Mrs. Gina Bacc’s Case

Running head: MRS. GINA BACC’S CASE 1
Mrs. Gina Bacc’s Case
Name
Institutional Affiliation

MRS. GINA BACC’S CASE 2
MRS. GINA BACC’S CASE
Introduction
Clinical Reasoning Cycle (CRC) remains one of the abundantly utilized models for
clinical practice during the nursing case situations (Clinical Reasoning – Begründet handle,
2015). It is a clinical decision-making technique that assists nurses to establish the most feasible
and scientifically reasonable steps for care planning as well as implementation procedure. CRC
was coined by Levett Jones in his attempt to integrate a model protocol for professional nurses to
follow when providing care for patients which is holistic, optimal as well as patient-centric. This
essay shall try to provide a care plan using the seven steps of CRC based on Mrs. Gina’s case to
analyze and discuss the underlying pathophysiology; identify two major nursing priorities of care
and provide justification; and outline and justify the appropriate and safe nursing management
for Mrs. Gina hence effectively answering the three questions.
Question 1: Step 1 - 3 of CRC
In this section, I will be critically analyzing and discussing the underlying
pathophysiology of Mrs Gina based on the case study.
Considering Patient Condition
The analysis of the case scenario remains the initial step of action which a nursing care
professional must undertake to start the activities of care. This nursing care step aligns with the
initial phase of CRC. Berman et al. (2015) hold that situation of the patient examination is the
initial step of CRC which assist in establishing the present patient’s situation that assist the
nursing professional to comprehend the present health needs and issues of the patient. This is the
stage which allow the nurse to get a preliminary comprehension of a patient, his illness, and
influence of illness on health alongside wellbeing and ability to go about her day without any

MRS. GINA BACC’S CASE 3
risk or mishap (Zaccardi, Webb, Yates & Davies, 2016). The case scenario analysis of the patient
reveals Mrs. Gina Bacci who is a 49-year-old Italian lady (with poor English) admitted to
hospital two weeks ago for surgery after complications from her right foot ulcer. Mrs. Gina
underwent surgery under general anaesthetic, for her partial amputation of forefoot alongside the
great and first toes. Mrs. Gina has three main health concerns including a long history of Type II
diabetes (diagnosed six years ago); Peripheral Vascular Disease (PVD), and Obesity (BMI
40.4m2; Height 165 Cm and Weight 110 Kgs). The subjective and objective health information
collected reveals that Mrs. Gina has worsening diabetes and has since commenced on insulin
during her admission to hospital. She was discharged from hospital seven days ago and has
presented to the outpatient department for additional wound assessment as well as management.
She is, however, not due to see her surgeon for her follow-up post-operative appointment for
additional two weeks. Present medications on discharge one week in the past include Novorapid
TDS 12 units; Lantus 30 units nocte; Pregabalin 75 mg mane; and Paracetamol 1g QID.
Gathering Information and Cues
The second stage of care plan shall need to emphasize on patient data dissemination.
Based on CRC, this stage of collecting patient cues perfectly aligns with this step. It must be
understood that this stage enables the nurse to collect significant health adversity cues both from
the patient and past general physician or team of health care which the patient has been linked to
in the past (Boyd, 2011). This stage shall highlight the information collection by interviewing the
patient about his psychological and physical needs and obtaining information from the past
general physician, dieticians, physiotherapist to unravel what specific intervention have been
undertaken for the patient and what progress she has made. Based on the interview I undertook
with Mrs. Gina, she admits to sometimes forgetting and does not think she needs to take all her