Clinical Reasoning Skills-Free-Samples for Students-Myassignment

Questions: 1.Explain your understanding of the Function of Clinical Reasoning Cycle in relation to Nursing Assessment. 2.List any additional Health Assessment data would need to be collected for this patient as part of a focused Nursing Assessment? 3.Considering the Patients Demographics Identify two focused Nursing Assessments that would assist you in Collecting appropriate Data for this Patient? Answers: 1.Clinical Reasoning Cycle is generally considered as an essential prerequisite in Nursing and other allied healthcare profession. It is referred to as the process by which the nurses as well as other healthcare professionals resort to the collection of cues, processing of information, acknowledging and arriving at a suitable understanding on matter relevant to the patient situation and issues. Further, they are capable of undertaking appropriate planning and implementation of interventions in conjunction with carrying out evaluation of outcomes thereby culminating in reflecting upon and learning from the process. It is imperative for effectively utilize the clinical reasoning cycle in order to harbor positive patient outcomes (Nightingale, 2015). In nursing assessment, those nursing personnel who are well equipped with clinical reasoning skills are able to exert positive influence on patient outcomes whereas the opposite holds true for those who fail in acquisition of the relevant s kills. Failure to detect the impending patient deterioration follows for the incapacity to utilize clinical reasoning skills. Thus, clinical reasoning cycle may be recognized as a vital tool for building excellence in rendering patient centered nursing care where possession of skills pertaining to clinical reasoning, critical thinking and reflective practice are crucial that enhances and sharpens with experience and proper training (Dalton, Gee Levett-Jones, 2015). 2.Nursing assessment is a crucial aspect of the treatment modality in case of patient handling to make way for holistic improvements thereby ensuring speedy recovery. In the context of the given case scenario, the patient has been found to suffer from myocardial infarction (MI) and has been admitted in the community healthcare centre for subsequent treatment. Upon admission, the vital parameters of the patient has been noted down by the attending nurse encompassing parameters related to body mass index, heart rate, blood pressure, respiratory rate, body temperature in addition to procuring data relevant to social lifestyle of the patient (Hunger et al., 2015). MI is found to be the resultant consequence of prolonged myocardial ischemia due to inadequate blood supply and terminates in irreversible necrosis and injury of the myocardial tissue and recording of vital signs is not sufficient to monitor response. Additional nursing assessments must include recording of electrocardiogram (E CG) to detect conduction defects, ischemia, injury or infarction. Documentation of the non-verbal and verbal cues along with procurement of information regarding pain including its localization, radiation, duration, intensity and characteristics must also be noted down. Quantification of the pain experienced relative to other experiences must be obtained as well apart from noting family history and prevalence of any other chronic disorder for the patient (McKee et al., 2014). 3.In the process of preparing treatment interventions for the patient, emphasis must be laid on making suitable and focused nursing assessments in order to procure appropriate data in relation to the patient condition. Moreover, it is also vital to consider the patients demographics comprising of the age, gender and lifestyle to pave the way for accurate treatment and consecutive diagnosis. It has been reported that the affected woman is nearing old age and is habituated to sedentary mode of lifestyle and is engaged in high stress employment. Additionally she is accustomed to smoking a packet of cigarettes daily. Therefore, considering all these important paraphernalia focused nursing assessments must be made to aid in proper diagnosis, evaluation and subsequent intervention for the concerned patient (Raskovalova et al., 2014). The age of the patient suggests that she is in post menopausal stage and therefore shows increased predisposition for getting affected by cardiovascular abnor malities. Thus, electrocardiogram must be conducted to derive pertinent data that might highlight the cardiovascular status of the patient thereby allaying the possibility of future recurrence of adverse outcomes following administration of suitable medications and other interventions. Further, assessment of hemodynamic variables must be undertaken to depict the enzymatic status including the creatine kinase, lactate dehydrogenase alongside other cardiovascular markers such as cardiac troponin, copeptin, leucocytes count and others (McCabe et al., 2014). Thus, these two techniques might satisfactorily assist in collection of appropriate data for making focused nursing assessments. References Dalton, L., Gee, T., Levett-Jones, T. (2015). Using clinical reasoning and simulation-based education to'flip'the Enrolled Nurse curriculum.Australian Journal of Advanced Nursing, The,33(2), 29. Hunger, M., Kirchberger, I., Holle, R., Seidl, H., Kuch, B., Wende, R., Meisinger, C. (2015). Does nurse-based case management for aged myocardial infarction patients improve risk factors, physical functioning and mental health? The KORINNA trial.European journal of preventive cardiology,22(4), 442-450. McCabe, J. M., Kennedy, K. F., Eisenhauer, A. C., Waldman, H. M., Mort, E. A., Pomerantsev, E., ... Yeh, R. W. (2014). Reporting Trends and Outcomes in ST-SegmentElevation Myocardial Infarction National Hospital Quality Assessment ProgramsCLINICAL PERSPECTIVE.Circulation,129(2), 194-202. McKee, G., Biddle, M., ODonnell, S., Mooney, M., OBrien, F., Moser, D. K. (2014). Cardiac rehabilitation after myocardial infarction: What influences patients intentions to attend?.European Journal of Cardiovascular Nursing,13(4), 329-337. Nightingale, K. E. (2015). Embedding Simulation-Based Learning in a Capstone Undergraduate Nursing Subject to Develop Clinical Reasoning Skills. Raskovalova, T., Twerenbold, R., Collinson, P. O., Keller, T., Bouvaist, H., Folli, C., ... Chenevier-Gobeaux, C. (2014). Diagnostic accuracy of combined cardiac troponin and copeptin assessment for early rule-out of myocardial infarction: a systematic review and meta-analysis.European Heart Journal: Acute Cardiovascular Care,3(1), 18-27.