Clinical Reasoning Cycle Nursing Assignment

Health Assessment
Interview

Table of Contents
INTRODUCTION...........................................................................................................................2
CRC 1 – Consider the patient situation..................................................................................2
CRC 2 – Collect cues and information...................................................................................2
CRC 3 – Process information.................................................................................................3
CRC 4 – Reflect on process and new learning.......................................................................4
CONCLUSION................................................................................................................................4
REFERENCES................................................................................................................................4
APPENDIX......................................................................................................................................6

INTRODUCTION
Getting older involves both positive and negative changes, but people can enjoy their
aging if they understand what is going on with their body and take necessary steps to maintain
health. Thus, the term healthy aging consists with development and maintenance of optimum
mental, social and physical health or well being in older adults. It can be achieved while
communities are safe, promote health and well-being, and use health services and community
programs to prevent or minimize disease. The report is based upon what is happen with body
according to the age. Furthermore, it is important to manage physical health as its a key of
healthy aging.
CRC 1 – Consider the patient situation
In this scenario, an elderly patient whose name is Mr. X is suffering from diabetes and is
unable to perform his daily activities in normal manner. He was found out to have depression
after the death of his wife and was really upset with his life. His children were settled in abroad
and were not able to contact them. He felt alone as there was nobody around him to whom he can
talk. Due to diabetes and depression, he become very ill and feel hopeless. It kind of diseases
make him weak physically and mentally because there is no one with whom he can share his
feelings or things. Sometimes, Mr. X gets irritates due to environment in which he live because
there is high noise pollution and no fresh air. Along with this, the person also feel uncomfortable
to express his views among other and always keep silent. Mr. x was emotionally attached with
his wife but now no one is there who can hear him. It results, high diabetes is increase day by
day. All these aspects has a great hindrance on lifestyle of the person.
CRC 2 – Collect cues and information
By conducting this interview session, it is analysed that aging people cannot live their
lifestyle properly. In evidence of Mr. X, the person is in dilemma and cannot recover from this
situation. Although, the person has enough knowledge of healthy aging but he cannot live
because there is lack of fresh air and other difficulties. The main symptoms of diabetes include -
increased urine output, excessive thirst, weight loss, fatigue, skin problems, low healing wounds,
yeast infections and tingling or numbness in the feet or toes. Therefore, blood glucose monitor is
an excellent tool for managing diabetes (Garcia-Garcia and et. al., 2011). Although to control
diabetes it is required to record blood glucose levels comes highly recommended. People also
need to ensure they look after their feet properly as high levels of blood glucose can cause foot
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problems. This can stop nerves working so people might not feel when they have cut their feet or
burned themselves.
The main symptoms of both type 1 and type 2 diabetes are:
 Urinating more often than usual, particularly at night - Excessive urination can be
triggered by excess glucose in the blood which interferes with the kidney’s ability to
concentrate urine (Rodrigue and et. al., 2012). Feeling thirsty - Kidneys have to work harder in people with type 2 diabetes. Puldisia is
the term given to excessive thirst.
Precautions of diabetes: - Refined sugar - Sometimes even the natural form like honey can cause a sudden spike in
the blood sugar levels. So, it's better to avoid refined sugar by all means if you are a
diabetic (Mevel and et. al., 2011). Whole grains - Grains that have gluten in them should be avoided. Gluten is associated
with diabetes as its intake can cause leaky gut leading to inflammation which in turn can
lead to auto immune diseases. Alcohol - Diabetes is linked with consumption of heavy alcohol which is two to three
glasses a day. Beer should especially be avoided as it has a lot of carbohydrates. Cow's milk - Just like whole grains, cow milk can trigger the immune system which can
lead to inflammation. Conventional cow milk can be dangerous for you if you are
suffering from diabetes (Stark and et. al., 2013).
 GMO foods - GMO foods have the capability to promote diabetes along with causing
liver and kidney diseases. Go for products which are labelled as GMO-free.
CRC 3 – Process information
After assessing getting information about the diabetes there is required to put this
information into human body. Although, by recording your levels you can start to build up a
history of results and draw conclusions from results. As a aging person, sugar level of Mr. X get
