Case Study Analysis of John Wells for Nursing Assignment

Running head: NURSING ASSIGNMENT
CASE STUDY ANALYSIS OF JOHN WELLS
Name of the student
Name of the university
Author note

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Introduction
Priority based nursing care is an effective approach that helps nursing professionals to
understand the critical health complication of the patients and arrange their complications
depending upon priority of care to include quality and effectiveness in the care process (Shi
and Jiang 2018). This requires the nursing professionals to be skilled to understand the
priority of care for patients so that they could implement effective care for the patients to help
them to overcome their health complications (da Costa, da Costa Linch and Nogueira de
Souza 2016). One such approach that helps them in this priority based nursing practice is
Clinical Reasoning Cycle, developed by Levett-Jones, which includes six steps
implementation of which, helps to analyse the priorities for care (Dalton, Gee and Levett-
Jones 2015).
This paper would also use the Clinical Reasoning Cycle (CRC) to analyse the case
study of John Wells (82) so that his care process could be prioritised and using the steps of
CRC, his interventions could be developed.
Considering patient condition
This case study is of John Wells (82), who is a dairy farmer and has been brought in
the healthcare facility’s emergency department. His son brought him in the healthcare
facility, after he received a call from his mother Mavis. It was mentioned in the case study by
John that while returning home from his farm, he fell from his motor bike. He mentioned that
he fell from his motorbike because of instability and after that he fell on his left side, due to
which his head strike the ground. Exactly after this incidence, the patient developed critical
health condition with complications like nausea, dizziness and headache. His wife Mavis
noticed that John is unable to remember things that he performed since morning and he also
developed lack of appetite and these were the conditions that his wife noticed as a drastic

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change after his accident. His son also mentioned that his father did not have any head injury
in the past and no other of his past healthcare complications could be used to justify his
recent health complications associated with headache, nausea and dizziness. Concussion
could be one risk factor that the patient may develop after the left side of his head hit the
ground after accident and due to this concussive damage, he might felt dizzy, or persistent
lack of appetite (Max 2016). Besides this, there are other conditions, due to which the patient
develop dizziness or headache, such as sudden drop in blood pressure or blood glucose level
due to which the patient felt nauseated and weak. Therefore, after considering patient
condition, one aspect that was found to be effective for the health complication of Mr. Wells
was associated with his risk of concussion cue to which he developed health complications of
nausea, dizziness and headache. Hence, in such condition, it is important to collect cues of his
health condition through vital assessment or some important physiological analysis so that the
actual complication could be effectively analysed.
Collection of cues and patient information
After admitting John Wells in emergency ward and understanding the complications
after which the patient was brought to the healthcare facility, it was important to collect the
cues of the patient condition and then analyse them to develop specific interventions. The
vital signs of John, included his body temperature, his blood pressure, pulse and respiratory
rate and oxygen saturation levels. He had optimum body temperature, with slightly increased
blood pressure (148/84 mmHg) and his pulse rate and respiratory rate was also found to be
optimum. Therefore, from vital signs it was difficult to collect cues for his health
complications associated with headache, nausea, dizziness and his lack of appetite. Hence, to
analyse the patient condition and to analyse the reason of his health complications and lack of
appetite, presence of any internal brain injury in the patient’s body should be analysed.