Clinical Reasoning for Mild Traumatic Brain Injury Patient

Running head: CLINICAL REASONING
CLINICAL REASONING
Name of the Student
Name of the University
Author note

CLINICAL REASONING
1
Table of Contents
Patient situation...............................................................................................................................2
Collecting cues and information......................................................................................................3
Processing the information..............................................................................................................4
References........................................................................................................................................6

CLINICAL REASONING
2
Patient situation
The patient of the case study is an old man of 82 years of age, named John Wells, who
used to live and work on his farm. He suffered from an accident while he was returning home
after milking his cows. He faced the accident as he lost his balance on his motor bike. He himself
admitted that he knew it was very necessary to use helmet at the time of riding bike but he forgot
to use helmet on that day. He fall to the left side and his head stuck on the hard ground. The
ground was very hard as the season was summer. However he was very luck that he was not
injured much except a tear on the skin and his skin got grazed when he fall down. The immediate
reaction of the accident as that he was feeling very dizzy after his head had hit the ground. Apart
from that the other effects of the accident that he was suffering from wee headaches, loss of
appetite, nausea and fatigue. However he again went back to his work. At night when he returned
back from his work, his family members noticed that he was seeming much more quite than
usual and thy also thought that it would be better for him to get admitted in the emergency
department.
The patient had no history of injury in head or concussion. If the health condition is
considered with respect to his age it can be said that he was sustaining a healthy life. His medical
history showed that he was previously diagnosed with slight hypertension but he was not
administered with any anti hypersensitive medicines. So by considering the past medical history,
the patient can be considered to be a healthy person even at the age of 82. If the clinical history is
considered the risk factors associated with hypertension are family history, being overweight,
being physically inactive for a long time, smoking, salt and potassium containing diet, drinking
too much of alcohol, excessive stress level, certain chronic health conditions like high blood
pressure, diabetes and kidney diseases (Tham, Fales and Palermo, 2015). Apart from these