Clinical Reasoning Cycle : PDF
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Added on 2021-04-21
Clinical Reasoning Cycle : PDF
Added on 2021-04-21
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Running head: NURSING ASSIGNMENTNursing assignmentName of the student:Name of the University:Author’s note
NURSING ASSIGNMENT1While engaging in care of patients with chronic conditions, a nurse has to analyze andinterpret multiple factors that can have an impact on their health outcome. The ability to interpretand analyze different factors to prioritize care for patient is dependent on clinical expertise aswell as critical reflection skills. The process of engaging in critical reflection is the pathwaythrough which nurse can deduce the main patient problem and plan the best care priority for therecovery of patient. Clinical reasoning cycle is one of the process that can be used by nurse toanalyzed and process complex patient information in a systematic manner and understand thecare needs of patient. The essay utilizes the steps of the clinical reasoning cycle to the case ofPeter Mitchell, a 52 year old patient with morbid obesity and type 2 diabetes and analyzes theinformation from the case to identify two care priorities for patient. The rational for choosingspecific care priorities is also provided by applying clinical reasoning cycle as a means ofjustification. The clinical reasoning cycle is an eight step process of cyclical intervention and bypassing through those steps, nurse can make inference regarding care plan and treatment goalsfor patient (Dalton, Gee & Levett-Jones, 2015). The clinical reasoning cycle stars with the firststage of considering the patient situation. The analysis of Peter Mitchell’s scenario reveals thatthe patient is suffering from poorly controlled diabetes, obesity ventilation syndrome and apnoeaand he was admitted to the hospital with these complaints. This information gives an overviewabout the context of Peter’s case. The next step to get more information about patient is to collect cues/information aboutpatient. This is obtained from nursing assessment records, patient chart and observations ondischarge of patient. The factor contributing to his presenting symptom is understood from hispast medical history. Peter Mitchell had history of hypertension, obesity, hypertension,
NURSING ASSIGNMENT2depression, sleep apnea and gastro oesophageal reflux disease. Another vital cue to the case isthat the patient was a heavy smoker taking 20 cigarettes per day. His problem of ventilationsyndrome and sleep apnea is also understood from the fact that he failed to continue with lowenergy, high protein diet (LEHP) and light exercise to facilitate his weight reduction. Sleepapnea and ventilation is syndrome is a problem most commonly linked to obesity and obesityworsens apnea because of fat deposition at different sites (Romero-Corral et al., 2010). Thereview of Peter’s past medical history also revealed that Peter faced difficulty in finding job andmaintaining social relationship due to weight gain. As the main purpose of the essay is to identify two main care priorities for Peter, it isnecessary to identify two problems that will threaten or increase health risk for patient. Hence,the problem inherent in patient can be identified by processing the information that has beencollected from patient charts and observation. Peter was overweight from the beginning as hisweight three years ago was 105kg, however his health issues has increased currently because heconstantly gaining significant amount of weight. His current weight is 145 kg with a BMI of 50.2kg/m2. From this information, it can be interpreted he is a patient with morbid obesity. A personwho has a BMI of 25-30 kg/m2 is defined as overweight and BMI above 40 kg/m2 is defined asmorbid obesity. His obesity comes under class III obesity and such individuals are at high risk ofillness and death (Kitahara et al., 2014). From this evaluation, it can be said that obesity is one ofthe problem in patient that contributed to symptom of apnea and ventilation syndrome andobesity. Evidence suggest that the prevalence of these problem is increasing in parallel withobesity epidemic in United States Manthous & Mokhlesi, 2016).Apart from his part and current medical history, the patient’s current observation alsoneeds to be processed to prioritize care for Peter. His last observation detail was BP 180/92 mm
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