Sample Paper on Nursing (pdf)
Added on 2021-04-24
10 Pages2616 Words142 Views
Disease and DisordersNutrition and WellnessHealthcare and Research
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Running head: NURSINGNursing Name of the student:Name of the University:Author note
NURSINGCase Study One-Peter MitchellChronic health conditions are multifactorial in nature and the care process by nurse mustinvolve the clinical and patient needs. The treatment outcomes are affected by multiple factorsand the nurse must be aware of different factors affecting the patient’s health (Helgeson &Zajdel, 2017). The essay deals with the case study of Peter Mitchell are a 52 year old male withmorbid obesity and type 2 diabetes. The aim of the essay is to prioritize the patient needs for careintegrating the different aspects of patient needs. Prioritization refers to use of clinical reasoningand decision making skills to design care process that can avoid adverse outcomes (Urden, Stacy& Lough, 2015). In reference to the chronic condition presented in the case study, the essay willidentify and discuss two priorities of care while applying the clinical reasoning cycle by Levett-Jones. It is a non-linear process to analyse the series of contributing and predisposing factors. It helpsdevelop goal driven patient care (Dalton, Gee & Levett-Jones, 2015). The clinical reasoning cycle involves eight stages, where the first stage is “consideration ofpatient’s situation” (Dalton, Gee & Levett-Jones, 2015). In the given case study Peter, 52 year oldmale is admitted to the medical ward with morbid obesity and type 2 diabetes. The patient ispresented with the poorly controlled diabetes, obesity ventilation syndrome and sleep apnoea. Thesecond stage of the clinical reasoning cycle is “collection of cues and information”. In this stage thepatient’s current information is reviewed using case history, previous assessment and newinformation is collected through further assessment (Dalton, Gee & Levett-Jones, 2015). Thepatient history shows obesity and type 2 diabetes, hypertension, sleep apnoea and depression. Thepatient also has history of gastro oeasophageal disease reflux and smoking (for 30 years). Thepatient was previously on high protein diet to reduce weight. Peter had difficulty coping with the
NURSINGweight loss. He was instructed for light exercises by his physiotherapist. As per the patient socialhistory, he lost his job due to insulin therapy. His weight gain, obesity and diabetes interfered withhis occupations and that added to his fatigue and other health issues. Overweight is also interferingwith his activities of daily living, and may have increased risk of apnoea. It added to sociallyisolation. He lives alone and lacks emotional support, which may also be the cause of stress and poorhealth. However, the patient is motivated to quit smoking and lose weight with appropriatesupervision. The patient’s assessment results showed BP 180/92mmHg, height 170cms, Weight145kgs, HR 102 Bpm, Sp02 95% on RA, RR 23 Bpm. The handover informs different medicationsfor abnormal vital signs and diabetes. The untreated condition may increase the risk of cardiovascularproblems and other comorbidities (Koolhaas et al., 2017). An important part of clinical reasoning cycle refers to “processing of information”. Itinvolves interpreting the information, relating with the clinical knowledge to prioritize care (Dalton,Gee & Levett-Jones, 2015). It will better help to prioritize the care. The weight and height of thepatient indicates a BMI of 50.2, which much greater than the normal range of 30, indicatingobesity (Mark & Somers, 2016). Obesity is associated with ventilation syndrome and sleepapnoea. It may be the cause of upper airway obstruction that is causing the episodes of shallowbreathing, when sleeping. Smoking also results in airway obstruction and apnoea (Krishnan etal., 2014). The patent may be immediately provided with oxygen. It may increase the risk offurther health deterioration. Hypertension may be due to high blood pressure and increased heartrate. If untreated it may worsen diabetes as the patient is obese, which also influences bloodpressure (Heymsfield & Wadden, 2017). Increase in respiratory rate, blood pressure, highglucose level may increase the risk of heart failure or collapsibility of pharyngeal tract. Excessadipose tissue restricts the movement of diaphragm and that of chest muscles (Mark & Somers,
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