Clinical Reasoning Report

CLINICAL REASONING REPORT
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Table of Contents
1. Concise Summary..................................................................................................................2
2. Objective and Subjective data cues........................................................................................2
3. Interpretation of identified cues.............................................................................................3
a. Categorisation of cues............................................................................................................3
b. Comparison of the current situation to previous medical history..........................................3
c. Explanation of vital signs and other cues...............................................................................3
4. Further requirement of cues..................................................................................................4
References..................................................................................................................................6
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1. Concise Summary
The rehabilitation centre had organised a recreational class of swimming in an ocean pool on
5th April. It was considered to be a cherished outing for the care users as they would be able to
enjoy and relax. The weather was a bit chilly as the temperature was recorded to be 19°C and
the wind was blowing at a speed of 30km/hr. The water temperature was noted to be 17°C
and was considered to not be too cold and the care users from the centre would be
comfortable. Swimming and other activities continued for a quarter of an hour. Afterwards,
the vitals of all care users were measured. This study presents the case study of Roseanne
Chivers, a 63-year-old widow.
2. Objective and Subjective data cues
a. Objective Cues
Vital name Measure
Body temperature 35.0 °C
Pulse Rate 102 beats/min
Respiratory rate 24 breath/min
Blood pressure 150/84 mmHg
b. Subjective Cues
Feature Remarks
Shivering Normal reaction
Cold hands Normal reaction
Numb and blue fingers Heightened reaction
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