A 12 lead ECG was also conducted on arrival and Mrs Bott was found to be in atrial fibrillation. Directions This assessment task requires you to apply aspects of the Clinical Reasoning Cycle (CRC) to the above case study, using the following questions/instructions to guide and organise your response Why Is the Clinical Reasoning Cycle Important? The Clinical reasoning case study & projects acquire a definite perception of the professional nurses about the current patient's status and devising a constructive care plan. Here are the 2 reasons why it is so important for nursing students to learn the clinical reasoning cycle The clinical reasoning cycle serves as an important tool in helping the nursing professionals to design accurate interventions by enhancing their decision making ability (Levett-Jones et al., ). This essay would focus on the use of clinical cycle reasoning to evaluate the client in the case study and would progress with the steps to design a suitable intervention
Clinical Reasoning Cycle (CRC) – Nursing Essay Papers
According to Alfaro-LeFevrethere are three primary reasons for the adverse patient outcomes experienced in almost all health care provider institutions. These reasons are: the failure to properly diagnose, the failure to institute appropriate medication and treatment and application of inappropriate management strategies of the presented complications Alfaro-LeFevre, All these factors are directly related to the poor clinical reasoning skills.
While putting this information in mind, this paper will utilize the Clinical Reasoning Cycle in reviewing and planning care for a patient named Mr. According to Levett-Jones et al. In this stage, the nurse encounters the individual who is the recipient of the care and starts to gain an initial impression Levett-Jones et al. According to Tannerthis may happen as a result of hearing a report [handover] or by a notice when the patient is first observed Tanner, Therefore, while conducting the first impression on Mr.
Jones, it is critical noting that prior preconceptions and assumptions may have influenced some of the information in this stage. Furthermore, at this stage, the patient condition is viewed against the background of their historicity and within the institutions of care ability. Now, Mr. Jones 86 years of age was bought to the hospital after he was found wandering up and down his streets by a close neighbor.
Furthermore, his limping and has a favoring in his left side. Blood strains are evident in his socks and paints. A skin tear is also visible in his left shin. Following this, he has been placed on bed rest for later assessment using X-ray to ascertain whether he has any fractures because he thinks that he fell over, but he is not certain about that.
In relation to this, the patient complained of pain of pain originating from his left hip spreading down to the leg where he has a laceration following the fall, clinical reasoning cycle nursing essay.
This stage involves collecting relevant information regarding Mr. From the reports, Mr. Jones is under medications such as Irbesartan mg PO daily. According to Drugs. comclinical reasoning cycle nursing essay, Irbesartan is mostly used in the treatment of high blood pressure Ace Inhibitors hypertension. With this medication, it is clear that Mr. Jones has a history of hypertension. Additionally, he came in with Metformin mg PO Daily.
This drug is used in improving blood sugars and mostly in individuals having type 2 diabetes. For that reason, there are increased chances that Mr. Jones has type 2 diabetes. Also, he had Salbutamol metered dose inhaler puffs every hours and which is mostly used in preventing and treating bronchospasm in patients with bronchitis, lung related diseases, emphysema, and asthma.
Based on the presence of these drugs more scrutiny is needed to define whether he actually suffers from any of that disease. Additionally, Mr. Jones has a respiratory related disease.
Finally, he complained hip and leg pain and which clinical reasoning cycle nursing essay the reason why there are Paracetamols in his drug list. Paracetamols are mostly used as pain and fever relievers; therefore, there are increased chances that Mr. Jones may be feeling some pain on different body parts. Apart from this data, new information gathered from observations of Mr. Jones shows that: He cm tall and has a weight of kgs translating to a BMI of Other than these, he has three skin tear, a Waterlow score of 16, High fall score risks clinical reasoning cycle nursing essay 17 and GCS 14 having normal power in the right leg, mild weaknesses in the left leg.
Finally, his pupils are equal and reacting in a sluggish manner. However, he has not opened his bowels for the last two days BNO x Day 2. According to Alfaro-LeFevreit is important for the nursing practitioner in a change to recall some knowledge from Law, therapeutic, clinical reasoning cycle nursing essay, cultural context, physiology, and pathology in relation to the patient Mr.
Jones case. First, Mr. Jones wife died two months ago, clinical reasoning cycle nursing essay. This may be related to depression and stress resulting in lack of the ability to eat hence lowered bowel movements.
Jones lives in a single Story House and which has two steps at the entrance. Therefore, due to the pain in his hip and leg, clinical reasoning cycle nursing essay, it may be related to the event where he was found wandering up and down his street by the neighbor.
