Clinical Reasoning Cycle for Mr. Cyril Smith's Case Study

TITLE
Name of Student
Name of Course
Professor
Institution
State
Date

ATHC 1 Assessment Three (3)
Student Name:
Student Number:
Tutor Name:
Patient Name:
Complete the following table using information from Mr Cyril Smith’s story
Clinical Reasoning Cycle
Consider the patient situation
In this section, provide a
relevant and concise
description of your
observation of the context
and patient situation.
Mr. Smith, 72 years old, was admitted at the surgical ward today
following a recent diagnosis of bowel cancer. He has been
scheduled for a bowel resection surgery tomorrow.
Collect cues and/or information
Review / Gather / Recall
Record current
Review
 History of Chronic Obstructive Pulmonary Disease

information, new
information, knowledge
(COPD) and takes salbutamol 4 puffs when necessary.
 History of osteoarthritis and takes paracetamol 1gm 3
times a day and ibuprofen 400mg twice daily
 History of type II diabetes and metformin 500mg was
prescribed twice daily but patient only takes the
medication occasionally
 Had an ankle fracture 15 years ago and uses a walking
stick to aid mobilisation
 Manages his ADL independently
 He has been recently diagnosed with bowel cancer
 Medical assessment on admission shows decreased
appetite, weight loss, and less fluid in body
 Patient needs encouragement
Gather
 Patient feels a little bit strange and dizzy
 Airway is patent, RR is 20bpm, oxygen saturation is 95%,
and blood pressure is 100/60
 PR is 110bpm
 Left leg is little weaker and has normal arthritic pain, pain
score of 3/10
 Temperature is at 37 degrees Celsius. Mouth is still dry
and skin is flaky and dry
 Last voided at 09.00 and BNO today