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Clinical Integration Assignment

   

Added on  2020-10-22

10 Pages2459 Words325 Views
CLINICAL INTEGRATION -MEDSURG

TABLE OF CONTENTSINTRODUCTION...........................................................................................................................1A. ANALYSIS OF PATIENT'S SITUATION ...............................................................................1B. COLLECTING INFORMATION ..............................................................................................1C. INTERPRETATION AND ANALYSIS OF COLLECTED INFORMATION.........................3D. IDENTIFICATION OF ISSUES ...............................................................................................3E. ESTABLISHING GOALS..........................................................................................................4F. TAKING ACTIONS....................................................................................................................5G. EVALUATION AND INTERPRETATION..............................................................................6CONCLUSION................................................................................................................................6REFERENCES................................................................................................................................8

INTRODUCTIONClinical reasoning is known as the process through which nurses apply their knowledgeand experiences to clinical situations in order to provide effective health care services. Theintegration of nursing practices with this process, the quality of health services can be improved.These practices lead to accurate diagnosis of medical complications and thus, appropriateremedies can be taken by the nurses (Clinical Reasoning: An Important Aspect of Clinical Skills,2017). Report will apply various stages of clinical reasoning to the case study of Ms MelodyKing who is suffering from lower abdominal pain and requires laparoscopic surgery. Report willinterpret the situation of Ms Melody King and will analyse her health status by analysing clinicalreasoning practices. A. ANALYSIS OF PATIENT'S SITUATION Ms Melody King is 36 years old lady. From the last few days, she has been experiencingextreme pain in her lower right quadrant abdominal. She is suffering from peritonitis andappendicitis which is causing inflammation in inner walls of her abdomen and appendix. B. COLLECTING INFORMATION The patient requires laparoscopic surgery so that ruptured appendix can be removed. Thefollowing information is essential to develop better understating of treatment procedures and itsimpact on the patient. Medical history of Ms Melody: In the past, she had depression and asthma. These factors mustbe considered in the treatment. The surgery can cause stress and infections to her. There arepossibilities that asthma may get triggered due to infections or stress. She has complaints ofruptured appendix. The delay in its diagnosis has led to appendix burst that was caused due toPeritonitis. Current observations of the patient: It is also observed that her abdomen is distended orswelled. The blood pressure of Ms Melody King is measured as 95/45mmHg. After surgery, thepatient may feel tired due to blood loss and post-surgery, the variations in blood pressure areobserved generally. This should be monitored periodically to avoid any complications related toit. To control the blood pressure, medications can be given to her if required. Appendicitis canraise the count of white blood cells. For the patient, heart rate is 120 bpm and temperature is

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