Clinical Reasoning Cycle: Application in Assessing Health Issues

This presentation explores the application of the clinical reasoning cycle in assessing health issues in patients. It discusses the steps involved, identifies a potential health complication, and provides a goal plan and relevant actions. The case study focuses on Type 2 Diabetes and includes strategies for education, motivation, and pharmacological intervention. The presentation highlights the importance of the clinical reasoning cycle in diagnosing and managing health complications.

CLINICAL
REASONING
CYCLE
Student name
Student id

Introduction
■ The main aim of the study is to
explore the application of the
clinical reasoning cycle in assessing
the health issue in the patient.
■ The present study will make use of
9 steps of clinical reasoning cycle
and identify one potential health
complication in the patient.
■ The study will include goal plan for
the patient and relevant actions.

Situation of patient and
collection of information
■ Mr Joni is 56 years old man who lives with his wife and
children.
■ He is at the risk of developing multiple health
complication.
■ He has a busy schedule and work 50 hours/week due to
which does not have time to do get socialize, perform
physical activity and adopt healthy eating habit.
■ History- hypertension
■ High blood pressure -142/96mmHg
■ HR-96bpm
■ BGL- 9.3mmol/l (high)
■ Total cholesterol level – 9.2mmol/l (high).

Process of information
Insufficient
insulin
High blood
glucose
level
High blood
pressure
High Total
cholesterol
level
Unable to
secrete
insulin
Dysfunction
of beta cells
of
Langerhans

Identification of complication of
health■ The heath issue identified is
Type 2 Diabetes.
■ The patient is physical inactive
and have unhealthy eating
habit.
■ Risk of diabetes also result in
cardiovascular complication,
nerve damage , impaired
vision and kidney damage.
■ There is the need to plan goal
and take relevant actions to
improve the health of the
patient (Chevalier & Fénichel,
2015).

Goal 1
Goal. Specific Measurable Achievable Realistic
Mr Joni will have
good quality of
life.
To provide
balanced diet plan
and involve him in
physical activity
The diet plan will
be given excluding
the sugary product.
He will make to do
physical activities
for 20 mins. The
outcome can be
evaluated by
measuring the
blood glucose level
(Colberg et al.,
2016).
The goal is
achievable as by
giving education
regarding the
benefit of physical
activity and
healthy. It is
evident that with
the help of
motivation, person
can easily change
their lifestyle
It is seen in the
study of Tsai, Li and
Lai (2018) that the
diabetic patient
can easily self-
manage their
diabetes by doing
physical activity
and eating healthy
food. Thus, such
intervention and
goal are realistic.

Goal 2.
Mr Joni will
quit habit of
smoking.
Mr Joni will be
given
education
regarding the
harmful effect
of smoking in
health. He will
be assisted
with
medication.
Number of time
Mr Joni smoke
in a week will
be measured.
It is seen in the
study of Pan et
al. (2015)
people who is
involved on the
smoking by
effective
medication and
counselling can
get ride from
the habit of
smoking. Thus.
The goal is
The
intervention
given to help
Mr Joni to quit
smoking is
realistic as
medication will
help to lower
the amount of
nicotine and
motivation
helps to
become self-
The
intervention
will continue
for 3 months.

Action plan
In order to achieve the goal
following action can be taken
■ Educating the patient
■ Encouraging the patient
■ Empowering to quit smoking,
and adapt healthy lifestyle
(Melkus, 2016).
■ Giving pharmacological
intervention to treat diabetes
like Metformin.

Evaluation of outcome/reflection
Weekly evaluation will be
done by monitoring and
recording of following vital
signs.
■ Weight
■ Blood glucose level
■ Blood pressure
■ Total cholesterol level
■ Number of daily cigarettes
being consumed.
I have learned to use clinical reasoning cycle
Gain information on type 2 diabetes
I should have also involved nutritionist and
physiotherapy that could help him with healthy eating
and physical exercise respectively.

Conclusion
From the above discussion it can be said that, clinical reasoning cycle is
the most effective tool for diagnosis of the health complication. The
paper has clearly discussed about the sign and symptom of type 2
diabetes with effective goal and action plan. The strategies of giving
education and motivation can help the patient to become self-aware and
capable to maintain blood glucose level. I have learned ways to use
Clinical reasoning cycle in assessing the patient. I have also learned
about the risk factor for Type 2 Diabetes and method to reduce the risk
of illness in people.

Reference
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