Applying Clinical Reasoning Cycle to Mr. Joni's Stroke Case Analysis

This PowerPoint presentation analyzes the health complications of Mr. Tomasi Joni, focusing on stroke. It applies the Clinical Reasoning Cycle (CRC) to identify nursing priorities and interventions. The presentation discusses the patient's risk factors, including hypertension, obesity, smoking, and drinking habits, and explains the pathophysiology of stroke, including clinical manifestations like numbness. The presentation establishes SMART goals to reduce blood pressure and promote healthy lifestyle changes, proposing interventions like blood thinners, health literacy programs, and family involvement. The conclusion highlights the effectiveness of the CRC in guiding effective healthcare strategies, supported by relevant references.

CLINICAL REASONING
CYCLE (CASE STUDY
ANALYSIS)
(NAME OF THE STUDENT, STUDENT NUMBER

INTRODUCTION
• CLINICAL REASONING CYCLE BY LEVETT JONES IS
CONSIDERED TO THE BE THE BEST APPROACH
THROUGH WHICH, THE NURSING PROFESSIONALS
COULD ANALYSE THE HEALTHCARE PRIORITIES OF
PATIENTS THAT ARE SUFFERING FROM CRITICAL
CONDITIONS (LEVETT-JONES, COURTNEY-PRATT &
GOVIND, 2019).
• THE PRIMARY AIM OF THIS POWERPOINT
PRESENTATION IS TO DISCUSS ABOUT THE HEALTH
COMPLICATION OF MR. TOMASI JONI.
• FURTHER, THROUGH THE HELP OF STEPS OF CRC
IT WOULD DISCUSS THE NURSING PRIORITIES AND
INTERVENTIONS FOR THE PATIENTS.

CONSIDER THE PT. COLLECT CUES AND
INFORMATION
• THE RISK FACTOR THAT MR. TOMASI JONI IS
SUFFERING FROM IS THE HEALTH COMPLICATION OF
STROKE.
• STROKE PREVALENCE AND THE OCCURRENCE
RATES COULD BE IDENTIFIED FROM THE FACT THAT
IN THE YEAR 2016, 5.2% OF DEATHS (8200 PEOPLE)
OCCURRED IN AUSTRALIA (AUSTRALIAN INSTITUTE
OF HEALTH AND WELFARE , 2016).
• THERE ARE MULTIPLE REASONS OF THIS HEALTH
COMPLICATION SUCH AS, HIGHER BLOOD
PRESSURE, UNCONTROLLED OBESITY, SMOKING
AND DRINKING HABIT, HYPERTENSION, AS WELL AS
HISTORY OF ACUTE MYOCARDIAL INFRACTION (AMI).

PROCESS INFORMATION AND IDENTIFY
ISSUE
• TO UNDERSTAND THE HEALTH COMPLICATION, IT
IS IMPORTANT TO KNOW THE PATHOPHYSIOLOGY.
• WHILE DISCUSSING THE PATHOPHYSIOLOGY OF
STROKE, THE COMPLICATIONS SUCH AS HIGH
BLOOD PRESSURE, WEIGHT GAIN AND RISK OF
CARDIAC DISEASES SHOULD BE DISCUSSED.
• IT WAS SEEN THAT THE PATIENT IS SUFFERING
FROM THE COMPLICATION OF HYPERTENSION
AND AS PER () DUE TO EXCESSIVE PRESSURE IN
THE BLOOD VESSELS THE VESSELS NARROWS
AND HENCE, BLOOD FLOW DECREASES (YONEDA
ET AL., 2017)

IDENTIFY ISSUE (PATHO) – CONTINUED
• FURTHER, IT WAS ALSO SEEN THAT THE PATIENT IS
OVERWEIGHT AND HENCE, THE CHANCES OF DEVELOPING
FAT DEPOSITION IN HIS BLOOD VESSELS ARE HIGHER, DUE
TO WHICH THE PATIENT MAY DEVELOP EMBOLIC STROKE
• FURTHER DUE TO SMOKING HABIT, DRINKING
PREFERENCES AND INACTIVE LIFESTYLE, THE RISK OF
STROKE INCREASES.
• THE CLINICAL MANIFESTATION OF STROKE INCLUDES
NUMBNESS IN HANDS AND LEGS AND ESPECIALLY THE
LEFT SIDE OF THE BODY.
• IF LEFT UNTREATED, THE COMPLICATION MAY DAMAGE
THE BRAIN CELLS AND CAUSE THE PATIENT SUFFER FROM
CRITICAL HEALTH COMPLICATIONS (PARSONS ET AL.,
2018).

