Bianca’s situation Assessment 2022

Assessment task 3

Table of Contents
Introduction......................................................................................................................................3
Bianca’s situation.............................................................................................................................3
Collection of cues............................................................................................................................3
Processing of related health information.........................................................................................4
Identification and prioritization of three nursing issues..................................................................5
Establishment of goals for priority of nursing care.........................................................................5
Discussion of the nursing care of the person...................................................................................6
Evaluation of the nursing care strategies.........................................................................................8
Reflection on the Bianca’s outcomes and learning..........................................................................8
Conclusion.......................................................................................................................................9
References........................................................................................................................................9

Introduction
It is observed that when nurses possess effective clinical reasoning skills, they influence the
health outcomes of the patient positively. On the other hand, when nurses do not possess
adequate clinical reasoning skills or have poor skills, they fail to identify forthcoming patient
deterioration which sometimes results in “failure-to-rescue”. Clinical reasoning cycle denotes the
clinical judgements and clinical decision-making that are abstracted as a progressive and logical
process that involves eight different and important stages (Levett-Jones, 2013). In this
assignment Clinical Reasoning Cycle will be used as a framework to plan and evaluate person-
centered care for the case study of Bianca. It will discuss the delivery of ethical, legal, evidence-
based, holistic person-centered care.
Bianca’s situation
Bianca Lane is a 20 year old female who was brought into the Emergency department on having
severe pain in right lower quadrant abdominal region for last 2-3 days. She also complained of
nausea, fever and poor appetite. She has a history of asthma and depression. Currently, she is on
prescription of salbutamol, seretide and sertraline. She is compliant with the medicinal regime.
When her abdomen was physically examined and an ultra-sound was done, a perforated
appendix was diagnosed. And emergency laparoscopic surgery was done. 36 hours post
operatively Bianca was diagnosed with peritonitis following ruptured appendix.
Collection of cues
After 36 hours of operations, her blood pressure was reported to be 94/45 mmHg which indicates
that blood pressure was sinking and not under control. Heart rate was 136. Temperature was