Case Analysis Of Patient Post Bowel Respection Surgery

Running Head: SURGICAL CASE ANALYSIS 1
SURGICAL CASE ANALYSIS OF PATIENT POST BOWEL RESECTION SURGERY
Student Name:
Student Number:
Date:

SURGICAL CASE ANALYSIS 2
Introduction
The Clinical Reasoning Cycle is responsible for delivering genuine and thorough information
for detecting the condition of a patient. The process through which the nurses' in-charge gathers
information to comprehend a patient's situation is chiefly known as the Clinical Reasoning
Cycle, in its abbreviation form, CRC. Following the procedures of diagnosis, proper nursing
interference is taken on. This interference broadly involves pharmacological attributes while
treating the patient. Vital signs are also involved in terms of case analysis. In this case study, the
impression of Ted's surgery on him and his family will be critically discussed. After that, the
association between the pathophysiology and literature evidence is also included. Along with
these, the sole purpose of nursing intervention is provided. Finally, the utilizing of
pharmacological interventions for controlling Ted's port operative situation is also developed.
Question 1: RLT Model for identification of the patient situation
The first stage of CRC or Clinical Reasoning Cycle involves understanding the detail of the
patient's condition to comprehend the spiritual, cultural and biopsychosocial blow that the
surgery usually leaves over Ted as well his family (Gee et al, 2015). Here, the case of Ted is
presented following bowel resection surgery. The surgery was taken on to form a temporary
colostomy, along with it he has been associated with several comorbidities. Through the aid of
RLT or Roper-Logan-Tierney Model for nursing, an individual can conveniently determine the
cultural, spiritual and biopsychosocial outcomes of Ted's surgery (Williams, 2015). However, the
most significant impact that he has dealt with involves biopsychosocial. The one who is
presented in the case study, Ted stays by himself whereas his daughter inhabits a close-by city.

SURGICAL CASE ANALYSIS 3
Ted needs incessant medical care, pharmacological interferences, and nursing care to treat his
present health condition. Moreover, the partner who stays in the same village, Gwen is also too
aged to look after Ted. However, Ted is pre-diagnosed with several critical health issues such as
a record of heart failure. He was also diagnosed with malignant mass during his coloscopy. With
such a vital record of medical health, Ted constantly requires nursing care and also treatment
from expert clinicians. His family will be concerned about his health owing to the
biopsychological impacts of his surgery and subsequent ways of controlling his situation.
However, Ted necessitates both cultural and spiritual assistance for overcoming for dealing
with his current medical health. In fact, because of his old age, the only thing that can help both
him and his family is for dealing with this complex situation is cultural and spiritual support.
Question 2: Processing information for identification of the problem
Stage 2 comprises of collecting relevant data, which will further help in determining stage 3.
In the third stage, the gathered information will be availed of to process the information and
detect the pathophysiological issues in case Ted's situation. Edward Ted is a patient of 82 years
who had gone through a temporary creation of a colostomy. The formation was followed by 4
days of his bowel resection operation. The comorbidities that were involved in his case include
heart failure, malignant mass detection by coloscopy, type II diabetes melilities, obesity, and
gout. As mentioned above, Ted, the widower lives completely alone. Moreover, he even feels
nausea and has thrown up two times. Also, some of the criticalities such as high blood pressure
at 135/85, a fever with T38.1, etc are noticed in his case. However, Ted's HR was normal at 98
but his RR is quite high at 26. He also suffers from pain while palpitating at 7/10 and his SpO2