logo

Nursing assignment : Clinical Reasoning Cycle

   

Added on  2021-04-24

9 Pages2378 Words87 Views
Running head: NURSING ASSIGNMENT ASSESSMENT OF CASE STUDY THROUGH CLINICAL REASONING CYCLEName of the StudentName of the UniversityAuthor note

NURSING ASSIGNMENT1In the clinical literature, the term Clinical Reasoning Cycle (CRC) is termed as theprocess through which healthcare experts collect indications, determine a plan of action toimplement chosen intervention (Dalton, Gee & Levett-Jones, 2015). Further they conduct anevaluation of the process outcomes and finally undergoes a reflective process to understand theprocess and critically analyses it. This clinical reasoning process is not a simple and linearconcept but a spiral link of clinical processes conducted for the betterment of the patients(Kriewaldt & Turnidge, 2013). This concept is important for nursing professionals as Nurseswith effecting clinical reasoning ability impacts the patients wellbeing positively, whereas, poorreasoning skills fail to determine the deteriorated patient condition (Hunter & Arthur, 2016).According to New South Wales Health Incident Management report (2018), the prime reasonsfor the increasing escalations related to healthcare are due to failure in proper detection ofsymptoms, failure to implement appropriate interventions and failure in managing adversepatient situations within the facility. This assignment will be discussing the use of CRC insequential progress of the healthcare of Peter Mitchell (52 years) and help the patient to achievecomplete wellbeing. In the case study, Peter Mitchell (52 years) has been detected with type 2 diabetes andmorbid obesity. He is a chain smoker since 30 years and smokes 20 cigarettes every day. He issuffering from sleep apnoea and diaphoresis. Socially isolated Peter is divorced and his sons donot visit him as there is no such close relationship between them. He is suffering from depressionas he is unable to perform his activities of daily life. Further, peter also visited a dietician andnutritionist and he was currently on high protein and low carbohydrate diet so that he can lose hisbody fat and forwards to a speedy recovery. This is how the patient’s situation was assessedthrough clinical reasoning cycle.

NURSING ASSIGNMENT2Further, in case of Peter, the past medical history involves Diabetes type 2 since last 9years, obesity (with 145 kg body weight and 50.2m2 BMI), hypertension and depression(diagnosed by a GP three months ago). Further, he is being suffering from sleep apnoea andgastrooesophageal disease reflux disease. On current evaluation through patient assessment itwas observed that he is not aware about the consequences of his critical situation and does notfocuses on health literacy. His obesity and diabetes are not under control due to his negligencetowards the diet chart provided by the dietician that leads to increase his weight. Moreover,increased weight has led him develop obesity hyperventilation syndrome, diaphoresis, shakiness,high blood glucose level and increased hunger. His blood pressure readings 180/92 made himvulnerable to cardiac disorders in future. He was highly overweight and hence, the chances ofgastro oesophageal disease reflux disease was diagnosed in critical stage in his body. The first connection that is observed in the current and past medical condition ofPeter was regarding his diabetes and moderate to high obesity, hence, weight managementis the first priority. Peter was unaware of the ‘dos and don’ts’ of diabetes and obesity that leadhis increase his weight and the severity of obesity also increased. As the body starts storingenough glucose within the cells as glycogen, however it fails to produce enough insulin toregulate the blood glucose, the individual develops type 2 diabetes (Cnop, Foufelle & Velloso,2012). Furthermore, according to Esser et al., (2014), the fat cells around the abdomen releases atype of pro-inflammatory chemicals that has proven to inactivate the efficiency of insulin.Therefore, as in obese people, the level of pro-inflammatory chemicals are more than others,they tend to become affected with obesity. Hence, in case of Peter, poor management of obesityand diabetes is the prime reason for the development of obesity hyperventilation syndrome. Peteris currently facing difficulty in breathing that can affect his lungs in future as the concentration

End of preview

Want to access all the pages? Upload your documents or become a member.

Related Documents
(PDF) Patients as Partners in Managing Chronic Disease
|9
|2508
|9

Sample Assignment on Nursing
|9
|2449
|98

Evaluation of Case Study: Clinical Reasoning Cycle
|8
|2630
|67

Case Study on Primary Health Care Setting
|9
|2557
|34

Case Study on Peter Mitchell
|7
|2527
|153

PDF Nursing - Assignment Sample
|9
|2404
|814