Sample Assignment on Nursing
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Added on 2021-04-16
Sample Assignment on Nursing
Added on 2021-04-16
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Running head: NURSING ASSIGNMENT 366Nursing assignment 366Name of the student:Name of the University:Author note
NURSING ASSIGNMENT 366Case study 1Nursing care delivered to the patients with chronic illness needs to address multiplefactors. Chronic illnesses like obesity and diabetes are known to be multifactorial disease and areassociated with various comorbidities. It thus greatly influences the patient health outcomes. It isimportant for the primary care nurse to prioritise the care based on patient and the clinical needs.It is the integral par of the daily nursing practice to prioritise the patient’s need of care. Nursinginterventions can be effectively delivered when collaborating and intergrading the variousaspects of the patient’s needs. It helps to maximise the care activities. This process requiresnurses to have clinical reasoning and decision making skills (Gee, Dalton & Levitt-Jones, 2015).The essay deals with the case study of Peter Mitchell, 52 year old male with morbid obesity andtype 2 diabetes. In regards to the case study the essay presents the priorities of care while applyingthe Levett-Jones clinical reasoning cycle. Clinical reasoning cycle revered by Jones, is the tool to develop goal driven patient carethrough a systematic process of considering many contributing and predisposing factors. There are 8stages in this cycle. The first stage involves considering the patient’s situation (Gee, Dalton &Levitt-Jones, 2015). In the given case study, Peter Mitchell is a 52 year old male was admitted tohospital with morbid obesity and type 2 diabetes. The patient was noted with obesity ventilationsyndrome, sleeps apnoea and poorly controlled diabetes. He was referred by his GP after presentingthe symptoms of diaphoresis, increased hunger, and symptoms of shakiness, high BGL levels anddifficulty breathing whilst sleeping. The second stage of the clinical reasoning cycle is collectingcues and information. It refers to reviewing the patient’s current medical history and collectingspecific information on the present activity treatment (Gee, Dalton & Levitt-Jones, 2015). Thehistory of the patient highlights Peter as smoker for past 30 years Peter was reviewed by
NURSING ASSIGNMENT 366physiotherapist and recommended light exercises His dietician recommended for low energy andhigh protein diet for weight loss. Medical history the patient includes depression diagnosed threemonths, hypertension, obesity, sleep apnoea, gastro oesophageal reflux disease. Social history of thepatient reveals loss of job, significant weight gain and embarrassments due to weight gain. Socialisolation, poor performing activities of daily living, may be associated with his illness and weightissue. The third stage of the clinical reasoning cycle is processing information to recognise thechanges related to past health condition, predict outcomes recognise need of immediateintervention (Gee, Dalton & Levitt-Jones, 2015). In case of Peter the fatigue may be associatedwith his high weight. Reduced physical activity may be due to unemployment. It increases riskfor apnoea and other health conditions. Obesity and diabetes pose risk for cardiovascular diseaseas the patient also has hypertension. His social isolation and health deterioration may haveincreased the depression (Choi & DiNitto, 2014). The fourth stage of the clinical reasoning cycle is the identification of problems and issues.These processes require examining the fact and then establishing definitive goals (Gee, Dalton &Levitt-Jones, 2015). As per the case study Peter with height 170 cm and weight 145 kg indicateobese. Obesity is confirmed or diagnosed in a person when the BMI is more than 30. In case ofpatient the BMI is calculated to be 50.2 and is indicating very high obesity (Mark & Somers,2016). The patient has presented in hospital with the ventilation syndrome and sleep apnoea.Both the symptoms exist together in the patients diagnosed with obesity. The ventilationsyndrome is the breathing problem in obese patients resulting in low oxygen levels. It results inobstructive sleep apnoea, where an individual stops breathing for short intervals when sleeping.
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