Clinical Reasoning Cycle for Congestive Heart Failure Patient

NURSING ASSIGNMENT
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Table of Contents
Introduction........................................................................................................................ 3
Introduction to Clinical reasoning cycle....................................................................3
Implementation of Clinical reasoning cycle.............................................................4
Considering the patient situation..........................................................................................4
Collecting cues/information................................................................................................... 4
Processing information............................................................................................................ 6
Identification of issues.............................................................................................................. 7
Establishing goals....................................................................................................................... 7
Taking action................................................................................................................................ 8
Expected outcomes.................................................................................................................. 10
Reflecting on process and learning’s.................................................................................10
Conclusion......................................................................................................................... 11
References......................................................................................................................... 12
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Introduction
The congestive heart failure (CHF) is a complicated heart disease that can
result due to many internal bodily conditions like hypertension, cardiac abnormalities,
valve diseases, cardiomyopathy etc. This (CHF) is the inability of the heart to
maintain adequate oxygen transportation in the body leading to defects in oxygenation
and perfusion that is again a risk to many other body parts (Stuart, 2014). In elderly
patients, heart failure occurs due to multiple comorbid bodily conditions like renal
dysfunctions, lung diseases, diabetes, hypertension etc., these comorbidities are
multifactorial, for example- renal dysfunction can occur due to factors like
depression, decreased perfusion, anemia and cachexia (Ackley et al. 2019).
In this study, a critical case study of an elderly female named M.G, age 68
years is analysed using clinical reasoning cycle. This clinical reasoning cycle helps to
understand patient condition followed by processing collected information from
physical history and examination to develop an effective care plan. This study
particularly focuses on the provided case study patient who suffered congestive heart
failure.
Introduction to Clinical reasoning cycle
Levett-Jones clinical reasoning cycle (2009) is a perfect process that can help
the nurse to manage patient information, study, collect cues, process information,
understanding patient issues and planning interventions. This is further followed by
the evaluation of outcomes and reflecting on new learning’s developed from the
complete process. Levett-Jones clinical reasoning cycle is considered perfect to
manage case study in nursing because it is a perfect blend of five clinical reasoning
rights that are cues, patient, action, time and reason. This clinical reasoning cycle
allows critical thinking alongside decision making in nursing practice (Forsberg,
Ziegert, Hult & Fors, 2016).
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Figure 1: Levett-Jones Clinical Reasoning Cycle
Implementation of Clinical reasoning cycle
Considering the patient situation
The case study patient M.G is an old-age lady who suffered congestive heart
failure (CHF) further facing critical consequences of CHF identified by her mentioned
symptoms like shortness of breathe and swelling in legs. According to Harjola et al.
(2016) studies shortness of breath and swelling in any body part are primary
symptoms of heart failure. The mentioned details indicate that the patient’s careless
attitude is the reason behind her critical condition as she was not following her salt
and fluid consumption instructions and was also not loyal to her medication schedule.
The case study information indicates that patient is in a very critical condition
because a major congestive heart failure at age of 68 years is already a serious
situation to handle followed by complication that can further harm her health. Further,
the patient is already a victim of other comorbidities of CHF like hypertension, renal
failure, hyperlipidaemia in past. She is also having a family inheritance of heart
condition and critical medical history.
Collecting cues/information
Reviewing current information
The provided information in case leaflet involves a past medical history,
family history, vital signs observation, laboratory results, and radiology result and
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