Nursing Assignment: Case Study Analysis

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

1NURSING ASSIGNMENT
Development of care plan is an important aspect for patients who are suffering from
chronic healthcare condition as the care plan is developed depending on several physical,
mental and environmental factors (Kieft et al., 2014). While developing the care plan for such
patients, nursing professionals prioritize the care process and depending on the priority of care,
apply interventions in the care process so that improved outcome for the patient could be
obtained (Elwyn et al., 2014). As per Eaton, Roberts and Turner (2015), hence while applying
the nursing priority in the care process, the care professionals should implement patients needs
and requirements so that the care process could be aligned with the patients healthcare
requirements. In this aspect, clinical reasoning cycle by Levett- Jones helps the nursing
professionals to assess the need of the patient as it helps to align the patient’s complications
with the patients need and well-being to provide them care depending on their health priority
(Kieft et al., 2014). The clinical reasoning cycle discusses about patients current situation,
current cues, and then processes then so that the nursing priority could be determined and
interventions could be implemented in the care process (Eaton, Roberts & Turner, 2015).
This assignment would discuss about the case study of Peter Mitchell (52) and would
discuss about his improper handling of type 2 diabetes mellitus and associated obesity due to
which he developed conditions such as sleep apnea, hyper tension and started isolating himself
from the society.
As per the first step of clinical reasoning cycle, the healthcare condition of the patient
would be considered. In case of Peter, the primary concern for his healthcare condition is his
poorly managed type 2 diabetes mellitus, his excess body weight, sleep apnea which increases
the occurrence of secondary health conditions such as diaphoresis, shakiness, high level of
blood glucose concentration, increased hunger and hypertension. He is suffering from type 2
diabetes mellitus from 9 years and due to his improper management of diabetes, he is suffering
from distress, mental trauma and depression. As per Halter et al. (2014), prolonged period of
diabetes mellitus in patients above the age of 45 could lead to cardio- vascular disease. Hence,
his uncontrolled healthcare condition would be used for the determination of health priority.
Further, it is also seen in the case study that Peter weighs around 145 kg and as per Phelan et
al. (2015), patients with high weight and associated diabetes could affect the healthcare
condition of the patient due to his chronic risk factors. Further, it was seen through the
researches of Bastien et al. (2014) that overweight patients with increased blood sugar level has
higher risk associated with their organs health as the organs suffer from excessive weight and
pressure. Hence this information would be included in the cue. Further, while collecting the

2NURSING ASSIGNMENT
healthcare information, patients smoking habit would be collected so that while assessing the
impact of his body weight and diabetes, this habit and associated negative effect could be
collected.
After collecting the healthcare information of Peter Mitchell, all the cues from his case
study would be collected and then connected with one another so that the assessment of the
priority could be done. The first cue of his health condition is Peter’s uncontrolled type 2
diabetes that led peter to quit his job. he quit the job so that he could take insulin therapy
however, in those three years his weight increased from 105 kg to 145 kg, that decreased the
self- confidence and self- esteemed by making him conscious about his health. Further, it was
seen that the patient had prolonged diabetes condition, due to which he become depressed as
lost his hope for health improvement. Besides, due to his excessive body weight, he was unable
to connect to the society and isolated himself in his home. It was also seen in case of peter that
his hypertension and increased blood pressure affected the health outcome and made his
hunger uncontrolled. As per Raymond and Lovell (2014), patients with diabetes, obesity and
depression are always associated with overeating or malnutrition as they lose their health
improvement related hope and suffer from uncontrolled hunger. Further depression and stress
is also associated to shakiness in hands and legs with over- eating symptoms. Moreover, due to
prolonged disease condition, it is evident that patient becomes unable to maintain the diet and
nutritional balance and associate themselves with addictive habits which was also evident in the
case study of Peter Mitchell (Kristeller, Wolever & Sheets, 2014). Hence, these were the cues
that collected from the patient’s case study and hence, these would be used for the processing
information.
After the collection of cues, these cues would be processed from the above- mentioned
case study of Peter Mitchell. It is evident from collection of cues that one condition of his health
aspect is completely related to another healthcare condition. It is seen that the patient is
suffering from diabetes since 9 years due to which his risk factor associated to cardio- vascular
disease has increased. Further as per Lavie et al. (2014), the average body weight of 52 year
old healthy male is 72 kg with normal blood pressure, whereas the patient was observed with
145 kg of body weight. Therefore, the gap which was identified in the care process was his diet,
nutrition and his knowledge about his health complication, due to which stress and depression
condition also increased (American Diabetes Association, 2016).