Clinical Reasoning Cycle: Nursing Case Study Analysis

Running head: CLINICAL REASONING CYCLE
NURSING CASE STUDY ANALYSIS (CLINICAL REASONING CYCLE)
Name of the student
Name of the university
Author note

CLINICAL REASONING CYCLE1
Priority of care is a crucial strategy applying which, provides the healthcare
professionals with the ability to apply interventions, depending upon the need of the patient
(Shidhaye, Lund & Chisholm, 2015). There are several factors depending upon which priority
of care for critically or terminally ill patient are determined. These are the cultural preference
of healthcare needs both physical and mental and the critical illness of the patient that helps
the nursing professionals to develop a plan of care. As per West et al. (2015), nursing
professionals are expected to develop a specific plan of care depending upon the care
interventions are applied in the care scenario. Hence, it is expected from the nursing
professionals that they would be able to develop a plan of care for each patient and then
depending upon the patents healthcare priorities, they would provide healthcare (Lartey,
Cummings & Profetto‐McGrath, 2014). Therefore, to achieve this Clinical Reasoning Cycle
or CRC by Levett- Jones is applied, of which the eight steps help to develop care priorities
and goals to improve patient condition (Levett-Jones, 2014).
This assignment would discuss about jenny Peterson, a 23 year old single parent
living alone with her daughter. By assessing her healthcare condition through CRC, her two
nursing priorities would be finalised so that her healthcare complications could be addressed
through the application of priority of care.
Considering patient situation is the first phase of clinical reasoning cycle as per
which Jenny Peterson’s clinical conditions would be considered. Jenny is a 23 year old
women, living alone with her daughter. The health concern of jenny started due to an
intensive accident that she met three months ago, due to which she developed seizures and
epilepsy related health complications. As per Singh and Trevick (2016), due to extremely
severe head injury, majority of the individuals suffer from seizures or epileptic conditions and
hence, similar symptoms were observed in Jenny. Further, she is suffering from mental and
financial distress because of her seizures, because due to these seizure episodes, she is on
a sick leave from her workplace as well as she is not allowed to drive that has limited her
movement to public transportation. As per Naslund, Aschbrenner, Marsch and Bartels
(2016), due to severe mental and physical health complications, patients develop social
stigma and loses their confidence. Besides that, several secondary ailments of the patient
was identified in the case study such as her gastrointestinal disturbance, cold, fever,
diarrhoea and persistent restlessness that increased the mental distress of the patient.
While collecting cues of the above- mentioned patient situation, patients healthcare
condition should be observed and processed depending upon which a connection between
the symptoms could be developed and goals for effective treatment of Jenny could be
achieved. It is seen in her case study, that after three months of her accident, she started

CLINICAL REASONING CYCLE2
developing seizures and epileptic conditions which not only affected her physical abilities,
but her mental and cognitive strength. As per Shankar, Donner, McLean, Nashef and
Tomson (2016), to understand the degree of her seizure and epileptic conditions,
neurological assessment should be conducted so that the reason of epilepsy could be
assessed. Further, it was also seen that the patient is suffering from nausea, vomiting and
flu and hence, in this situation, it is important to collect the cues related to her diet and
nutrition so that this assessment could help to identify the reason for her secondary health
complications. As per Morrison (2015), nausea, vomiting and common cold are among
secondary health complications which arises due to continuous episodes of epilepsy and
seizures. Therefore it was seen in the case study of Jenny, as she was suffering from
multiple episodes of seizures. These were the cues which would be collected from the case
study of Jenny so that priority of care and nursing goal could be developed.
After collecting the cues, the information collected would be processes so that
through the application of clinical reasoning cycle the nursing priorities and goal for the
patient could be developed. As per the case study, due to a severe car accident. Jenny
suffered from critical head injury, which commenced seizures in her health condition after 3
months of the care process. Continuous epileptic and seizures increased her mental stress
and traumatic depression, because it was affecting her financial condition and she became
inefficient in taking care of her daughter. Further, due to social stigma and isolation from her
parents, she suffered from mental health trauma due to which she started suffering from
multiple episodes of epilepsy. Besides that, to control her epileptic conditions, she used to
consume lamotrigine and valproate medication and as per Morrison (2015), diarrheal, cold,
nausea and fever are few of the side effects which occurs due to the excessive consumption
of these drugs. Further, it was observed that besides isolation and epileptic condition, she
was also stressed about her daughter’s upbringing, her education and future, because she is
a single mother, and hence, this also increased her mental stress.
Identification of health concerns is the next phase of the clinical reasoning cycle,
which would finalise the two nursing priority of care depending upon the patient information,
collected cues and processed information. In case of Jenny, SMART goals for her health
condition would be developed
Therefore, as per her health condition assessment, her overdose of medication and
her mental health condition arises as two of the primary aspect of care, depending upon
which interventions should be developed. The first priority of her care would be her mental
state and depression condition. As per Fang et al. (2016), epileptic condition is directly
involved in the onset of depression and stress because due to this condition, patients loss