Clinical Integration

Running head: CLINICAL INTEGRATION 1
Clinical Incorporation
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CLINICAL INTEGRATION 2
Introduction
Cultivating the sensitivity of health care to Patients' requirements and demands is quite
challenging in healthcare situation like in Melody’s case. Therefore, the expectations and
experiences of the patient in health care are progressively explored using the survey among
patients, focus group meetings, interviews and the outcomes of which are applied to motivate
change in care delivery. Nurses are liable to provide the patients with high-quality care. For
instance, Ms. Melody is suffering from Peritonitis which requires keen attention of the nurse. If
the nurse does not give keen attention to her, the conditions may worsen. They are faced with
some ethical tasks in their professional practice, so they need to be acquainted with ethical codes
of conduct and the basics of ethical decision making. The nurses' ethical, legal, profession code
of conduct as it pertains to their work, nursing problems, as well as relevant and realistic goals
and set objectives towards patients' care, will be evaluated, analyzed and discussed in the easy.
The clear overview and description in this easy is demonstrated based on the clinical reasoning
cycle.
(a). consideration of the patient's situation.
According to Melody's emergency situation, it is quite important to quantitatively
measure, evaluate and elaborate via physical and some chemical examination the main cause of
the pain. The information recorded was blood pressure, respiratory rate, temperature pulse rate
information, skin color, moisture, white blood cells count and also the investigation of the status
of the peritoneal membrane (Yu, Hamill, Liley & Hill, 2013).
(b). Data collection

CLINICAL INTEGRATION 3
Ms. Melody's presented complains after she was admitted to the emergency department;
severe abdominal pain in the right lower quadrant, which called for laparoscopic surgery to
remove the appendix. Her current complains about the prescribed medication that included
Seretide, sertraline, and Ventolin. She also reported centralized abdominal pain that read 7- 8
from the medical scale of 0- 10. Ms. Melody's history of medication were asthma and depression
complications. After the physical assessment, it was observed that she had a swollen abdomen
and general abdominal guarding. Other observations from her body changes included; HR 120,
38.3 degrees Celsius, SpO2 95% at the room air, BP 95/45mmHg and shallow RR22/min. It was
realized that she had increased white blood cells count from further treatment examination
(Binda et al., 2012). All the information was recorded and used to investigate the type of
treatment that was required after the laparoscopic surgery.
(c). Processing the information gathered
After the proper interpretation and analysis of the current patient's symptoms, complaint's
information, the assessment observations and according to her history, the pathologist deduced
that Ms. Melody suffered from Peritonitis due to the ruptured appendix. Peritonitis is a chronic
or acute swelling of the peritoneum membrane which covers the abdominal cavity and other
splanchnic (Dahabreh, Steele, Shah & Trikalinos, 2015). The disease is known to decrease the
intestinal mortality and result to distention of intestine with gas. When the intestinal mortality
reaches 10% can result in death due to bowel obstruction. Nursing care necessary for a peritonitis
patient is frequent monitoring and measures to avoid the spread of the disease or further
complications. The six nursing care plans for peritonitis that a registered nurse has to prioritize
on includes; handling the acute pain, fear and anxiety, risk of infection, dangers of the
unbalanced diet, adequate fluid volume and sufficient knowledge. Some of the infection risks