Stroke: Mr. Tomasi Joni Case Study

STROKE
Mr. Tomasi Joni Case Study
Student Name:
Student ID:
Introduction
 People are likely to develop health complications
in their daily lives.
 Factors determining possible health complications
include lifestyle, one’s past medical history,
occupation and the family medical history among
others.
 Identification of the possible health complication
to be developed by Mr. Tomasi Joni has been done.
 The identified potential health complication has
been discussed using the “Levett-Jones’ (2018)
Clinical Reasoning Cycle Steps 1-6”.

Step 1: “Consideration of the facts from
the patient situation”
 Under this step, the patient current situation is
analyzed (Hunter & Arthur, 2016). Considering
the current health status of Mr. Tomasi Joni, the
following information has been drawn.
 He has a high blood pressure of 142/96mmHg.
 His heart rate is 96bpm.
 His retention rate is 22bpm, body temperature
is 36.7 Degree Celsius and SpO2 96% on RA.
Retention rate, body temperature and SpO2 on
RA are all ranging within the normal gap.

Step 2: “Collection of information”
 In this step, the patient past history of medication, his or
her current treatment plan and the obtained results after
investigation are considered (Nyangaresi, 2018).
 Mr. Tomasi Joni had suffered from hypertension, gout, Acute
Myocardial Infarction (AMI) and Moderate Obstructive Sleep
Apnea (OSA).
 Currently he has medications of Metoprolol, Aspirin and
Allopurinol.
 He has a body weight of 93 kilograms, a height of 1.7
meters, waist circumference of 104 centimeters and excess
abdominal fats.
 His level of cholesterol is high at 9.2mmol/L.
 His fasting level of glucose is 9.6mmol/L which is risky
since it exceeds the normal level of 7.0mmol/L.

Step 3: “The gathered information processing”
 Under this step, the gathered
information about the patient
current health status is processed
while considering pathophysiology
and pharmacology in order to
make the best decision.
 Mr. Tomasi Joni blood pressure is
considered to be high at
142/96mmHg.
 Mr. Tomasi Joni is also obese.
 His cholesterol level of 9.2mmol/L
is also high. This signifies that Mr.
Tomasi Joni is at risk of
Atherosclerosis (Hansson &
Hermansson, 2011).
 His fasting blood glucose level is
also high at 9.6mmol/L.