Clinical Reasoning: A Case Study of Caritas Processes in Patient Care

This essay covers the clinical reasoning through use of the case of David Parker a middle aged man, who is very short of breath and anxious, complaining about the chest pain. The essay discusses the principles that are associated with the caritas processes and techniques associated with registered nurses.

Clinical Reasoning

Contents
INTRODUCTION...........................................................................................................................1
TASK ..............................................................................................................................................1
CONCLUSION ...............................................................................................................................5
REFERENCES................................................................................................................................6

INTRODUCTION
Clinical reasoning is the detailed processes that involves nurses and other clinicians who
mainly collect clues, processes the vital information, which comes to patient's understanding of
problems and difficulties associated with the disease or the issuances related with the disease. In
addition, this aids in planning and implementations that are associated with the interventions and
their major evaluation of the outcomes and refections on the patients by learning from the
processes involved (Adamson and et.al., 2019). Critical thinking is associated with this process
of clinical reasoning. Registered nurses are well efficient in clinical reasoning processes as they
observe patient's status and processes the vital information which comes to understanding of
their patient difficulties, their plan of actions for intervening the disease and major health
issuances. The term Caritas refers nurses who are accountable in cherishing and loving all their
patients. Caritas processes in clinical reasoning refers to unity of nurses in fostering their patient
care and human connections by sharing their life experiences (Akbari and Nasiri, 2022). This
essay will cover the clinical reasoning through use of the case of David Parker a middle aged
man, who is very short of breath and anxious, complaining about the chest pain. David's case
will be assessed through clinical reasoning and principles that are associated with the caritas
processes and techniques associated with registered nurses.
TASK
In this case scenario, a middle aged man named David Parker, is brought in to hospital
by ambulance with his wife. The major key aspect is that the patient is anxious and is nit feeling
good also due to chest pain that is accompanied by. David is very short of breath and is unable to
breath efficiently and is anxious due to difficulties that is accompanied by chest pain. David
turned pale and grey, which shows that the patient is weak and the situation is critical which
needs quick treatment. There is a Registered Nurse (RN) can foster the treatment by aiding in
coming up with effective measures to aid the chest pain and supply oxygen to aid breathing
process (Chen and et. al., 2020). Here, the doctor examines David and orders a stat dose of IV
Morphine as this will aid in the process of chest pain healing. David is examined with ECG and
this shows ischaemic injury (ST elevation) in the anterior leads. With ECG, David is aided in
determining the major effects and side effects of the ailments. From this it is confirmed that
David has an acute myocardial infarction (AMI). When David is admitted to the cardiac unit, it is
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found David is inclines agitatedly. David is yelling at staffs to contact to children and wanting
them to be with David's wife so that the wife takes them home. As David has children ,the
concern of a father is brought in the scenario to take them home by David's wife so that they do
not face any inconveniences that are associated with the hospital wards and the patients that are
already present there (Costello, 2018). With this David is increasingly agitated as the children are
brought there to see their father and to that the father David starts to yell at the staffs of the
hospital.
David tells the children that David is fine and asks them to return to school which shows
concern and love for children so tat they are not affected by the scenarios and situation related
difficulties. David takes them home and returns back home later that evening which was
accompanied by the treatment aid which was provided by the registered nurse and the doctors
that were available at the hospital at that moment. David later experienced heart tissue damage
that was accompanied with major pain. With this David starts to recover by the help of the
registered nurse. The registered with their clinical reasoning aided David to tackle the difficulties
that was associated with the tissue damage. Here, the registered nurse plans a care plan for David
on short term care goals and objectives and this was accompanied by guidance to relevant
aspects of the heart care foundation resources. The registered nurse mainly communicates and
reflects on the communication to David's wife when the nurse returns to the hospital and
attended the vital conversation about including David's three children in the conversation. Family
conversation mainly aids the patient to recover fast with the difficulties that they are suffering
throughout (Daniel and et. al., 2019). David's wife can make vital expression and conversation to
aid the David in the recovery journey. Wife and nurse can be effectively aiding the recovery of
David by having an experienced conversation and acting accordingly to relax his agitation on
David's agitation on situations. As David had an acute AMI that is also known as hear attack,
which is a life threatening critical condition which occurs when there is very low blood flow to
heart muscles which is abruptly cut off leading to heart tissue damage. This damage can cause
result in severe blockage of the coronary arteries. And that is why the infarction was
accompanied by ECG to monitor the injury and elevations associated with heart attack.
As registered nurse is well efficient in their skill and knowledge that they have gained
throughout their practices, they are intended to put them in patient care. Nurses are enlightened
with efficient clinical judgements and making appropriate decisions to aid the patient difficulty,
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they are incorporated with applied nursing practices and processes involved (Gummesson,
Sundén and Fex, 2018). As David gets agitated easily and is seen a short tempered man, the
registered nurse can aid David with lots of patience and care that is needed to control David's
agitation and aggression in short period of time. Caritas process of clinical reasoning will involve
role of nurse in providing kindness to David, and presenting hope, faith, and inner subjective life
world of David. By this David's spiritual practices will be fostered and aid in developing trusting
interpersonal caring relationships. The registered can show empathy and forgive David for
getting agitated as this was due the pain that David was experiencing during treatment. Engaging
David in the process of caring and healing environment so that David heals easily and this would
