country
$20 Bonus + 25% OFF
Securing Higher Grades Costing Your Pocket? Book Your Assignment at The Lowest Price Now!
Add File

Error goes here

Introducing to Nursing Solved

Referencing Styles : Harvard | Pages : 22
expert
Jason Murdock Completed Orders: 1563 Student Reviews Student Reviews Student Reviews Student Reviews Student Reviews 5/5
Customer Feedback Student Reviews Student Reviews Student Reviews Student Reviews Student Reviews   4/5

The assignment was so imagine I will continue using your service you guys are just beautiful thank u all for the hard working on all my assignment.

 

 

 

 

 

 

 

 

 

 

                                                             NURSING

Introduction:

Clinical reasoning cycle is a process by which nurses can collect information, process it, understand the situation and problems of the patient, plan interventions, evaluate the outcomes and then reflect on the whole process (Salminen et al., 2014).  Critical thinking influences this clinical reasoning cycle. It is a series of linked clinical encounter (Davies, 2002). Nurses who have good clinical reasoning skills do have a good impact on the outcomes of the patient. When the clinical reasoning skills are not good, patient deterioration can occur (Dreifuerst, 2015). The present writing is on the clinical reasoning cycle of a patient, Mrs Checketts, who is 86-year-old woman and has been admitted in the hospital for respite after getting treatment for her fractured wrist due to a fall she had suffered at home.

Clinical reasoning cycle:

  1. Consideration of the patient situation:

Mrs. Checketts is a petite woman, having sustained a fall at her home and admitted to the hospital for relief after the treatment for her fractured wrist.

  1. Collection of information:

The woman lives alone and does her activities in her daily life. Her son stays far off, and her niece visits her few times during a week. She has been suffering from Dementia, even though it is in early stages. The condition of the skin is not good, and there is a pressure injury in her coccyx. She is not steady on the feet and needs the walking frame. Her clothes are not clean, and the smoke from the clothes proves that she is a smoker.  She weighs 50 kilograms, and her height is 165 tall. On observation, the temperature was found to be 36.5 C. The heart rate was normal at 82 beats, blood pressure was 105/60. Her breathing was 16 breaths per minute.

  1. Processing of information:

The complications that may have been affecting the patient are due to injury in the wrist. The condition that the patient has to deal with is due to the lifestyle of the patient. The patient has been living alone and did all her work by herself. Her son stays away, and the only help that she gets is from her niece who comes a few times in a week. The patient had suffered a fall that led to the fracture of her wrist. As the patient is an elderly person, the complication related to such fractures and the medication is much more complex. Complications of wrist injury include aching, stiffness and disability. Osteoarthritis leads to major problems as the wrist may start swelling (Mellstrand Navarro et al., 2011). The patient is suffering from Dementia. Dementia is a decline in the mental ability of a person that interferes with the daily life of that person. The symptoms related are of a wide range. The memory and thinking skills are severely hampered. The other aspects of a person that becomes impaired are language, communication, attention, capability to focus, judgment and reasoning, visual perception. People with Dementia have short term memory and often the daily chores are hampered due to this (McNamara, 2011). The patient, in this case, is suffering from initial levels of Dementia. Her clothes are not clean, and they are kept in a dirty bag. It can be concluded that this condition is due to her Dementia problems, and she forgets to clean her clothes and keep herself tidy. Her condition of mobility is worse. She needs walking frame to walk. A pressure injury is present in her coccyx. The coccyx is the tailbone of the body. Such pressure injury are caused by sitting on a hard surface for a long time. In patients, this may be due to lying in the bed for a long period. It may be due to an injury too. The body temperature of the patient is 36.5 C. The normal body temperature of a fit person is 37 degree C (Hall, 2012). Her weight at 50 kilograms is a little less than what it is supposed to be. The positive point in her health is that her heart rate is 82 beats per second, which is normal. The blood pressure and breathing rate of a fit person are 120/80 and 10 to 30 breaths per minute (Flegr, 2012). The patient had a breathing rate of 16 breaths per minute. The blood pressure found is thus low. That may be the effect of poor health condition. The breathing rate was normal.

