Clinical Reasoning Cycle for Managing Post-Operative Complications in a Caesarean Section Patient

Running head: ASSESSMENT TASK 2
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Assessment task 2
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ASSESSMENT TASK 2 2
Introduction
Nurses with active clinical reasoning have an affirmative influence on patient results; on
the contrary, those with destitute clinical reasoning will frequently flop to discover imminent
patient worsening. Faults in decision making and judgment are recognised to version for more
than half of unreceptive clinical actions (Schug, Palmer, Scott, Halliwell & Trinca, 2015).
Clinical reasoning is a learning skill requiring active engagement and determination in deliberate
practice as well as reflection, specifically on activities designed to advance performance. This
essay will concentrate on the given case study on Candace Evans, a 42 years old woman with an
elective lower uterine caesarean section under spinal anesthesia. The paper will then explore
through three care priorities identified in Candace’s scenario: her in-dwelling catheter with
100ml of rose coloured urine, vaginal blood loss and the blood clot. The identified three prime
priorities will be examined and justified using Levett-Jones clinical reasoning cycle through
executed inventions and to assist nurses to attain those objectives which lead to the finest
conceivable results of the patients.
Properly managed recovery steps can avert symptoms associated with the caesarian
section (Neal et al., 2010). Candace is presented to the recovery room with vaginal blood loss
and some clots as well as an in-dwelling catheter with 100ml of rose coloured urine. The past
history of the patient includes gestational diabetes with her first pregnancy five years down the
line, which resolved following the birth with no recurrence in this pregnancy, anxiety, depression
or post-natal depression. There is clear evidence that Candace suffered from complications as a
result of operations. It is normal for women to lose lochia after birth until the wombs renew its
lining. Following Candace’s caesarean operation, she is given intravenous therapy of oxytocin
in CSL running at 250m/L/hour. This will encourage the uterus to contract, assisting it to shrink

ASSESSMENT TASK 2 3
back to its normal size and reduce blood loss (Baaqeel & Baaqeel, 2013). Blood normally flows
quickly and uninterrupted through veins. But, sometimes, the clot can form that either reduce the
blood flows or stops it completely. A deep vein thrombosis is a blood clot in vein usually pelvis
or leg, and its common cause is immobility during surgery (Stephens & Bruessel, 2012).
Candace shows vaginal blood loss and the patients also display vaginal pad soaked with franks
blood and some clots. Therefore, perioperative and recovery nurses can use their critical
reasoning capabilities in executing approaches in managing intricate care and take full advantage
of the aids for patients by lessening risks elements connected with multifaceted health concerns.
Perioperative caregivers use evidence-based practice to advance the physical wellbeing
and uphold the blood count for the Candace by affecting various tactics and setting desired goals
(Pant, Fong & Scavone, 2014). For me to realize those goals, I must work closely with her and
midwifery for the best promising results. Patient life can be upgraded by using patient learning
after an operation which will enable the patient and midwifery gain more knowledge and skills in
her compelling conditions. The anesthetic may make one feel sick. Thus, a drip going into her
veins will make sure enough fluid when she is not able to drink. While the patient is drinking
enough fluid and no longer feels sick, then, the drip will be removed and I will tell her to start
eating. After two to three days, if the patient will have problems with bowel, I can give medicine
to open her bowels. It will be helpful for the patient to drink a lot of fluid, eat a high fibre diet
such as fruit, wholemeal or granary bread, cereals and vegetables (Torloni et al., 2011). To
improve the blood circulation and prevent further blood clots from developing, I will encourage
the patients to walk with the compression boots to improve the circulation. However, the first
day, I will encourage sit out of bed in her chair, even if it is for short period. I will encourage
resting, however, it is crucial to start exercise as soon as possible. As a result of vagina bleeding,