aid the nurse in playing the role efficiently in presence of other health care professionals.
Valuing humanity and self control in aggression fosters the health effectively (Haase and et. al.,
2019). Embracing the health of David is the foremost duty of the registered nurse working in the
hospital.
By considering David's situation, nurse can efficiently aid in patient care so that the
David can learn about the impact that can alter health. Collect clues related to David's health and
information can alter the health related conditions and David would be able to tackle short
breathing. Breathing shortness which is medically known as dyspnoea is often discussed as an
intense rigidity in the chest and difficulty in breathing or breathlessness can majorly affect the
health related risks adversely and foster the feeling of suffocation, this implies the feeling of
agitation and aggression that can lead to extreme temperature rise and other health related
difficulties. David must be guided by the nurse about the vital informations that are associated
with causes and symptoms that are associated with shortness of breath in a healthy person. By
providing reflection of problems and issues that associated with the disease can aid in learning
about the clinical reasoning of the patient care (Hawthorne and et. al., 2021). Establishing the
goals and objectives that could be benefiting to David for getting relief in the process of healing.
By taking major and vital steps by the nurse that would foster the health parameters and social
behaviour of David should be implemented by the registered nurse.
The nursing processes involves assessing, implementing and planning for the better
health of David so that the the process of healing underpins all care provided by the nurse as they
appropriately resonates the core point patient care. David must be provided with efficient amount
of oxygen supply so that the breathing process goes smoothly and the patient David feels more
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safe and alive within the premise. The nurse can allow David to relax and facilitate the
effectiveness of stress management so that David is able to tackle the situation while facing any
difficulty. Continuos administration of oxygen supply along with medication therapies assisted
by the nurse and the other healthcare professionals can foster the health of David effectively by
providing relief to symptoms (Huhn and et. al., 2019. Encouraging bed rest and back rest with
effective patient care to help decline the chest discomfort and related dyspnoea will aid David in
battling the discomfort. The nurse can encourage David by altering positions frequently that
would help David in keeping the fluids from pooling in the bases of the lungs.
Instilling faith and hope within the patient care can be effective in learning outcomes of
the healing processes and treatment related to David's difficulties. By forming humanistic value
systems for David, the nurse can actively lead the caritas care and processes involved with.
Clinical reasoning with David is a vital step as the person is agitated and feels anxious frequently
that affects the cardiovascular health of that middle aged man (Theobald and Ramsbotham,
2019). By cultivating a sensitivity to self and David, the nurse can chiefly play their part of
responsibilities efficiently in providing the medical assistances and aid related to the middle aged
man's health and difficulties. Promoting and developing a healthy relationship between David
and the nurse itself can chiefly foster the health related difficulties. The nurse can ensure and
foster the expression of feelings within the patient and family members so that David and family
with wife and three children feels safe and secure in taking assistive measures with hope and
faith of fast recovery of the patient. By having an effective conversation with the family to aid
them to not worry about the patient so that the other family member dose not feels anxious and
depressed about the health related difficulties of their family member (Linton and Koonmen,
2020). The nurse can experience emotional attachments with the family members while looking
after the physical and health needs of David to encourage their abilities to support the admitted
family member. In David's case, the wife can be a vital role in providing emotional support to
David so that it becomes easy for David to recover fast and wife should should give more
affection and care by the help of nurse to foster David's health. Caritas is mainly based on the
human love that can be provided by the healthcare professionals to aid their responsibilities
easily. Caritas is human love and mercy comprised with willingness to serve the other patient
present in the premise.
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CONCLUSION
From the above discussion it can be conferred that the clinical reasoning is an effective
and vital process of recovering and healing to patient care that is provided by the patient acre
professionals such as nurses, doctors etc. Caritas processes mainly is detailed practice of patient
care that is provided with love and showing lots of mercy to the patient. Caritas process in
David's case can majorly affect the health related difficulties by abiding by to the health related
care so that David does not faces any sort of abnormalities in the future. David is middle aged
man who is having difficulties in breathing and feels anxious, also complains about the chest
pain that is accompanied with the shortness of breath. To tackle the situation, David falls into
aggression phase as it is inconvenient for David to watch the wife and children bearing the
issuances related to David's health. With efficient registered nurse caritas processes, David's
recovery can be fostered in quick paces.
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REFERENCES
Books and Journals:
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CT angiography improves outcomes in patients with stable chest pain. Journal of the
American College of Cardiology, 74(16), pp.2058-2070.
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Chen, N., Zhou, M., Dong, X., Qu, J., Gong, F., Han, Y., Qiu, Y., Wang, J., Liu, Y., Wei, Y. and
Yu, T., 2020. Epidemiological and clinical characteristics of 99 cases of 2019 novel
coronavirus pneumonia in Wuhan, China: a descriptive study. The lancet, 395(10223),
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Costello, M., 2018. Watson’s Caritas Processes® as a Framework for Spiritual End of Life Care
for Oncology Patients. International Journal of Caring Sciences, 11(2), pp.639-644.
Daniel, M., Rencic, J., Durning, S.J., Holmboe, E., Santen, S.A., Lang, V., Ratcliffe, T., Gordon,
D., Heist, B., Lubarsky, S. and Estrada, C.A., 2019. Clinical reasoning assessment
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Haase, R., Schlattmann, P., Gueret, P., Andreini, D., Pontone, G., Alkadhi, H., Hausleiter, J.,
Garcia, M.J., Leschka, S., Meijboom, W.B. and Zimmermann, E., 2019. Diagnosis of
obstructive coronary artery disease using computed tomography angiography in patients
with stable chest pain depending on clinical probability and in clinically important
subgroups: meta-analysis of individual patient data. Bmj, 365.
Hawthorne, D.M., Turkel, M., Barry, C.D. and Flack, L., 2021. Nurses' Living Caritas Processes
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