Stroke and TIA: Nursing Management
Added on 2020-03-01
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Running head: CLINICAL REASONINGCLINICAL REASONINGName of the student:Name of the university:Author note:
1CLINICAL REASONINGIntroduction:Clinical reasoning cycle is a methodical procedure which is followed by nurses in theirpractices as it helps them to collect information about the patients and thereby come to anunderstanding about the problem or the situation of the patient. This cycle then helps the nursesto plan and implement interventions necessary for the patients and then helps in properevaluation of the outcomes of the interventions on the patients. The entire situation would thenbe reflected by the nurses so that they can learn from any mistakes that they have made or theycan promote their practices for betterment. In the following case study, a patient’s named MRAmari had been admitted and the nurse would follow a proper clinical reasoning skill to developideas about the interventions that she would take.Patient’s situations:The first step of the clinical reasoning cycle is considering the patient situations. The patient whohas been shifted from the emergency department to the medical department is called Mrs. Amari.She is an indigenous New Zealand citizen belong to the Maori tribe. She is living with her sonand daughter in law and with two grandchildren. However, she is a patient of hypertension aswell as hypercholestemia and these had been the major contributors of the present condition sheis suffering from which is transient ischemic attack. Actually, her tribal customs had made hertake tobacco for almost years which might have had a very bad impact on her health. Althoughhe had quitted smoking, but the after effects had stayed with her as many researchers suggest thatsmoking leads to strokes and heart disorders (Miller et al. 2016). Moreover, she has a positivefamily history of heart diseases and therefore she is also within the vulnerable zone of beingaffected by heart disorders. Therefore following her family history, it becomes evident that her
2CLINICAL REASONINGheredity might have also played an important part in her present condition. After the death of herhusband, she had to move in with her son to Australia as he was not being able to cope up withthe financial crisis and had been staying in Australia and lives heavily as a carer for hergrandchildren.Collection of cues:The second step of the clinical reasoning cycle mainly incorporates the activity of the nurses forcollection of cues as well as information about the patient’s condition, giving a detailedexplanation of the various details which the nurse should incorporate in her time of criticalreasoning so that she can perform the next step properly. Review:When the patient was admitted to the hospital it was seen that the patient had a facial droop andher mouth was diverted to the right side. She had numbness in the right side of her face and alsoin the right arm. However she did not show any acute signs of stroke like weakness and wereeasily able to swallow and had a steady gait. She was also able to move her extremities and wasable to follow commands. Moreover she did not have a headache and also denied nausea,vomiting, chest pain, diaphoresis as well as visual complaints. She was alert and oriented.Therefore, it helped nursing professionals to come to a conclusion that she was not a strokepatient but rather suffered from TIA (Beltowski 2014). When the nurse of the next shift came,she was handed a document which stated that all the symptoms of the patient had resolved.However, she witnessed an entirely different case. She saw that her condition was againdeteriorating as her speech had become slurred again and the right side of the mouth is drooping.Gather:
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