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[PDF] The Clinical Reasoning Cycle

   

Added on  2021-04-17

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Disease and DisordersNutrition and WellnessHealthcare and Research
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Clinical reasoning is the process by which the clinicians and the nurses collect the cues, do the processing of the information, evaluate the problem or situation of the patient, plan interventions and implement them, evaluate the outcomes of the interventions and increase their knowledge from the process. The process of the Clinical reasoning is a cyclic process of interlinked clinical meetings rather than a linear process (Croft, et.al, 2017). For the developmentof the clinical reasoning model, the thinking strategies involved are description of the situation ofthe patient, collection of the information of new patient, reviewed and relate the information, interpretation of the information, recalled the knowledge, discrimination between the irrelevant and the relevant information, matching and predication of the information analysis of the information for diagnosing and identification of the problem, establishment of the goal and objective, selection of an action course and their evaluation (Croft, et.al, 2017).It is the prior responsibility of the nurse when he or she entered the patient room immediately collect the relevant data conclude the information and initiation of the relevant management. According to the clinical reasoning cycle, the health care professional has to examine and discussthe stages in the clockwise direction for the facilitation of decision making and empowering the clear care plan formulation (Lapkin, et.al,2010). The patients suffering from the chronic condition, the care required by these patients are influenced by the multiple factors and care prioritization given to these patients depend upon clinical care and patient needs both.There are number of principle that can be used for the management of the chronic conditionDevelopment of partnership with the patient related to the treatment Focus on the concern and priorities of the patientFollow the five A’s principle that are assessment, advise, agreement, assistance and arrangement
[PDF] The Clinical Reasoning Cycle_1

Support self-management of the patientOrganization of proactive supplementsLinkage of the patients with support and resources that are community basedUse of the written information such as registers, treatment cards and plans, for the patient monitoring and reminder, there should also proper documentationAssure the patient regarding care continuityIn the case of the Peter Mitchell, care priority could be determined by understanding the clinical and the patient needs both. There should be maintenance of the treatment partnership with the patient and focus on the priorities and concern of the Mitchell. As in the case of Peter Mitchell, there is no one to take care of him so, primary health care nurse should support self-management of the Peter and try to connect him with the community support and resources. In the case of Peter management of the information in written format is necessary as it will help him to monitorand also reminds him about the treatment plan and progress. To know about the top two priorities of the care treatment, in the case of the peter Mitchell, the primary health care nurse has to follow the clinical reasoning cycle of Levett-Jones(Lapkin, et.al,2010).. As it is a cyclic process, there are numbers of stages or steps that have to be followed.The first step is the consideration of the situation of the patient. The situation means the disease condition of the patient either chronic or acute; the pathetic condition from which the patient is suffering, which medication and treatment are given to them (Levett-Jones et al., 2010). In the case of Peter Mitchell, the primary health care nurse should consider the situation of the patient. As from the case study, it is clear that Peter is 52 years old and suffering from the Type 2
[PDF] The Clinical Reasoning Cycle_2

diabetes and morbid obesity. By examining all the above information, the primary health care nurse can easily have the knowledge about the situation of the Peter Mitchell. In the second step of the clinical reasoning cycle, there is the collection of the cues and the information of the patient such as the review on the current medical history and collection of the information related to the current activity and the treatment given to the patient. In the case study, from the first stage, it is cleared that Peter is suffering from Type 2 diabetics, obesity and sleep apnoea (O’Donnell, Jones, & Howard, 2012). The current history of Peter Mitchell is that he was admitted to the hospital with the syndrome of obesity ventilation, uncontrolled diabetes, and sleep apnoea. His general physician referred him after he was examined with the diaphoresis,shakiness, high level of BGL, increased hunger and breathing problem during sleeping. He is a big smoker for 30 years and approximately smokes about 12 cigarettes’s/day. Examination of thepast medical history revealed that he is suffering from Type 2 diabetes that was diagnosed 9 years ago, Hypertension, Obesity (weight 145kgs having 50.2m2BMI), Sleep apnoea, Depression that is diagnosed 3 months prior by General Physician), Gastro oesophageal reflux disease (Bloomgarden, 2006).The current medication given to the peter is Metformin 500mg BD, Insulin Novomix 30 B D, Nexium 20mg daily Lisinopril 10mg daily, Pregabalin (Lyrica) 50mg nocte, Metoprolol 50mg BD and on dischare from the hospital the last observations are height 170 cms, Weight 145 kgs, HR 102 & RR 23 Bpm, BP 180/92 mmHg, Sp02 95% on RA (Bloomgarden, 2006). When Peter was previously admitted, he was seen by the dietician that recommended him the low energy and diet having high protein content for the weight reduction. The general physician of the Peter had already discussed the weight losing for the betterment of the disease condition
[PDF] The Clinical Reasoning Cycle_3

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