Clinical Reasoning Cycle Case Study of Rathin Bhai
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Added on 2020-02-24
Clinical Reasoning Cycle Case Study of Rathin Bhai
Added on 2020-02-24
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Running head: CASE STUDY OF MR. RATHIN BHAICASE STUDY OF MR. RATHIN BHAIName of the student:Name of the university:Author note:
1CASE STUDY OF MR. RATHIN BHAIIntroduction Clinical reasoning cycle is a tool used by healthcare professionals in Australia. This tool helpsthe nurse in assisting their treatments of the patients by helping them in clinical reasoning,clinical judgement, problem solving as well as decision making and critical thinking (Dalton Geeand Levett-Jones 2015). By this process the nurse mainly follows sequential pattern ofcollecting cues about the patient, processing the information coming to an understanding of thepatient. It also helps the patient to plan and implement interventions followed by evaluation ofthe outcomes and then reflecting on the procedure to develop skill and knowledge (Hnter andArthur 2016). This assignment would thereby show a how a nurse can use the cycle effectivelyto handle a case of Parkinson diseases effectively and how a sequential procedure helped her toprovide e better quality life to the patient.Patient’s information This step mainly helps the nurse to describe as well as list different facts about the patient.Mr.Ratin Bhai is an 87 year old man who is a widower as his wife has passed away a year ago hehas migrated from India to Australia before 1946 and is residing in a two storey house on thesuperannuation which he has self managed to this day. He has no children. However he has abrother named Niraj and his family lives close by. However he does not want them to bother dueto the recent tremor he is facing in his regular life. This is creating issues for his daily activitieslike cooking food, making cup of tea, doing buttons and others. He has hypothyroids whichaffected him 4 years ago. However, it is well managed by proper medication.
2CASE STUDY OF MR. RATHIN BHAICollection of cues This step mainly helps the nurse to review his current information, gathering new informationabout the patient and then recalling knowledge in order to understand the patient’s information.Mr. Ratin Bhai is an old man who is performing all his activities by himself. At such age, oldmen are highly vulnerable to development of tremor like symptoms as this age often projectthem to the chance of developing Parkinson’s disease. The GP has asked the nurse to check thatwhether he is having the correct medication is because researchers have seen that when patientsdo not report hypoglycaemia properly with medication, it may lead to hand tremors. It is veryessential to check out that whether he is taking the thyroid medication properly or whether hissymptoms of hand tremors are the results of improper hypothyroid medication (Weerkamp et al.2014)Process information This step mainly involves interpreting and analysing the data which is collected from the signsand symptoms discriminate and distinguish relevant information from the irrelevant information.This is then followed by relating, inferring from the opinions and then matching them with thepatient situation and thereby predicting outcome (Kovisto et al. 2016). It is found that the patientis correctly maintaining his medication. His issues with the hand tremor is worsening day by dayand this gradual worsening of the symptoms suggest that he is gradually affected by a differentdisorder and not by improper medication,. By relating the nursing knowledge, the nurse shouldtry to match the knowledge of symptoms of different diseases and relate the present symptom ofthe patient with her knowledge (Safarpour et al. 2015). As people age, a large number of them
3CASE STUDY OF MR. RATHIN BHAIface symptoms like slight tremor or shaking of their limbs, finger, thumb , hand and others,change of handwritings, loss of the sensation of smell, issues in sleeping procedures, issues inmoving and walking, constipation, low or soft voice, dizziness and others. These are all thesymptoms of Parkinson diseases. It is found by the nurse that the patient suffers from symptomsof los of mobility and hand tremor which are very similar to that of Parkinson’s diseases. Hence,it can be concluded that Mr. Bhai is suffering from the disorder of Parkinson.Identification of problems When a patient suffers from Parkinson disease, it is seen that certain nerve cells of the braincalled neurons gradually undergo destruction and break down or may die (Liaou et al. 2016).Loss of these neurons result in the les production or abnormal production of an importantchemical messenger called dopamine. Due to lowering down of the dopamine levels, it is seenthat there is also occurrence of abnormal brain activity. These lead to different symptoms ofParkinson’s diseases. The main risk factors that lead to the occurrence of such a disorder is theage. It manly begins in middle age or late age and the risk increases with age. As the patient isquite aged in the case study, there is high possibility that he is affected by Parkinson disorder(Kuipr et al. 2016). Another important risk factor that matches with the patient condition is sex.Males are more prone to develop the disorder than females and therefore it is of high chance thatthe patient is suffering from this disorder only. In the present day, no specific test exists whichwould help in diagnosing the condition of patient on specifically. Here the healthcareprofessional needs to be trained in nervous system conditions to diagnose the medical history, areview of the different signs and symptoms as well as different neurological and physicalsymptoms to finalise on the occurrence of the disorder. Imaging tests such as MRI, ultrasound ofthe brain as well as PET and Scan can be conducted for differential diagnosis in order to cut out
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