  1. Identification of problems:

Two key issues those are important in the present case are Dementia and pressure injury in the coccyx. Dementia is a disease that has a major impact in the patient’s life. In such a condition, the activities of daily life are hampered. The main problem is related to memory loss. This is because certain issues come up when the patient is having problems with memory. Moreover, communication is affected due to Dementia (Hallberg et al., 2014). Speech is hampered, and vocabulary is a problem. For a nurse, it is difficult to take care of a patient who has such problems. Nursing gets difficult problematic as these patients need special care. Medicines have to be given on time. The patient cannot be relied with this as she may not remember to take her medicines on time. It has been found that her clothes are kept in a dirty bag which implies that she does not remember to clean her clothes. The nurse has to take care of this problem. Another problem that may come up is the pressure sore in the coccyx. The ulcer is formed due to the reduction of blood supply in the area and starvation of nutrients and oxygen. Lying or sitting in a same position is the main cause leading to such reduction in blood supply to the affected area. The patient is said to have mobility problems. People have a greater risk of such ulcers if there are problems in mobility (Corbett et al., 2012). Dementia may increase the risk (Ahn, 2015).People with Dementia has problems in changing their positions when no help is provided. It is difficult to take care of pressure ulcers.

  1. Establishment of Goals:

A list of goals has to be set for getting the good outcomes. Taking care of Dementia has to be the priority. This would take care of the majority of the problems related to the patient. As the patient is an elderly person, treatment for Dementia would be more of taking personal care to her and giving constant support and help. the problem of Dementia can be tackled by some ways. the objectives will include orienting the patient’s energy. An opportunity needs to be given to the patient to take care of the personal belongings. Regular talks have to be done so that the patient can remember all the necessary details. Moral support has to be provided. Praising the patient for achieving goals is a good idea. Treatment of pressure injury would include dressing the affected areas and giving the required medicines. Repositioning of the patient has to be done. That will give strength to the body. Support surfaces will help a lot. Using mattresses, cushions will help. Cleaning and dressing have to be done from time to time. removal of damaged tissue is a good option. this can be achieved by surgical or mechanical debridement. Other interventions include antibiotics, pain management, healthy diet and management of the present incontinence, muscle spam relief. By fulfilling these objectives, the main problem of Dementia will be taken care of. As a result, all the associated factors will be taken care of. the recovery of the patient will be fast in within a limited period.

 

 

References:

Ahn, H. (2015). Pressure Ulcer-Related Pain in Nursing Home Residents with C... : Advances in Skin & Wound Care. [online] LWW. Available at: http://journals.lww.com/aswcjournal/Abstract/2013/08000/Pressure_Ulcer_Related_Pain_in_Nursing_Home.8.aspx [Accessed 14 Aug. 2015].

Corbett, A., Husebo, B., Malcangio, M., Staniland, A., Cohen-Mansfield, J., Aarsland, D. and Ballard, C. (2012). Assessment and treatment of pain in people with dementia. Nature Reviews Neurology, 8(5), pp.264-274.

Davies, P. (2002). Nursing. Oxford: Oxford University Press.

Dreifuerst, K. (2015). Using Debriefing for Meaningful Learning to Foster Development of Clinical Reasoning in Simulation. [online] Search.proquest.com. Available at: http://search.proquest.com/openview/71db0de640f1b3e914f3eeca54897173/1?pq-origsite=gscholar [Accessed 14 Aug. 2015].

Flegr, J. (2012). Influence of latent Toxoplasma infection on human personality, physiology and morphology: pros and cons of the Toxoplasma-human model in studying the manipulation hypothesis. Journal of Experimental Biology, 216(1), pp.127-133.

Hall, K. (2012). Quantitative Physiology of Human Starvation: Adaptations of Energy Expenditure, Macronutrient Metabolism and Body Composition. Comparative Physiology of Fasting, Starvation, and Food Limitation, pp.379-393.

Hallberg, I., Cabrera, E., Jolley, D., Raamat, K., Renom-Guiteras, A., Verbeek, H., Soto, M., Stolt, M. and Karlsson, S. (2014). Professional care providers in dementia care in eight European countries; their training and involvement in early dementia stage and in home care. Dementia.

McNamara, P. (2011). Dementia. Santa Barbara, Calif.: Praeger.

