016). The final reason associated to athlete sickness was mentioned by Edmonds and Dengerink (2014) as athletes that perform severe physical activity, they developed high BP, temperature and other critical healthcare condition and hence, this could also be one of the critical reason that should be assessed while analyzing and implementing critical healthcare condition related intervention.
5CASE STUDY ANALYSIS References Brook, R.D., Sun, Z., Brook, J.R., Zhao, X., Ruan, Y., Yan, J., Mukherjee, B., Rao, X., Duan, F., Sun, L. and Liang, R., 2016. Extreme air pollution conditions adversely affect blood pressure and insulin resistance: the air pollution and cardiometabolic disease study.Hypertension,67(1), pp.77-85. Caddick, N. and Smith, B., 2014. The impact of sport and physical activity on the well-being of combat veterans: A systematic review.Psychology of sport and exercise,15(1), pp.9-18. Dalton, L., Gee, T. and Levett-Jones, T., 2015. Using clinical reasoning and simulation-based educationto'flip'theEnrolledNursecurriculum.AustralianJournalofAdvancedNursing, The,33(2), p.29. Edmonds,E.W.andDengerink,D.D.,2014.Commonconditionsintheoverhead athlete.American family physician,89(7). Griffin, G.D., Charron, D. and Al‐Daccak, R., 2014. Post‐traumatic stress disorder: revisiting adrenergics, glucocorticoids, immune system effects and homeostasis.Clinical & translational immunology,3(11), p.e27. Myers, J., McAuley, P., Lavie, C.J., Despres, J.P., Arena, R. and Kokkinos, P., 2015. Physical activity and cardiorespiratory fitness as major markers of cardiovascular risk: their independent and interwoven importance to health status.Progress in cardiovascular diseases,57(4), pp.306- 314. Nash, M., 2014.Physical health and well-being in mental health nursing: Clinical skills for practice. McGraw-Hill Education (UK).
6CASE STUDY ANALYSIS Sun, F., Cao, Y., Cai, C., Li, S., Yu, C. and Yao, J., 2016. Regulation of nutritional metabolism in transition dairy cows: Energy homeostasis and health in response to post-ruminal choline and methionine.PloS one,11(8), p.e0160659. Walsh, N.P., 2018. Recommendations to maintain immune health in athletes.European journal of sport science,18(6), pp.820-831.