Clinical Reasoning Cycle: Selecting a Potential Health Complication

Clinical reasoning cycle
Name of the Student
Name of the University
The purpose of the presentation is to select a potential health complication
from the case study and discuss it following the clinical reasoning cycle

Consider the patient situation
 Mr. Tomasi Joni is aged 56 years, a mechanical
engineer, and lives with his wife and children
 He belongs to the Fijian ethnic background
 He resides in Inner West City, Melbourne
 He has been referred for an annual health examination
by his GP
 On assessment, the practice nurse was able to identify
several health complications
Figure 1- Stages of clinical
reasoning cycle
Source- (Levett-Jones et al.,
2010)

Collect cues/information
 Currently he works for more than 50 hours each week
 He tries to perform physical activity during leisure
 He smokes and consumes alcohol and consumes takeaway food
regularly
 Medical history- hypertension, AMI in 2016, obstructive sleep apnea
(OSA) and CPAP for sleep
 Family history- Hyperlipidemia (father) and breast cancer (mother)
 Currently under three medications: metoprolol, aspirin and allopurinol

Process information
 BP 142/96 mm Hg provides indication for hypertension (Bloom, Kemp &
Lubel, 2015)
 Heart rate was 96 bpm that was within the normal limit of 60-100 bpm,
thus indicating normal functioning of the heart
 Respiratory rate of 22 breaths/min indicated a slight elevation from
normal condition, thus indicating shortness of breath (Anzueto &
Miravitlles, 2017)
 SpO2 was 96% on RA and normal
 Body temperature of 36.7°C indicated hypothermia or loss of heat at a
rapid rate from the body (Nassal et al., 2017)