Mellstrand Navarro, C., Ponzer, S., Törnkvist, H., Ahrengart, L. and Bergström, G. (2011). Measuring Outcome after Wrist Injury: Translation and Validation of the Swedish Version of the Patient-Rated Wrist Evaluation (PRWE-Swe). BMC Musculoskeletal Disorders, 12(1), p.171.

Salminen, H., Zary, N., Björklund, K., Toth-Pal, E. and Leanderson, C. (2014). Virtual Patients in Primary Care: Developing a Reusable Model That Fosters Reflective Practice and Clinical Reasoning. J Med Internet Res, 16(1), p.e3.

 

 

Solutions

OR

MyAssignmenthelp.com caters to thousands of students on a regular basis who need top quality homework help online. We aid students in completing their homework assignments without making holes in their pockets. Despite providing cheap homework help services, we never compromise with the quality of delivered help solutions. Our homework writers are instructed to use authentic and relevant references in writing to make the papers plagiarism-free. Hence, we have become the most authentic and effective homework writing service provider in USA.

Save Time & improve Grade

Just share requirement and get customized Solution.

watch
question
We will use e-mail only for:

arrow Communication regarding your orders

arrow To send you invoices, and other billing info

arrow To provide you with information of offers and other benefits

Add File

Error goes here

1,466,013

Orders

4.9/5

Overall Rating

5,096

Experts

Our Amazing Features

delivery

On Time Delivery

Our writers make sure that all orders are submitted, prior to the deadline.

work

Plagiarism Free Work

Using reliable plagiarism detection software, Turnitin.com.We only provide customized 100 percent original papers.

time

24 X 7 Live Help

Feel free to contact our assignment writing services any time via phone, email or live chat. If you are unable to calculate word count online, ask our customer executives.

subject

Services For All Subjects

Our writers can provide you professional writing assistance on any subject at any level.

price

Best Price Guarantee

Our best price guarantee ensures that the features we offer cannot be matched by any of the competitors.

Our Experts

Assignment writing guide
student rating student rating student rating student rating student rating 5/5

1896 Order Completed

95% Response Time

Herman Berens

MSc in Psychology

London, United Kingdom

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

610 Order Completed

100% Response Time

Cheryl Zhao

PhD in Statistics

Singapore, Singapore

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

134 Order Completed

95% Response Time

Thomas Nelson

MS in Information Systems Technology with Specialization in Database Administration

New Jersey, United States

Hire Me
Assignment writing guide
student rating student rating student rating student rating student rating 5/5

203 Order Completed

97% Response Time

Richard Alpert

PhD in Psychology

London, United Kingdom

Hire Me

FREE Tools

plagiarism

Plagiarism Checker

Get all your documents checked for plagiarism or duplicacy with us.

essay

Essay Typer

Get different kinds of essays typed in minutes with clicks.

edit

GPA Calculator

Calculate your semester grades and cumulative GPa with our GPA Calculator.

referencing

Chemical Equation Balancer

Balance any chemical equation in minutes just by entering the formula.

calculator

Word Counter & Page Calculator

Calculate the number of words and number of pages of all your academic documents.

Refer Just 5 Friends to Earn More than $2000

Check your estimated earning as per your ability

1

1

1

Your Approx Earning

Live Review

Our Mission Client Satisfaction

excellent...i got my work good. my assignmenthelp\'s experts are number one. i don\'t have any word for admiring them work.. it\'s great pleasure for me. i got my retrieve work on time...

flag

User Id: 431061 - 27 Oct 2020

Australia

student rating student rating student rating student rating student rating

Thank you so much.... I liked your work , nice job..... Thank you..... ........

flag

User Id: 384092 - 27 Oct 2020

Australia

student rating student rating student rating student rating student rating

I would like to thank the expert and team for preparing a top notch work. Highly recommend for this expert to work on student papers.

flag

User Id: 114483 - 27 Oct 2020

Australia

student rating student rating student rating student rating student rating

Always provider great quality work and on time. Thank you for never letting me down.

flag

User Id: 194216 - 27 Oct 2020

Australia

student rating student rating student rating student rating student rating
Introducing to Nursing has been added in your library.
callback request mobile
Have any Query?