Case Study Using Clinical Reasoning Cycle †MyAssignmenthelp.com

Question: Discuss about the Case Study Using Clinical Reasoning Cycle. Answer: One of the most abundantly used frameworks for clinical practice in thenursing care scenario can be defined as the clinical reasoning cycle. This clinical decision making tool helps the nurses to determine the most plausible and scientifically reasonable steps for the care planning and implementation procedure. Clinical reasoning cycle, the term has been coined by Tracy Levett Jones in an attempt to incorporate a framework protocol for the professional nurses to follow in order to provide a care to the patients that is holistic, optimal and patient centred (Levett-Jones, 2013). This essay will attempt to provide a care plan employing different steps of the clinical reasoning cycle based on the case study of Peter Mitchell. The case scenario analysis is the first step of action that anursing care professional needs to take in order to begin the care activities. This step of thenursing care aligns with the first stage of the clinical reasoning cycle. According to the Berman et al. (2015), patient situation analysis is the first step of the clinical reasoning cycle that helps in determining the current situation of the patient which helps thenursing professional to understand the current health issues and needs of the patients. This is the step that helps the nurse get a preliminary understanding of the patient, his sickness and the impact of the sickness on the health and wellbeing and his ability to go about his day without any mishap or risk. The case scenario analysis for the patient reveals a 52 year old man named Peter Mitchell with two main health concerns, being extremely overweight and struggling with a long term condition of type 2 diabetes. The subjective and objective health information that h as been gathered reveals Peter not being able to properly control his type 2 diabetes and inability to follow a strict diet pattern to help reduce his obesity. Along with that emotional and psychological factor analysis is another key step of the case scenario analysis part of the care program. On a more elaborative note, as the patient had been smoking 20 cigarettes per day for close to 30 years, it must have had a significant impact on his diabetic complications and overweight issues. Hence the nursing professional in this stage will have to investigate on the impact of smoking and his other lifestyle choices on his health adversities and the deterioration patterns (Ceccarini et al., 2015). The next stage of the care program will need to focus on dissemination of the patient data and synthesis of the care needs of the patient. In terms of clinical reasoning cycle, the second stage of collecting patient cues and processing the information aligns perfectly with this step. It has to be understood that his step allows the nurses to collect important health adversity cues from not only the patient but also the previous general physician or the health care team that the patient has been associated with. This step will highlight the collection of information and the evidence based synthesis of the all the collected information to analyse and arrive on to a final verdict regarding the most pressing care needs and requirements of the patient. In this step the nurse will not only interview the patient about his physical and psychosocial needs but will attain information from the previous general physician, physiotherapists and dieticians to discover what interventions have been t aken for him and what progress he has made (?uczy?ski, G?owi?ska-Olszewska Bossowski, 2016). In the second leg of the process of identifying care needs the nursing professional caring for Peter will arrive onto the third stage of the clinical reasoning cycle. This stage is information processing where the nurse will disseminate he information gathered based on the immediate impact of the adversities and prepare a total list of the different care needs that the patients is suffering from. Focussing o the case study, the present signs and symptoms of the patient include shakiness and tremor, increased bouts of hunger, diaphoresis, high blood glucose levels, and obesity ventilation syndrome. Moreover, Peter had past medical history of pre-diagnosed hypertension, depression, Sleep apnoea, Gastro oesophageal disease reflux disease as well along with his obesity and his type 2 diabetes. Hence his care needs will be management of his obesity particularly the obesity ventilation syndrome, management of his blood glucose levels, controlling his hypertension, management of the shakine ss and body tremors, and lastly his sleep apnoea and depression (Martin, 2017). The next step of the care program will require the nurse to sort through the discovered care priorities and evaluating their individual impact on the health and recovery of the patient. With respect to the use of clinical reasoning cycle, the fourth stage is identifying the potential problem. This is the step