Nursing - Slippery Slope - Clinical Reasoning Cycle - Mary Smith Case Study Assignment Help

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Nursing Case Study Assignment Help

Assignment Task: Needed help with Clinical Reasoning Cycle nursing assignment. 1800 words.Analyse the case study and develop a discussion of the application of each element of the Clinical Reasoning Cycle as outlined by Levett-Jones, T. (Ed.). (2017). Clinical Reasoning: Learning to think like a nurse (2nd ed.). Frenchs Forest, NSW: Pearson Australia.( 1. Applies the Clinical Reasoning Cycle to the Case Study)Use the clinical data provided to identify moments of deterioration and four (4) evidence-based nursing interventions that are appropriate at the moments of deterioration. Include your reasoning, justification and rationale utilising 'the slippery slope'.(Identifies moments of clinical deterioration to plan and justify nursing actions.)Situation: You are a first-year graduate RN in a general surgical department. Mary Smith, 82 years old, is one of your 8 patients and underwent a left total knee replacement under general anaesthesia 6 hours ago.Past medical history: osteoarthritis of both knees, with limited range of movement and pain on weight bearing in the left knee. She has Type 2 Diabetes Mellitus, diagnosed 3 years ago, essential hypertension, fatty liver disease with moderate enlargement, and diabetic neuropathy in both feet with intermittent mild neuropathic pain and no neurological deficit. Mary weighs 100kgs.Medications: Metformin 1000mg twice daily, Empagliflozin 10mg once daily, Metoprolol 25mg twice daily, Atorvastatin 10mg once daily, Karvezide 300/12.5 once daily, fish oil 5000mg daily, Hypericum 1 tablet daily.You approach her bedside and note she is fully alert, GCS 15/15, her surgical wound dressing is dry with no ooze and her PCA has not been accessed in the past hour. Mary states her pain is 7/10 in her Left knee and she feels lightheaded. She has not wanted to eat and has tried sips of water and she feels nauseated.There is a 18G IV catheter in her right hand and 200mL of isotonic saline remaining in the IV bag, running at 80mL per hour via a pump. The PCA circuit is attached to this line.Vital signs 60 minutes ago: BP 123/70, radial pulse 55, RR 18, SpO2 96%, FiO2 0.21, T 36.2, peripheral capillary refill 2 seconds, warm digits.Vital signs now: BP105/56, radial pulse 66 regular, RR20, SpO2 93%, FiO2 0.21, T36.4 tympanic. BGL11.5mmol/L, Peripheral capillary refill is 3 seconds plus pale cool digits.Your responses must be supported by peer-reviewed evidence, commensurate with the level of evidence-based practice expected of a beginning practitioner. You must support your discussion with a MINIMUM of 10 recent (less than 7 years old) and credible sources. HQ NEEDED.

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