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(PDF) The Clinical Reasoning Cycle

   

Added on  2021-02-21

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CLINICAL REASONINGCYCLE PROJECTCASE STUDY: MRSCAROLE KENNEDY

TABLE OF CONTENTSIntroduction......................................................................................................................................1Analysis of the changes in Mrs Kennedy’s clinical presentation....................................................1Critical analysis of the priorities of care..........................................................................................2Discussion of the psychosocial issues relating to Mrs Kennedy’s current stage of disease and herlife situation.....................................................................................................................................4Conclusion.......................................................................................................................................4REFERENCES................................................................................................................................5

IntroductionClinical reasoning cycle is a process with the help of which nurses collect, process andunderstand patient's information, problem and situation and based on these informations theyplan accurate interventions (Palli & et.al. 2017). This assessment will lay emphasis on MrsCarole Kennedy's case study and nursing interventions for her current condition. She is a 56years old lay who has been admitted in the hospital for the treatment of pneumonia. Thisassignment will focus on all changes in her clinical presentation, nursing priorities of care andpsychosocial issues relating to Mrs Kennedy’s current stage of disease.Analysis of the changes in Mrs Kennedy’s clinical presentationMrs Kennedy had been admitted for the treatment of pneumonia. It is kind of lungsinfection in which air sacs either in one or both the lungs and they are filled with fluid, due towhich patient faces difficulty in breathing, suffers from fever and chills. She had complained thatshe was feeling down lately and was suffering from chest pain quite frequently in fact severaltimes a day. She also complained that most of the times this chest pain occurred when she doesany kind of household work. Her subjective data was: pain in chest, chills, shortness ofbreathing, nausea and her objective data was cough,increased respiration rate etc.When she was admitted, she was observed for 8 hours and her body temperature, pulse,respiratory rate blood pressure and SpO2 was quite normal. Such as: Temperature: 37.3ᵒC ;Pulse: 74bpm, regular, volume strong ; Respiratory rate: 14/min, regular, normal depth ; BP:165/90mmHg (normal for her) ; SpO2: 98% on room air. But as soon as she was given hermedications, within 30 minutes she started not feeling well and had a mild sensation in herheart, underside of her upper left arm was aching and feeling a little nauseated. These changes inher are signs and symptoms can be caused due to many reasons as she had a history of ischemicheart disease, hypertension i.e. high blood pressure problem with beginning of peripheralvascular disease. Due to this history one of the main reason due to which there were drasticchanges within her condition was her ischemic heart disease and hypertension problem (Liu &et.al. 2018). This was mainly due to and hypertension because in this case fat deposits whichfurther restrict blood flow. Pneumonia worsens these conditions as due to this blood do not getenough oxygen. Due to this lung infection heart rate increases drastically. In Pneumonia lungsget prevented from supplying more oxygen into the blood and due to this lower oxygen levelheart increases. Other than this due to lower oxygen level pulse rate of the patient also increases.1

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