Principles of Nursing-Medical: A Case Study Analysis

This presentation analyzes a common health issue in medical nursing using the clinical reasoning cycle method. A case study is considered and therapeutic interventions are provided demonstrating the pathophysiology associated with it.

PRINCIPLES OF
NURSING-
MEDICAL
-A case study analysis

INTRODUCTION
 Name-
 Student’s id-
 The objective of this presentation is to analyze a common health
issue in medical nursing using the clinical reasoning cycle method.
 A case study will be considered in this purpose.
 According to the identified issue, some therapeutic interventions will
be provided demonstrating the pathophysiology associated with it.

COLLECTING CUES AND
INFORMATION
 Complication- Obesity.
 According to the studies, 63.4% adults of Australia are overweight or obese
(Da Luz et al., 2017).
 The lifestyle of Mr. Joni is unhealthy. His alcohol consumption, smoking
habit and unusual diet pattern contributes to the issue.
 He has a history of hypertension, gout and acute myocardial infarction. His
moderate obstructive sleep apnoea requires CPAP for overnight sleeping.
 His height-weight ratio indicates excessive abdominal fat evident.

PROCESSING INFORMATION
AND IDENTIFYING THE ISSUE
 Obesity occurs when there is imbalance between energy
expenditure and calorie intake.
 It produces inappropriate expansion of the adipose organ.
 This in turn produces inflammatory cytokines along with the
progressive hyper-production of adipokines (Sainsbury, Hendy,
Magnusson & Colagiuri, 2018).
 The clinical manifestations include obstructive sleep apnoea (OSA),
hypertension, overweight, cardiovascular diseases and others
(Ylimäki, Kanste, Heikkinen, Bloigu & Kyngäs, 2015)
 In case of Joni, OSA, hypertension, overweight has been found as
complications.
Calorie
intake
Energy
expenditure
Imbalance
Expansion of adipose organ
Inflammatory cytokine
Obesity

IDENTIFYING ISSUE (PATHO)-
CONTINUED
 Obesity is a major contributor to the metabolic dysfunction which leads to
ischemic stroke. A study reveals1.86 persons per 1000 people with
obesity suffers from ischemic stroke (Lee et al., 2018).
 On a broader scale, it also influences organ dysfunction (Tate et al., 2016).
 As of 2015, it has been found in several studies that more than 600 million
adults around the world are obese (Buchmueller & Johar, 2015).
 In case of Mr. Joni, the symptoms clearly indicates obesity and its effects.

ESTABLISHING GOALS
 The main goal of the nursing interventions would be to improve the
condition of Mr. Joni’s health.
 In consultation of Mr. Joni, the goal of the interventions has been set.
 Mr. Joni will reduce 7-8 Kilograms of his weight within next six
months after the implications of the interventions.
 Mr. Joni will also reduce the amount of alcohol consumption and
cigarette intake.

TAKING ACTIONS
 Reviewing the individual cause of obesity and reviewing the
daily dietary habit which will help to focus on a realistic
picture about the amount of calorie intake and energy
expenditure (Ghosh, Charlton & Batterham, 2016).
 Formulating a diet plan with the patient using the knowledge
of his height, weight, age, and gender in order to ensure
adequate protein and low-fat intake (Lee, Park & Min, 2015).

TAKING ACTIONS-CONTINUED
 Encouraging the patient in some easy exercises
which will be appropriate as per his physical
condition as well as age.
 It will help Mr. Joni to loose weight and also,
exercise can provide relief in the stressful lives.
Exercise practice can also be helpful in
reducing the risk of ischemic stroke.
 Instructing the patient to keep record of the
exercises in order to track the intensity and
duration (Webb, Foster & Poulter, 2016).

TAKING ACTIONS-CONTINUED
 Educating the patient about the harmful effects of smoking cigarette
and consumption of alcohol.
 Showing images of some affected people as evidences will help the
patient to understand the facts about the harmfulness of smoking and
drinking (Taylor et al., 2017).
 Engaging the patient in more social activities during free time to
balance his emotional stability (Heath, Livingstone‐Banks, Hartmann‐
Boyce & Rice, 2017).

CONCLUSION
 Obesity is one of the leading health concerns around the world.
 In this case study, Mr. Joni is suffering multiple health
disorders that contributes to the worsening of the condition.
 This case study helped me to understand that with the proper
nursing interventions stated in this presentation, it is easier to
achieve a better health outcome and adequate weight
management.

WORKS CITED
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