high or low at any time, in this manner the person should follow healthy blood glucose (or blood
sugar) control includes steps like following a balanced meal plan, engaging in an active lifestyle
with sufficient physical activity, and taking blood glucose-lowering medications as they need
them over the years (Ejiogu and et. al., 2011). Mr. X can also intake other medications to control
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blood pressure and lipids (cholesterol). Furthermore, consider some additional lifestyle tips that
can also help control blood sugar and improve overall health.
CRC 4 – Reflect on process and new learning
All these information or prescription is adopted by Mr. X so as to make his life better as
the person has decide to overcome with the situation of high diabetes and depression. After this
acquisition, the behaviour of Mr. X get totally changed, now the person lives happy life and meet
others and express his views to them. In addition, he also join yoga and meditation classes so as
to reduce stress and it develop positive thoughts in person's mind which helps him to overcome
with all kind of dilemma (Bacsu and et. al., 2012).
CONCLUSION
From the above mentioned report it get concluded that healthy aging plays a vital role in
individual's life. People can stay physically active with regular exercise; they should eat healthy,
well balanced diet as dump the junk food in favour of fibre rich, proteins etc. that are beneficial
for human body. Along with this, it is essential for individuals to maintain their health and well
being so as to live healthy in old age. In this age, people get attached with various diseases or
stress problems which can affect their health in adverse manner and reduce their life processes.
REFERENCES
Books and Journal
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Bacsu, J. R. and et. al., 2012. Healthy aging in place: Supporting rural seniors’ health
needs. Online Journal of Rural Nursing and Health Care. 12(2). pp.77-87.
Ejiogu, N. and et. al., 2011. Recruitment and retention strategies for minority or poor clinical
research participants: lessons from the Healthy Aging in Neighborhoods of Diversity
across the Life Span study. The Gerontologist. 51(suppl_1). pp.S33-S45.
Garcia-Garcia, F. J. and et. al., 2011. The prevalence of frailty syndrome in an older population
from Spain. The Toledo Study for Healthy Aging. The journal of nutrition, health &
aging. 15(10). pp.852-856.
Kerr, J., Rosenberg, D. and Frank, L., 2012. The role of the built environment in healthy aging:
community design, physical activity, and health among older adults. Journal of
Planning Literature. 27(1). pp.43-60.
Mevel, K. and et. al., 2011. The default mode network in healthy aging and Alzheimer's
disease. International Journal of Alzheimer’s Disease. 2011.
Rodrigue, K. M. and et. al., 2012. β-Amyloid burden in healthy aging Regional distribution and
cognitive consequences. Neurology. 78(6). pp.387-395.
Stark, S. M. and et. al., 2013. A task to assess behavioral pattern separation (BPS) in humans:
data from healthy aging and mild cognitive impairment. Neuropsychologia. 51(12).
pp.2442-2449.
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APPENDIX
QUESTIONNAIRE
Q1. From which disease you are facing?
Ans. I am a diabetes patient.
Q2. What are the troubles are facing by you in context of healthy and safe environment?
Ans. Yes, I am facing several problems, as there is lack of fresh air and high noise pollution.
Drugs stores are available at far locations.
Q3. Do you at risk from infection, shock and unconsciousness?
Ans. As a diabetic patient, I have infection from various things and cannot be recover easily. I
have carbuncle infection, its a red, swollen, and painful cluster of boils that are connected to
each other under the skin.
Q4. How a person's behaviour, mood, perception or behaviour affect communication?
Ans. Behaviour of an old person get changed very rapidly, some times they act very maturely
whereas sometimes they behave like a kid. If their mood is upset, then such people do not prefer
to talk someone and get easily panic on situations.
Q5. Do you have any difficulty in breathing and what are the main causes of this?
Ans. No, not a all but sometimes in winters I feel difficulties to take breathe. There are many
causes of breathing problems as I have difficulty breathing when while get a cold. Others have
trouble breathing because of occasional bouts of acute sinusitis.
Q6. What do you know about a balance diet?
Ans. A balance diet is a diet which gives human body to all necessary nutritions which are
required it to function correctively. Its a well planned diet that aims is to get all protein, fat and
carbohydrates which involves minerals and vitamins.
Q7. What is meaning of hygiene in your opinion?
Ans. Hygiene is a set of personal practices that contribute to good health. It includes things like
hand-washing, bathing and cutting hair/nails.
Q8.How can you prevent the spread of infection and to use appropriate hygiene?
Ans. Hand-washing is the single most important activity we can all do to encourage the stop of
disease and stop spreading any kind of infection.
Q 9. Do you have any psychological or emotional problems ?
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Ans. Ignorance is my major emotional problem.
Q 13. Does the presence of disease, illness or handicap, disabilities have any effect on the
activity?
Ans. Yes, I feel tired very soon while doing any working activity.
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