where the nurse will link evidence based practice and cooperation from the medical practitioner to discover the most impactful care needs of the patents which will require immediate interventions to be managed. It has to be mentioned in here the nurse will also have to include the patient and his personal grievances before the final verdict of two care priorities are given. In this case the patient will already receive pharmacological treatment for reducing his blood glucose levels. Hence the nursing acre should focus on two related co-morbidities that can impact the pharmacological diabetic treatment that the patient is going to receive (Strohl, 2016). The first nursing care pr iority in this case will be the excessive body weight of the patient; at 145 kg the extremely high BMI of the patient has huge risks of interfering with the pharmacological treatments he is going to receive for his diabetes. According to the authors, obesity is synergistically linked with various health concerns, especially when type 2 diabetes has concerned. In this case as well, the excessive body weight of the patient can provoke insulin resistance further and can even interfere with the anti-diabetic drugs. Hence, managing his body weight non-pharmacologically will be a significant nursing care priority for the patient (Schwarz et al., 2012). The second care priority in this case will be sleep apnea and its adequate management. It has to be mentioned in this context that sleep apnea is a significant risk of diabetics and it can easily lead to fatal consequences for the patients with excessively uncontrolled blood glucose levels. It has to be mentioned that adequate amounts of sl eep is required for any treatment therapy to optimally function and show results. The excessive impact of the sleep apnea would be a restrictive element that would hinder the recovery process of the patient and would increase the anxiety and fatigue of the patient under consideration. Hence, the care priority of the patient will be management of his obesity and sleep apnea (Marin et al., 2012). The fifth, sixth and seventh step of the clinical reasoning cycle requires the nursing professional to develop achievable care goals and implement the goals in action. For the obesity management the care professional will need to stick to a high protein low fat diet for the patient and will need to develop an exercise regimen that will suit the abilities and need of the patient the best (Baboota et al., 2013). For the management of sleep apnea the nursing professional can include continuous positive airway pressure device or CPAP devices which will help the patient fall asleep without any hustle and stay asleep so that his body can attain the rest it requires. Other sleep assistive devices like dental appliances and nasal expiratory positive airway pressurevalves will help in facilitating better REM sleep for the patient nonpharmacologically (McCarter et al., 2013). In the very last step of the clinical reasoning cycle the nurse will reflect on the care approaches and techniques impl emented in the care program to enhance the efficacy of the care program and to serve the particular needs of the patients better. I have understood the key areas of clinical decision making and identification of care needs and distinguishing the care priorities with the help of the clinical reasoning cycle. And it has also assisted me to understand the step by step activities of clinical reasoning cycle and how it relates to the different activities of care planning and implementation. Conclusion: On a concluding note, it has to be mentioned that clinical reasoning cycle serves as the best framework for the nurses to use in their day today acre activities so that the care designing and implementation procedure can be as patient centred as possible. It not only organizes the care planning in a few set of step by step actions, but it also helps serve as a justification of the care program that is being implemented on the patient under consideration. In this case as well, the clinical reasoning cycle helped design a complete and effective care plan focussing on the two care issues pertinent to the patient in the case study. References: Baboota, R. K., Bishnoi, M., Ambalam, P., Kondepudi, K. K., Sarma, S. M., Boparai, R. K., Podili, K. (2013). Functional food ingredients for the management of obesity and associated co-morbiditiesA review.Journal of Functional Foods,5(3), 997-1012. Berman, A., Snyder, S., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., . . . Stanley, D. (2015). Kozier and erb's fundamentals of nursing (3rd Australian edition). Melbourne, VIC: Pearson Australia. Ceccarini, M., Borrello, M., Pietrabissa, G., Manzoni, G., Castelnuovo, G. (2015). Assessing motivation and readiness to change for weight management and control: An in-depth evaluation of three sets of instruments doi:10.3389/fpsyg.2015.00511 Levett-Jones, T. (2013). Clinical reasoning : Learning to think like a nurse. 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