Clinical Reasoning Analysis: Jack's Post-Colectomy and Colostomy Care

This report provides an analysis of nursing clinical reasoning in the context of a patient, Jack, diagnosed with colon cancer who underwent a partial colectomy and colostomy. The report outlines the process of gathering further information about Jack's condition, emphasizing the importance of monitoring vital signs such as respiration rate, pulse rate, temperature, blood pressure, SpO2, urine output, and blood glucose levels to assess his post-operative status. It also details the immediate and short-term problems associated with colectomy and colostomy, including pain, bleeding, infection, and other complications. Furthermore, the report delves into the stages of nursing clinical reasoning, including data collection, analysis, problem identification, and intervention planning, to provide comprehensive care for Jack. The conclusion highlights the significance of clinical reasoning in patient care and the use of various tests for monitoring and assessment. This report serves as a valuable resource for understanding the application of clinical reasoning in a real-world healthcare scenario.

Nursing clinical
reasoning

Table of Contents
INTRODUCTION...........................................................................................................................1
MAIN BODY...................................................................................................................................1
Gathering further information about Jack's condition.................................................................1
Immediate and short term problems of Jack...............................................................................1
Nursing clinical reasoning...........................................................................................................2
CONCLUSION................................................................................................................................2
REFERENCES................................................................................................................................3

INTRODUCTION
Nursing clinical reasoning refers to a procedure through which nursing staff can collect
cues, process the information, come to an understanding of a patient problem or situation. It
include analyse the actual medical condition of an ill individual to plan & implement
interventions, evaluate outcomes and reflect on the same (Rice and et. al., 2014). The given
report is based on selected case study about Jack having problem of cancer of colon. It will also
include immediate and short term problems after having partial colectomy and formation of
colostomy.
MAIN BODY
Gathering further information about Jack's condition
According to the given case scenario, Jack was suffering from cancer of colon and has
partial colectomy and formation of colostomy. It is necessary to monitor actual condition of
patients by evaluating respiration rate, pulse rate, temperature, blood pressure, SpO2, urine
output and blood glucose level (BGL). However, these tests are helpful to analyse actual medical
situation of Jack along with monitoring after effects of surgical process to take appropriate
actions to overcome with issues (Cummings and Connelly, 2016). Moreover, surgical process of
colectomy and colostomy may create severe complications which are required to be determined
earlier to take desired steps to solve particular issue.
Immediate and short term problems of Jack
Jack has partial colectomy and formation of colostomy which has certain after effects on
body in that few of them can be considered as immediate problems and rest of them are shot
terms issues. Initially, process of colectomy has number of immediate and short term problems
such as pain, fatigue, bleeding, blood clots, diarrhoea, constipation, a blockage in intestine,
inactive intestine, damage to nearby organs, infection,inability to control urination, need to
urinate often and intense need to urinate (Cazzell and Anderson, 2016). In addition to this,
immediate and short term impacts of colostomy can be consider several issues including
excessing bleeding, surgical wound infection, thrombophlebitis, pneumonia and pulmonary
embolism. It also include increased pain, swelling, redness, drainage, headaches, muscle aches,
dizziness, fever, nausea and tarry stools.
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Nursing clinical reasoning
Nursing clinical reasoning can be defined as process of collect information and process it
to understand particular condition of an individual. It include the criteria of planning,
implementing interventions, evaluating outcomes and then provide reflection (Duane and Satre,
2014). However, nursing reasoning cycle include several stages including consider patient,
collect information, process data, identity problems, establish goals, take action, evaluate
outcomes and reflect on process & new learning.
In given case of Jack, few of stages can be used as he required care after surgical process
i.e. colectomy and colostomy. The few of stages can be used to provide after care of surgery to
patient including collect information, process data, determine problems and take action
(Moorhead and et. al., 2018). Moreover, it is necessary to gather information about after
symptoms through monitoring temperature, pulse rate, respiration rate, blood pressure and SpO2.
It will facilitate to analyse collected data and determine actual problem of Jack in order to take
appropriate actions for well-being of him.
CONCLUSION
The above report has been concluded that nursing clinical reasoning can be described as
to collect data and analyse that to determine health problem of patient. It include few tests to
gather further information like pulse rate, temperature, respiration rate, blood pressure etc. to
monitor health of patient.
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REFERENCES
Books and journals
Rice, K. L. & et. al., (2014). Mixed-methods approach to understanding nurses’ clinical
reasoning in recognizing delirium in hospitalized older adults. The Journal of
Continuing Education in Nursing. 45(3). 136-148.
Cummings, C. L., & Connelly, L. K. (2016). Can nursing students' confidence levels increase
with repeated simulation activities?. Nurse education today. 36. 419-421.
Cazzell, M., & Anderson, M. (2016). The impact of critical thinking on clinical judgment during
simulation with senior nursing students. Nursing education perspectives. 37(2). 83-90.
Duane, B. T., & Satre, M. E. (2014). Utilizing constructivism learning theory in collaborative
testing as a creative strategy to promote essential nursing skills. Nurse Education Today.
34(1). 31-34.
Moorhead, S. & et. al., (2018). Nursing Outcomes Classification (NOC)-E-Book: Measurement
of Health Outcomes. Elsevier Health Sciences.
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