Partnerships in Chronicity - Assignment
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Added on 2021-04-24
Partnerships in Chronicity - Assignment
Added on 2021-04-24
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Running head:PARTNERSHIP IN CHRONICITY Partnership in Chronicity Name of student:Name of university:Author note:
1PARTNERSHIP IN CHRONICITYIntroductionHealthcare professionals are required provide high quality and safe healthcare servicesthrough proper approach to decision making. The provision to ensure continuity of care is relianton critical thinking and judgment making ability. Clinical reasoning has been denoted to be acomplex cognitive process that focuses on thinking strategies to ensure better patient outcomes.The Levett-Jones clinical reasoning cycle is an effective tool using which nurses can solveproblems and make informed decisions while caring for the patients. The different componentsof the cycle are consider analysis of patient condition, collection of cues, processing of theinformation, identification of patient problem or situation, planning and implementation ofinterventions, evaluation of outcomes and reflection on the process. The present paper appliesthe clinical reasoning cycle to a case scenario of Peter Mitchell for prioritizing care needs andunderstanding the best suited interventions for the student. Consideration of patient situationThe patient in the present case is Peter Mitchell, a 52 year old male who is suffering frommorbid obesity and type 2 diabetes. he is overweight at 145 kg and his height is 170 cms. Thepatient had been admitted to the medical ward due to poorly controlled diabetes, sleep apnea andobesity ventilation syndrome. He had suffered symptoms of increased hunger, shakiness,diaphoresis, high BGL levels and difficulty breathing whilst sleeping. The patient has beendischarged home with referral to the community care unit for follow up and ongoing support formanagement of clinical comorbidities and obesity.
2PARTNERSHIP IN CHRONICITYCollection of cues/information Peter Mitchell has a past medical history of obesity, type 2 diabetes, hypertension,depression, sleep apnoea and gastro oesophageal reflex disease. Peter is a smoker and smokesapproximately 20 cigarettes per day. While he was previously admitted to a care unit, a dieticianhad recommended a diet for weight reduction and the GP had educated him about the importanceof weight loss. A physiotherapist had also suggested light exercises to promote weight loss. Peterhad however showed non-adherence to such weight loss guidelines. Peter is an unemployed male who had lost his job three years ago. He had gainedconsiderable weight after he lost his job and started taking insulin. He suffers from frequentfatigue and his uncomfortable about his body image. He is socially isolated and rarely goes out.Further, he is challenged to carry out his daily activities of living. Though he is motivated atpresent to lose weight and quit smoking, he needs support and help in this regard. His currentmedications include insulin 30 BD, metformin 500 mg, lisinopril 100mg, nexium 20 mgmetoprolol 50 mg, and pregabalin 50 mg. At the time of his discharge, his vital signs were BP180/92mmHg, RR 23 Bpm, HR 102 Bpmand Sp02 95% on RA. Processing of informationThe chronic condition that Peter is suffering from is type 2 diabetes which is a metabolicdisorder marked by prolonged increase in blood glucose level due to body’s failure to producesufficient insulin (Mohamed, 2014). The prominent risk factors for diabetes include obesity andsedentary lifestyle. In the present case, peter is obese at 145 kg and he has also been having a
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