Ckd and Hypertension Assignment 2023

Running Head: CKD AND HYPERTENSION 1
CKD and Hypertension
Name of Author
Institution of Affiliation
Date of Submission

CKD AND HYPERTENSION 2
Introduction
Persons attending a course related to nursing will, in many cases, have a powerful impact on
the patient’s health status results if the nurse has practical reasoning skills. Contrastingly, there is
a high possibility of failing to identify the approaching decline of a convalescent’s health status
either caused by drug-body interactions or normal decline for a nurse who lacks exceptional
clinical reasoning skills (Delany & Golding, 2014). Due to these reasons, there has been a rapid
increase in the number of complaints from patients in regards to the nursing department. There
are various explanations for the negative convalescent results in most health care provider firms.
Some of the reasons are:
1. Application of incorrect management strategies to the presented health problem
2. An oversight from the nurse to diagnose the convalescent accordingly.
3. Lack of diagnosing the right medication and treatment procedures.
Therefore, since all of the above-mentioned reasons are related to ineffective clinical
reasoning skills, there was a proposition to implement the studying of clinical reasoning for
nursing students (Gharbi et al., 2016). The clinical reasoning skills were designed to enable
nurses to implement different communication method so as to deliver the most effective
convalescent care.
With this information in mind, this assessment will implement the clinical reasoning cycle in
comprehending and planning care for a patient named George.
Consider the patient
This is the first stage of the clinical reasoning cycle. In this stage, the nursing practitioner
is supposed to observe the first-time impression of the convalescent. The impression may have
been recorded from the handover report or by observing the patient’s behaviour. Therefore,

CKD AND HYPERTENSION 3
while examining the case of George, it is of significant value to note that prior assumptions may
have had an effect on some of the information in this phase (Hall et al., 2014).
In regards to the information above, consider the case of George, an Aboriginal and
Torres Strait Islander male who is currently aged 51. George lives with his wife in their own
home with their three children. George was admitted to the hospital after experiencing his health
status deteriorating. Both George and his wife receive Centrelink payments. From the Centrelink
payments, George receives the disability pension while his wife gets the carer’s payment. He had
noticed that his kidney function had worsened. Moreover, blood pressure level had risen.
Moreover, George also complained of albuminuria. Furthermore, George stated that some of his
relatives suffered from dialysis (Hunter & Arthur, 2016).
collection of cues and information
The second phase of the clinical reasoning is referred to as a collection of cues and data.
In this stage, the nursing practitioner is required to gather any data regarding George.
Furthermore, in this stage, the nurse is supposed to examine the patient’s information that is
available from the clinical documentation, handover report, history, or nursing notes.
Prior to the hospitalization, George had suffered from a stroke two years ago, which led to the
Centrelink payments (James et al., 2015). Furthermore, George recently attended his yearly
health check, which was conducted by his general practitioner. The general practitioner noticed
that George had gained weight, and his cholesterol level had risen. Furthermore, the general
practitioner also diagnosed George with stage 4 Chronic Kidney Disease (CKD). Moreover,
George has also diagnosed with macroalbuminuria secondary to diabetic nephropathy. Besides,
George was a former smoker.