Case Study of Roseanne

Running head: CASE STUDY OF ROSEANNE
CASE STUDY OF ROSEANNE
Name of the student:
Name of the university:
Author note:

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CASE STUDY OF ROSEANNE
Case summary of Roseanne:
Swimming is considered to be an adventure sports particularly in winter making
individuals feel motivated as well as fitter and healthier at the same time (Bashaw 2016).
Roseanne Chivers is a 63 year old widow who had started taking swimming classes for the first
time as a part of the rehabilitation procedures. However, she had not been able to cope with the
excessive cold and had started feeling unwell. This assignment would show how a nurse would
approach such patient in the emergency situation by using the first three steps of clinical
reasoning cycles to ultimate develop care plans for the patient.
Objective and subjective data:
The different cues that need to be identified was that she was shivering when the nurse
had approached her. Moreover, it was also noticed that she was trying to pull her jackets which
might be because she was feeling extremely cold. The vital signs showed that she had a blood
pressure of 150/84 along with the respiratory rate of 24. Her pulse was 100 and her temperature
was 35 degree centigrade.
Analyzing and identifying the cues:
Subjective data can be explained as the information that comes from the viewpoint of the
patient and is seen to include their perceptions, feelings as well as concerns (El-Radhi 2018).
This forms an essential component of health assessment and comprises of collection of health
information through extensive communication with the patient. The nursing professional
observed that she was shivering and her hands have also become quite cold. She was also trying
to put on the jacket showing her uneasiness of the body that was making her feel cold. Studies
define objective data as the as those observable and measurable data that could be obtained

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CASE STUDY OF ROSEANNE
through observation, physical examination as well as through the laboratory and the diagnostic
testing (O’Dwyer 2018). The measurements found through the vital signs can be categorized as
the objective cues. These are seen to include the respiration rate, pulse rate, blood pressure
management and also body temperature.
On comparisons between the present data and the past data of the vital signs of Roseanne,
several abnormalities had been observed. Initially her blood pressure was found to be 124/80 and
128/82 on two consecutive days. Studies are of the opinion that normal blood pressure of
individuals should be 120/80 beats per minute and that within 130/90 can be considered to be
normal yet (Lapostolle et al. 2017). However, Roseanne’s present BP is quite concerning as it is
quite high for about 150/84mmHg. The normal pulse rate of persons should be between 70 and
100. In case of her past records, it was found that her BP was 80 and 78 on two consecutive days
which was within the normal range. However, her present pulse is found to be 102 which
indicates the presence of tachycardia that can be threatening. The respiratory rates for older
people should be between 12 and 18 breathe per minute (Browning et al. 2016). Previous RR for
the patient was 12 and 14 that were within the normal category. However, her respiratory rate
was also found quite high like 24. This might also increase the risks for Tachypnea. Her
temperature in the previous days were approx 37 and 36 degrees which were closer to that of the
normal but now her temperature is 35 degree calcium which is abnormal.
From the entire scenario, it can be found that the patient is suffering from hypothermia.
Studies are of the opinion that homeostasis is the particular system of the body that aims in
keeping the internal environment of the body stable, thereby helping to adjust the conditions
which are necessary for the survival. When the temperature of the core seems to fall below the
normal level, three important physiological processes start taking place (Sacco 2016). One of