Case Study using clinical Reasoning Cycle Assignment
Added on 2021-04-21
8 Pages2218 Words149 Views
Disease and DisordersNutrition and WellnessHealthcare and Research
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Running head: CASE STUDY USING CLINICAL REASONING CYCLECase study using clinical reasoning cycleName of the student:Name of the university:Author note:
1CASE STUDY USING CLINICAL REASONING CYCLEOne of the most abundantly used frameworks for clinical practice in the nursing care scenariocan be defined as the clinical reasoning cycle. This clinical decision making tool helps the nursesto determine the most plausible and scientifically reasonable steps for the care planning andimplementation procedure. Clinical reasoning cycle, the term has been coined by Tracy LevettJones in an attempt to incorporate a framework protocol for the professional nurses to follow inorder to provide a care to the patients that is holistic, optimal and patient centred (Levett-Jones,2013). This essay will attempt to provide a care plan employing different steps of the clinicalreasoning cycle based on the case study of Peter Mitchell. The case scenario analysis is the first step of action that a nursing care professional needs totake in order to begin the care activities. This step of the nursing care aligns with the first stageof the clinical reasoning cycle. According to the Berman et al. (2015), patient situation analysisis the first step of the clinical reasoning cycle that helps in determining the current situation ofthe patient which helps the nursing professional to understand the current health issues and needsof the patients. This is the step that helps the nurse get a preliminary understanding of the patient,his sickness and the impact of the sickness on the health and wellbeing and his ability to go abouthis day without any mishap or risk. The case scenario analysis for the patient reveals a 52 yearold man named Peter Mitchell with two main health concerns, being extremely overweight andstruggling with a long term condition of type 2 diabetes. The subjective and objective healthinformation that has been gathered reveals Peter not being able to properly control his type 2diabetes and inability to follow a strict diet pattern to help reduce his obesity. Along with thatemotional and psychological factor analysis is another key step of the case scenario analysis partof the care program. On a more elaborative note, as the patient had been smoking 20 cigarettesper day for close to 30 years, it must have had a significant impact on his diabetic complications
2CASE STUDY USING CLINICAL REASONING CYCLEand overweight issues. Hence the nursing professional in this stage will have to investigate onthe impact of smoking and his other lifestyle choices on his health adversities and thedeterioration patterns (Ceccarini et al., 2015). The next stage of the care program will need to focus on dissemination of the patient dataand synthesis of the care needs of the patient. In terms of clinical reasoning cycle, the secondstage of collecting patient cues and processing the information aligns perfectly with this step. Ithas to be understood that his step allows the nurses to collect important health adversity cuesfrom not only the patient but also the previous general physician or the health care team that thepatient has been associated with. This step will highlight the collection of information and theevidence based synthesis of the all the collected information to analyse and arrive on to a finalverdict regarding the most pressing care needs and requirements of the patient. In this step thenurse will not only interview the patient about his physical and psychosocial needs but will attaininformation from the previous general physician, physiotherapists and dieticians to discover whatinterventions have been taken for him and what progress he has made (Łuczyński, Głowińska-Olszewska & Bossowski, 2016).In the second leg of the process of identifying care needs the nursing professional caring forPeter will arrive onto the third stage of the clinical reasoning cycle. This stage is informationprocessing where the nurse will disseminate he information gathered based on the immediateimpact of the adversities and prepare a total list of the different care needs that the patients issuffering from. Focussing o the case study, the present signs and symptoms of the patient includeshakiness and tremor, increased bouts of hunger, diaphoresis, high blood glucose levels, andobesity ventilation syndrome. Moreover, Peter had past medical history of pre-diagnosedhypertension, depression, Sleep apnoea, Gastro oesophageal disease reflux disease as well along
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