Nursing Assignment Sample (docs)

Running head: NURSING ASSIGNMENT
1
Nursing Assignment
Student’s Name
Institutional Affiliation

NURSING ASSIGNMENT 2
Nursing Assignment
The capability to critically think is imperative in the nursing practice. It ensures a
patient’s personal and clinical needs are fulfilled hence the provision of medical care is
appropriate and efficient. Additionally, clinical reasoning will be paramount in identifying and
prioritizing health concerns regarding 52-year-old Peter Mitchell. Two care priorities will be put
forth and critically examined to help the patient lead a better life. A primary health care nurse
will utilize his medical history to be able to provide the relevant care he requires. Type 2
Diabetes is a chronic disease which manifests itself either when the body fails to make an
effective or actual use of the insulin which it produces or when the pancreas fails to produce
sufficient insulin. This paper seeks to identify and prioritize complications and medical concerns
regarding 52-year-old Peter Mitchell. Two care priorities will be acknowledged and extensively
examined by a primary healthcare nurse to help this young patient manage living with this
condition.
Clinical reasoning is an important way of making health decisions. It is largely used by
healthcare professionals when dealing with patients who have chronic illnesses such as Peter
Mitchell. Clinical reasoning, therefore, facilitates systematic problem solving which enables
medical practitioners to better assess, create and implement the most relevant care for patients
(Kassirer, 2010). In the nursing practice, most medical resolutions are complex and rely on many
factors. Consequently, it is necessary for healthcare professionals to depend on a standard
decision-making tool (Simmons, 2010). The utilization of a clinical reasoning cycle enables
creative thinking in formulating clinical management plans for patients.
Morbid obesity is a severe health condition which interferes with the basic physical
functions of the body, for instance, walking or breathing. People who have morbid obesity like

NURSING ASSIGNMENT 3
Peter Mitchell have a higher risk of getting other ailments such as sleep apnea, gastroesophageal
reflux condition, heart disease, cancer, osteoarthritis, gallstones or diabetes (Sturm and Hattori,
2013). Health conditions related to obesity lower life expectancy. Normally, obese individuals
are resistant to insulin that is paramount in regulating blood sugar (D’Hondt, 2011).
Consequently, they end up getting more blood sugar hence resulting to the type 2 diabetes which
is quite chronic.
Weight loss is one of Peter Mitchell’s care priorities. The primary health-care nurse
will aid him loose weight hence controls morbid obesity and subsequently the type 2 diabetes
(Chatterjee, Khunti and Davies, 2017). In addition, this is because these adverse medical
conditions are greatly interfering with his quality of life. Furthermore, he has developed fatigue
hence is unable to work due to his weight. The implementation of this care priority will make
Peter stop feeling socially isolated.
The primary health-care nurse ought to provide Peter with patient education on how to
handle his weight issue. Peter should be encouraged to continue with the high protein and low
energy diet. Additionally, Peter should start eating a low carb diet as it has several advantages. A
low carb diet makes people eat less food and they also have fewer calories (Pontiroli and
Morabito, 2011). Generally, individuals on this diet burn 300 more calories daily when resting.
Another benefit is that it reduces one’s hunger significantly hence makes it easier for a person to
consume less food. Peter can also be enlightened to only eat when he is hungry.
Peter is supposed to cut on meals that have a lot of starches and sugars. Additionally,
this reduces hunger levels hence the consumption of fewer calories. Another advantage is that
reducing starches and sugars also leads to a decline in insulin in the body making the kidneys to
shed additional water and sodium. Furthermore, it leads to a reduction in bloat and excessive