Nursing Assignment: Marcel's Case Study

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT MARCEL’S CASE STUDY
Name of the student
Name of the university
Author note

1NURSING ASSIGNMENT
Introduction
Clinical reasoning cycle by Levett-Jones is an important and critical strategy, application
of which enables the care professional with identification of patients primary concerns and the
allow them to decide the priority of care, so that effective care could be provided (Levett-Jones,
Courtney-Pratt & Govind, 2019). In this aspect, the clinical situation of Marcel Lever (70) would
be discussed who has been identified with severe risk factor for diabetes due to his uncontrolled
obesity and his improper management of hypoglycemic condition. Therefore, this paper would
discuss two important nursing priorities for the patient so that effective interventions could be
applied.
Nursing priorities
Patient consideration and collection of cues
Marcel Lever (70) is a retired farmer who has a family history of type 1 and type 2
diabetes conditions. He has been suffering from hypertension and recently has been found with
hyperglycemia. He is 180.5 cm tall and as per his height, his weight is uncontrolled and he
weighs 116 kg. Hence he is obese and reported weakness and fatigue. These patient
considerations could be processes and the cues from the latest research articles should be
collected as per the Levett-Jones clinical reasoning cycle (Levett-Jones, Courtney-Pratt &
Govind, 2019). Researchers Nap-van der Vlist et al. (2018) identified that increased weight,
fatigue and weaknesses are clear indication of diabetes and the patient should know about the
management skills so that he could manage his diabetic condition at an early stage.
Identification of priorities and goals

2NURSING ASSIGNMENT
The abovementioned discussion indicated to the fact that patient requires proper
knowledge of his increasing risk factor associated with diabetes and the way he could manage
and control the increasing blood glucose level. Further, it was also seen that the patient has
developed retinopathy and neuropathy. Therefore, in this aspect hence, the first priority for
the patient would be managing his medication and maintaining accurate and timely
medication so that her risk of diabetic condition consumption so that patient improvement
could be obsereved. As per Gautam, Bhatta and Aryal (2015), accurate medication is an
intervention that could help the patients to overcome their critical healthcare condition
within a specific time period by increasing their affinity for effective health condition,
control and management of critical healthcare condition (White et al., 2016). Further
researchers also found that with improper management of medication among the patients
suffering from critical healthcare conditions increases their risk factor of developing
complications. This is because they become unable to follow the medication routine
developed for their medication management and their healthcare improvement hindered
(Nap-van der Vlist et al., 2018). Therefore, as per Heijmans et al. (2015), application of
medication administration schedule with management skills training for diabetic condition
would help the nursing professionals to increase the patient’s affinity with the
interventions.
The second intervention that would be selected for Marcel Lever would be
increasing his knowledge acquisition on skills of self-management with diet and nutritional
chart so that by following it, he could manage his increasing obesity condition and could
take his medication effectively. As per the International Diabetes Federation (2019), self-
management is an effective means using which the blood glucose level among individuals