This report provides a comprehensive analysis of the critical reasoning cycle in nursing, using a case study of a 60-year-old patient with a fractured knee and opioid tolerance. The assignment outlines the steps of the clinical reasoning cycle, including assessing the patient's situation, gathering cues, processing information, identifying problems, setting goals, taking actions, and evaluating outcomes. The report emphasizes the importance of understanding opioid tolerance and the ethical considerations involved in patient care. The author reflects on a personal experience, highlighting the mistakes made in managing an opioid-tolerant patient and the learning process, including the administration of ketamine and the transition to oral opioid regimes. The report also discusses ethical principles like autonomy, dignity, and beneficence in patient management, ensuring safe and effective interventions. This assignment underscores the significance of critical thinking, evidence-based practice, and ethical conduct in nursing.
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