Clinical Reasoning Cycle for Identifying Health Complications

Introduction
■ This presentation is based on a case study involving a 56 year old
male Mr. Tomasi Joni
■ The purpose of the presentation is to elaborate on the clinical
reasoning cycle for identifying the health complications of the patient
■ It will elucidate SMART goals for addressing the health risks and will
discuss different interventions for the patient
Name of the Student
Name of the University

Consider the pt, collect cues and
information
■ Mr. Joni has been recognised to suffer from complications of stroke
■ In 2015, an expected 394,000 individuals (199,000 men and 195,000
women) had had suffered from a stroke in Australia (AIHW, 2018)
■ He has a history of acute myocardial infarction (AMI) and hypertension
■ His tests show signs of dyspnea, hypercholesteromia, hypertension,
obesity, and hypothermia
■ He has been prescribed metoprolol, aspirin, and allopurinol

Process information and identify
issue■ Stroke generally occurs when a blood vessel that
is responsible for supplying blood to the brain
gets blocked suddenly (ischaemic stroke) or
ruptures, followed by bleeding (haemorrhagic
stroke)
■ Either of the conditions may lead to death of a
part of the brain, thus causing sudden
impairment (AIHW, 2018)
■ Clinical manifestations of stroke include high
blood cholesterol, obesity, diabetes mellitus,
previous TIA, and tobacco smoking (Annema et
al., 2016)
■ Risk factors include obesity, tobacco smoking,
physical inactivity, and high blood pressure
Figure 1- Mitral valve anatomy
Source- (Asgar, Mack & Stone,
2015)