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NRSG366 - Clinical Reasoning Cycle Report

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Australian Catholic University

   

Clinical Reasoning Cycle (NRSG366)

   

Added on  2020-03-04

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The scenario focuses on the care of a 59 years old New Zealand Maori woman admitted to the emergency department with hypertension and hypercholesterolemia. The report covers extensively the first three stages of the clinical cycle namely consideration of the patient situation, a collection of patient cues and information and information processing. It includes - setting of the scene, considering the patient situation and collection of patient cues and information.

NRSG366 - Clinical Reasoning Cycle Report

   

Australian Catholic University

   

Clinical Reasoning Cycle (NRSG366)

   Added on 2020-03-04

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Running Head: CLINICAL REASONING 1THE CLINICAL REASONING CYCLESTUDENT:INSTITUTION:DATE:
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CLINICAL REASONING: 2The clinical reasoning cycleSetting of the sceneThe scenario focuses on care of a 59 years old New Zealand Maori woman admitted to the emergency department with hypertension and hypercholesterolemia. The report covers extensively the first three stages of the clinical cycle namely consideration of the patient situation, a collection of patient cues and information and information processing. Mrs. Maori has reported alterations in body temperature, blood pressure, pulse and the respiratory rate but with a sustained blood sugar level which are fatal conditions in hypertension attacks for older people which are the patient's case. The conditions manifest rapidly and may potentially cause deadly consequences. Maintaining an electrolyte equilibrium and a standard fluid condition is integral in her care. The imbalances in the fluid have potential to cause morbidity and even mortality[ CITATION Jam171 \l 1033 ]. Effectual clinical reasoning abilities will help in recognition and management of the patient deterioration at an earlier time and hence prevent adverse client outcomes.Considering the patient situationWe have Mrs. Amari in the stroke ward in bed 10. She is 59 years old and has hypertension and hypercholesterolemia. She has been in the ward for 24 hours with numbness on the right side of her face and her right arm. Her speech is slurred and the right face having a slight facial drooping, the conditions changing occasionally. She moved from the New Zealand, Auckland, toAustralia where she has lived with her son for the past three years since the death of her husband.The client computed tomography (CT) showed normal intracranial and the magnetic resonance imagery (MRI) conditions. The patient has a steady gait and can swallow without many difficulties. Mrs. Amari can move her extremities and can follow commands. The eye pupils
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CLINICAL REASONING: 3were round, equal and had a typical response to light (4mm to 2mm)[ CITATION Sar172 \l 1033]. The situations were followed by a transfer from the original emergency unit to the stroke ward with a mini stroke diagnosis, a transient ischaemic attack (TIA), under a neurologist care. Currently, she has no facial asymmetry, and her numbness complaint has since subsided. The patient has also reported having tobacco use for 25 years having quitted during the recent ten years. Her family has a history of heart diseases, and she has a definite article with the concern. She only has random walks, and she has not been in regular exercise[ CITATION Ale171 \l 1033].The client's positive family history of heart diseases and prolonged tobacco use are the probable cause of the current condition. The other thing that intensifies the situation is the lack of regular exercise and lack of a personal care giver[ CITATION Naz17 \l 1033 ].AbbreviationsThe report makes use of some clinical terminologies as defined below. The abbreviations will help to provide information faster but can cause tragic consequences if not understood so their meanings must be got clearly[ CITATION Jin16 \l 1033 ].TIA- Transient Ischaemic AttackGCS- Glasgow Coma ScaleCT- Computer TomographyRMI- Magnetic Resonance Imagerymm- MillimetersCollection of patient cues and information
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