In the ward where Mr. Jones is hosted before an X-ray is conducted, there are standing orders that must be followed by the patients and the relatives or any individual connected to the patient.
Additionally, the nurse must inform the patient on all the possible medical procedures that will be taken to ascertain the real cause of the challenges and problems he is facing. These standing laws are to be observed as they will save clinical reasoning cycle nursing essay hospital from any possible law suits originating from human rights or family members, clinical reasoning cycle nursing essay.
Any aberration from the normal is identified and highlighted. Furthermore, cues patterns and clustered are recognized, inferences created and hypotheses generated Levett-Jones et al.
According to Alfaro-Le Fevrethinking ahead or rather predicting outcomes helps in knowing possible results of understanding certain procedures. Jones Signs and Symptoms. Therefore, it is clear that Mr. Jones has high blood pressure. Furthermore, his skin tear is placed under category three where the skin flap is completely absent. Therefore, while following this information, the blood stains on his leg and pants may have originated from this skin tear.
Also, Mr. Jones score 16 in Waterlow and which places him under high risk of developing pressure sores. With a fall risk score of 17, it means that Mr. Jones is susceptible to falls and therefore there is need to check the x-rays for any potential fractures. Jones has a GCS 14 with normal power in his right leg and mild weakness in the left. His pupils are equal however they are reacting sluggishly.
A score of 14 implies that he is a having a mild dysfunction. This implies that his conscious state as a person has mild dysfunction. Jones is cm tall and Weighs 12kgs. This means that his BMI is actually According to World Health Organization, individuals with a BMI of 30 and over are classified as observed obese. In most cases, senior individuals and who are obese and hypertensive have a higher chance of having diabetes, eye problems and hear problems.
Therefore, Mr. Jones BMI index opens a clearer path to securitizing some of the co-morbidities that he is currently suffering from. While still connecting Mr. Additionally, the patient had, T While looking at the textbook, the normal temperature is between 36 to 38, Mr. On the other hand, the Pulse for adults should stand at an average of 70 Jones pulse rate stands at This implies that his pulse is way before normal.
Finally, from the textbook, an older adult should have an average of 16 in his or her respiratory rate, clinical reasoning cycle nursing essay. While comparing his respiratory rate [24] and what is highlighted in the textbook, he may be suffering from tachypnea a condition where an individual suffers from faster respirations. This involves distinguishing relevant from the irrelevant information. Furthermore, it involves recognizing the inconsistences in the data in order to narrow down the information to levels where the gaps in the cues is collected.
Based on Mr. Jones age, his temperature is up but, the nursing practitioner is not too worried about it. However, more concern is directed towards the Blood Pressure and the Pulse. The text on the urine output will be to measure the glucose output. This information will help in correlating the GCS 14 his individual level of consciousness. At this sublevel, the nursing practitioner is expected to discover new relations within the information and cues.
It also helps in identifying the relationships that exist between the data. For instance, Mr. Jones high respiratory clinical reasoning cycle nursing essay, pulse and blood pressure may result in the experienced GCS Furthermore, clinical reasoning cycle nursing essay a category three of the wound, the blood paints have a higher possibility of clinical reasoning cycle nursing essay from this site.
Also, all the medications that Mr. Jones came with to the hospital prove the fact that the mentioned co-morbidities of Asthma, Type 2 diabetes, Hypertension and Arthritis are evident. Finally, the fact that Mr. Jones bowels have not opened for 2 last days may be linked to two main factors. Jones wife died a few months ago, therefore, he may be suffering from loneliness and stress and which have a possibility of halting his digestion ability.
Additionally, based on his current age, his digestion may be weak to digest the clinical reasoning cycle nursing essay away and frozen meals that he has been depending on.
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The clinical reasoning cycle serves as an important tool in helping the nursing professionals to design accurate interventions by enhancing their decision making ability (Levett-Jones et al., ). This essay would focus on the use of clinical cycle reasoning to evaluate the client in the case study and would progress with the steps to design a suitable intervention A 12 lead ECG was also conducted on arrival and Mrs Bott was found to be in atrial fibrillation. Directions This assessment task requires you to apply aspects of the Clinical Reasoning Cycle (CRC) to the above case study, using the following questions/instructions to guide and organise your response Clinical reasoning cycle nursing essaysare one of the best techniques to temper one’s abilities. These essays deal with situations require their writers to observe, collect, judge and then decide on the best remedies & patient outcomes
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