PDF Nursing - Assignment Sample

Added on -2021-04-21

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Running head: NURSINGNursingName of student:Name of university:Author note:
1NURSING Nursing practice entails demonstration of appropriate skills and competencies forenabling high quality care delivery across settings. Clinical reasoning has been repeatedly linkedwith desirable patient outcomes as nurses have the focus on complex yet logical thinking processfor solving problems. The Levett-Jones clinical reasoning cycle acts as a valuable clinical toolwith the help of which nurses are placed in a position to resolve critical patient problems andensure an informed decision. The cycle has eight distinct steps each with its own importance innursing practice (Abuzour et al., 2018). The present paper focuses on the application of theLevett-Jones clinical reasoning cycle to resolve the case study of Peter Mitchell. The aim is toprioritize the care needs of the patient and understand the comprehensive range of interventionsthat would be suitable for the patient. Identification of care priorities for the patient in the present case is the main aim of thispaper. The two care priorities for Peter are obesity and depression. An accurate analysis of thepatient’s condition would draw the conclusion that the symptoms suffered by him are a result ofhis obese condition. Further, depression is a prime factor for poor controlled diabetes andunhealthy lifestyle. While the reduction in body weight would help in better control of glycemia,recovery from depression would enable the person to have a better quality of life. Theidentification of the care priorities has been guided by the Levett-Jones clinical reasoning cycle. The first step in the clinical reasoning cycle is to consider the patient situation whenpresented in the healthcare setting. The patient, in this case, is a 52-year old male named PeterMitchell known to suffer from morbid obesity along with type 2 diabetes. His weight is 145 kgwhile his height is 170 cm. his earlier admission to the care unit was a result of sleep apnea,obesity ventilation syndrome, and most importantly poorly controlled hyperglycemia. Thephysician referred his admission as Peter was suffering from increased hunger, high BGL levels,
2NURSING shakiness, diaphoresis and difficulty breathing whilst sleeping. A referral was made to the localcommunity care unit as part of his discharge plan so that he could get constant support formanaging his obese condition and clinical comorbidities. The second step in the clinical reasoning cycle would be a collection of cues andinformation about the patient. The medical history of Peter Mitchell includes type 2 diabetes,obesity, hypertension, sleep apnoea, depression and oesophageal reflex disease. It is known thatthe patient has a habit of smoking about 20 cigarettes a day. He had been previouslyrecommended by a dietician to consider weight reduction while he was admitted to the care unitpreviously. In addition, he had received health education from the GP on weight loss benefits,together with advice on light exercise for weight loss from the physiotherapist. Peter had shownnon-compliance with such weight loss guidelines. The patient became jobless three years backand since then has gained considerable weight. He suffers fatigue, and his disturbed body imagecompels him to be socially isolated. In addition, performing daily activities of living ischallenging for him. For promoting his willingness to lose weight and quit smoking, there is aneed for support and guidance. He is presently under the medication regimen of insulin 30 BD,Nexium 20 mg, lisinopril 100mg, metformin 500 mg, metoprolol 50 mg, and pregabalin 50 mg.At the time of his discharge, his vital signs were RR 23 Bpm, BP 180/92mmHg, HR 102 Bpmand Sp02 95% on RA. Processing of patient information is the next crucial step in the clinical reasoning cycleand forms the basis for prioritizing patient care needs. In the present case, the main health issueof Peter is type 2 diabetes that is a noted chronic metabolic disorder. Type 2 diabetes is thecondition where there is increased blood glucose level of the patient for a prolonged period as aresult of the body’s inability to facilitate production of adequate insulin (Geiss et al., 2017).

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