Mr. Gordon Deltori Case Study - Clinical Reasoning Cycle - Phases of CRC - Nursing Assignment Help

Assignment Task

 I am going to explain this case study according to the clinical reasoning cycle. The clinical reasoning cycle aims at organizing the process of decision making and clinical reasoning in various steps. The nurse uses the clinical reasoning cycle to implement appropriate intervention and make decisions that involve logical considerations (Hunter&Arthur, 2016). The clinical reasoning cycle involves eight steps, including considering the situation of the patient, collecting information, processing the information, identifying the problems suffered by the patient, establishing the goals, taking actions, evaluating outcomes and reflection. By using these phases of the CRC, the nurses assess the condition of patient care and then make their decision. CRC is an important framework in the nursing profession for the provision of appropriate and safe care to the patients (Hunter & Arthur, 2016). Moreover, the nurses learn from their experiences and make sure that they take appropriate decisions in the future. This assessment deals with the implication of CRC in the case of Mr. Gordon Deltori and analyzes two main care priorities.

Consider the situation of the patient
This is the first phase of CRC in which the condition of the patient is described. Mr. Gordon Deltori is a 68-year-old man who is admitted to the ED of the hospital at 09:00 hrs. He is a taxi driver and has a chief complaint of chest pain which started at midnight. He complains that at night when he slept he felt a tightness in his chest and the morning when he woke he was having severe chest pain. His wife is distressed due to his condition and he has a habit of eating fast food. He has a past medical history of hypertension for 1 year, osteoarthritis, atrial fibrillation, diabetes type 2 from the past five years. He has a history of smoking from the age of 14 years. He has been prescribed with perindopril, apixaban, arginine, metformin, and vitamin D.

Collecting cues
The nurses need to collect the assessment data of the patient to make appropriate decisions regarding the treatment of the patient. In the case of Mr. Gordon, the body temperature was 37.1 degrees C and the heart rate was 120 bpm. The respiratory rate of Mr. Gordon was 24 breaths per minute. The BP was measured as 169/90 mmHg. His pain score at the time of admission to the ED was 6/10. The skin was warm and dry without any signs of cyanosis. Pitting edema was noted on the bilateral side of Mr. Gordon. His height was 173 cm and the weight was 91 kg. Chest pain occurs when there is a lack of oxygen supply with respect to its demand in the heart. This fluctuation results from increased demand without a proportional supply increase due to obstruction of the coronary artery.

Processing the information
This is the third step of CRC in which the information of the patient is processed. In the case of Mr. Gordon, it was noted that the body temperature was 37.1 degrees C which represents a normal value as the normal body temperature of the human body is 37 degrees C (Johnson, Mueller &Winkelman, 2017). The heart rate of Mr. Gordon is noted as 120 bpm which represents an abnormal value. This is because of the normal range of heart rate in humans 60-70 beats per minute(Johnson, Mueller &Winkelman, 2017). The respiratory rate of Mr. Gordon was 24 beats per minute which represents a normal value as the normal range if respiratory rate is 20-24 breaths per minute. The blood pressure of Mr. Gordon was 169/90 mmHg. It represents an abnormal value as the normal value of BP is 120/80 mmHg(Johnson, Mueller &Winkelman, 2017). 

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