Nursing Care Strategy Using Clinical Reasoning Cycle

Running head: NURSING CARE STRATEGY USING CLINICAL REASONING CYCLE
CASE STUDY: NURSING CARE STRATEGY USING CLINICAL REASONING CYCLE
Name of Student:
Name of University:
Author’s Note:

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NURSING CARE STRATEGY USING CLINICAL REASONING CYCLE
Executive summary
The aim of the case study is to analyses the condition of patient using clinical reasoning cycle
and evaluate the cause of her signs and symptoms. The report also focusses on type of nursing
care given to patients both professionally and psychologically further, the report tells about the
management of patient’s chest discomfort. The report also critically analyses the psychosocial
issue of the patient’s current life. Lastly, it was concluded by giving suggestion regarding health
issue management and benefits of clinical reasoning cycle.

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NURSING CARE STRATEGY USING CLINICAL REASONING CYCLE
TABLE OF CONTENTS
Introduction......................................................................................................................................3
Analysis of changes in situation of Mrs Hale and its causes...........................................................3
Cause of changes in sign and symptom.......................................................................................4
Priorities of care given to patient.....................................................................................................5
Psychological issues and support.....................................................................................................7
Conclusion.......................................................................................................................................8
Reference.........................................................................................................................................9

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NURSING CARE STRATEGY USING CLINICAL REASONING CYCLE
Introduction
The report critically examines the case study of Mrs Hale using clinical reasoning cycle
and determining the changes in her health situation with respect to pathophysiological process.
The report gives details about the signs and symptom and kind of care given to her in addition to
psychological support. Mrs Hale aged 56-year-old is the lonely person in her house as she stays
alone in her home. Her son lives in Melbourne and seldom visits her. This greatly affected her
mentally because on one is there to take care of her. Physically she is suffering from pneumonia
so got admitted in hospital for her treatment. She also has chest pain for longer time and now she
faces problem in breathing and pain in upper left arm. It is important to give her high priority
nursing care and person centered care and additionally some strategy to manager her chest pain.
Analysis of changes in situation of Mrs Hale and its causes
To analyze the changes in condition of Mrs Hale, clinical reasoning cycle is used as this
method gives positive outcome of the case study (Kriewaldt & Turnidge, 2013). Situation of Mrs
Hale is not that good as she is suffering from pneumonia and also complain of chest pain. She is
an old lady, who lives alone. She had previously been suffering from ischemic heart disease,
hypertension and started developing symptoms of peripheral vascular disease. Six year before
she had an operation of coronary artery bypass graft with saphenous vein graft with her left
anterior descending coronary artery and diagonal branch. She also undergone stenting of
percutaneous transluminal coronary angioplasty with right coronary and posterior descending
arteries. I monitored her routine checkup at 800 hours, her temperature was 37.30 C, pulse 74bpm
which is normal and regular, her respiratory rate was 14/min which is also normal. Her blood
pressure was 165/90mmHg and Spo2 98% in normal condition. More or less she is in normal