ESTABLISH GOALS
• THE FIRST GOAL THAT WOULD BE DEVELOPED
FOR MR. JONI’S STROKE RELATED CONDITION
WOULD BE DECREASING HIS BLOOD
PRESSURE AND/OR HYPERTENSION
CONDITION SO THAT THE IMMEDIATE RISK
COULD BE ELIMINATED WITHIN 2 WEEKS .
• THE SECOND GOAL WOULD BE INCLUDING
HEALTHY LIVING AND DIET RELATED HABITS IN
THE HEALTHCARE PROCESS, SO THAT THE
PATIENT COULD DEVELOP EFFECTIVE HEALTHY
LIVING HABITS AND LOOSE 10 KG WEIGHT IN
THREE MONTHS (PARSONS ET AL., 2018).

TAKE ACTION
• WHILE IMPLEMENTING THE FIRST
INTERVENTION, THE PATIENT SHOULD
BE PROVIDED WITH BLOOD
THINNERS, SUCH AS HEPARIN OR
EDOXABAN SO THAT THE BLOOD
CLOTS COULD BE REMOVED FROM
THE ARTERIES OR VEINS THROUGH
BLOOD THINNERS.
• FURTHER, ANY KIND OF
THROMBOLYTIC DRUGS COULD BE
USED SO THAT THE IMMEDIATE RISK
OF STROKE COULD BE ELIMINATED
(HAWKES ET AL., 2016)

TAKE ACTION - CONTINUED
• THE SECOND ACTION THAT WOULD
BE USED TO DEVELOP EFFECTIVE
PROCESSES FOR THE
UNCONTROLLED OBESITY OF MR.
TOMASI JONI IS APPLICATION OF
HEALTH LITERACY.
• THIS WOULD HELP HIM BY BOOSTING
HIS CONFIDENCE SO THAT HE COULD
LOSE WEIGHT AND ACCEPT NEW
LIFESTYLE.

TAKE ACTION – CONTINUED
• FOR PATIENT EDUCATION AND
HEALTH LITERACY THE PATIENT AND
HIS FAMILY WOULD BE ASKED TO JOIN
THE SESSION.
• IN THIS MANNER THEY WOULD BE
ABLE TO UNDERSTAND THE
EFFECTIVENESS OF IT (FITZPATRICK
ET AL., 2016).

CONCLUSION
• THIS [POWERPOINT EFFECTIVELY
IDENTIFIES THE HEALTH
COMPLICATION THAT MR. TOMASHI
JONI IS SUFFERING FROM AND
THROUGH THE HELP OF CRC
IDENTIFIES THE STEPS REQUIRED FOR
EFFECTIVE HEALTHCARE.
• FURTHER, THE GOALS THAT HAS
BEEN DEVELOPED ARE SMART GOALS
SO THAT THE PATIENT COULD BE
PROVIDED WITH EFFECTIVE
INTERVENTIONS.

REFERENCES
ANDERSON, L., OLDRIDGE, N., THOMPSON, D. R., ZWISLER, A. D., REES, K., MARTIN, N., & TAYLOR, R. S. (2016). EXERCISE-BASED CARDIAC REHABILITATION FOR CORONARY HEART DISEASE: COCHRANE
SYSTEMATIC REVIEW AND META-ANALYSIS. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 67(1), 1-12.
AUSTRALIAN INSTITUTE OF HEALTH AND WELFARE. (2016). ISCHAEMIC STROKE . . . WHAT OF THE FUTURE?. RETRIEVED 14 SEPTEMBER 2019, FROM
HTTPS://WWW.AIHW.GOV.AU/REPORTS/HEART-STROKE-VASCULAR-DISEASES/HEART-FAILURE-FUTURE/CONTENTS/SUMMARY
FITZPATRICK, S. L., WISCHENKA, D., APPELHANS, B. M., PBERT, L., WANG, M., WILSON, D. K., & PAGOTO, S. L. (2016). AN EVIDENCE-BASED GUIDE FOR OBESITY TREATMENT IN PRIMARY CARE. THE
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