Clinical Reasoning Cycle for Osteoporosis in an Elderly Patient

CLINICAL
REASONING CYCLE
Name of the Student
Name of the University

Description
 The case study involves a septuagenarian, Lina Liaw, who
decides in Brisbane, in a single storey apartment at retirement
village. She had been diagnosed with hypertension during her
late 50s and osteoporosis during early 60s.
 Following the death of her partner, she became socially
isolated, anxious, lost weight, and stopped self-care. This was
followed by diagnosis of depression and she is currently under
antidepressant medications.
 She suffers from visual impairment and low back pain. Her
presenting complaints include persistent cough, low blood
pressure, and pain severity of 9/10 during moving, and 6/10
when still.
 She also faces problems in performing activities of daily living.

Establish goals
 Taking into consideration the
three client problems of
hypertension, osteoporosis, and
cough, osteoporosis has been
selected as the major issue that
requires immediate intervention.
 S- Regain physical movement
 M- Movement of extremities and
use of verbal pain scale
 A- Medication and non-
pharmaceutical interventions
 R- Verbalise a reduction in pain
 T- 48 hours
Figure 1- Range-of-motion
exercise
Source- (McArthur, Laprade &
Giangregorio, 2016)