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Clinical Reasoning Cycle

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Clinical Reasoning Cycle Case Study Help

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Sample Question And Solution of Clinical Reasoning Cycle

NRSG259-The Use Of Clinical Reasoning Cycle

Question:

Mr Dinh Nguyen is an 83 year old widower who was diagnosed with Multiple Sclerosis (MS) six years ago. Four years ago he was diagnosed with osteoarthritis– which is now controlled on medication.

The Nguyen's migrated from Vietnam in 1976. Dinh lives alone in his own two-story home where he has lived with his wife, Ngoc, until she died twelve months ago. Dinh has remained independent since then, however with his ongoing grief and increasing isolation he has noticed a marked decline in his health with ongoing worsening exacerbations of his MS. Dinh and Ngoc did not have children, thus Dinh has no immediate family. However, he has a brother, Bao and his family, living close by. Dinh, however does not want to involve them in his daily life as he does not want to be a bother to them

Dinh has a small income from his self-managed superannuation and is careful with his money. This allows him some measure of financial independence, however, because of reduced investment returns, finances are now only just covering his expenses. He tries to go on a holiday once a year, but was unable to this year due to his altered mobility.

Answer:

The use of clinical reasoning cycle as developed by Levett Jones has been found to be extremely effective in dealing successfully with the complicated clinical scenarios in a convenient manner (Levett-Jones, 2013). The clinical reasoning cycle primarily based upon evaluating the condition of the patient based upon the collection of information, identification of the risk areas, undertaking decision about the interventions, setting goals, developing a care plan, evaluating the efficacy of the nursing goal based on the factors of evaluation and finally reflecting upon the clinical experience. The provided case study deals with the clinical scenario of an 83-year-old client, Mr. Dinh Nguyen and discusses about the intervention strategies based upon the practical use of the clinical reasoning cycle. The further sections of the paper would deal with the identification of the physical health issues of Mr. Nguyen and critically proceed with designing an effective intervention with respect to all the steps that are followed in the clinical reasoning cycle. It is expected that this paper would successfully access the client and yield positive patient outcome. Read More...

Importance of Clinical Reasoning Cycle

Clinical reasoning can be defined as all the cognitive processes that all the health professionals employ to examine the condition of a patient or any clinical case. This helps them in correctly diagnosing the patient and recommending an appropriate treatment plan.

It is claimed that the Clinical reasoning process decides whether a patient will deteriorate or recover. A patient’s health can be at risk if the clinicians or nurses have poor clinical reasoning skills.

The health outcomes of a patient become adverse due to the clinician’s failure to properly diagnose, to decide and begin a suitable treatment plan, and to manage complications. All of these happen because of poor clinical reasoning. Hence, it is necessary for nurses and other health practitioners to have good clinical reasoning skills to ensure a patient’s proper recovery.

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Concept of Clinical Reasoning Cycle by Tracy Levett Jones

As described by Tracy Levett-Jones et al (2009), Clinical reasoning can be defined as the procedure through which nurses gather cues, sort out the information, comprehend the health situation or problem of the patient, make plans and implement the interventions, examine the outcomes, and take lessons from the procedure. A nurse must be able to gather the right cues and to take the correct action for the correct patient at the correct time and for the correct reason, in order to develop effective clinical reasoning skills.

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8 Phases of Clinical Reasoning Cycle

1. Considering The Patient’s Situation: In this phase, the nurse or health practitioners first get the latest information and health status of the patient.
2. Gathering The Data:The professionals consider the patient’s previous medical history carefully in this stage of the Clinical Reasoning Cycle.
3. Processing The Gathered Data: This stage involves the health practitioners process the information on the latest health status of the patient. They also consider what can be the possible outcomes for certain decisions made by them.
4. Recognizing The Problem: Once the information is processed by the professionals, they can easily find out the reason behind the latest status of the patient.
5. Setting Goals: In the fifth phase of the Clinical Reasoning Process, the professionals decide what will be the treatment goals regarding the patient’s condition. The individuals determine which steps they will take and how fast they want to get the right outcome.
6. Taking Actions: Once the goals are set, the professionals take action to meet the treatment goals of the patient. Every member of the healthcare team stays updated about the treatment goals to be achieved.
7. Analysing:This stage involves nurses and health practitioners analysing how effective the taken course of action has been.
8. Reflecting on The Process: In the last phase of the Clinical Reasoning Cycle, the professionals reflect on the things they have learned from a particular case and strengthen their skills.

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How Clinical Reasoning Cycle is Used?

To provide quality health care to the patients, clinical nurses use clinical reasoning and critical thinking. In this way, health practitioners also avoid any risk of adverse outcomes for the patient. The Clinical Reasoning Cycleis used by following the above 8 steps.

How well a nurse or health practitioner thinks, reasons and judges decide whether he/she will be able to offer high-quality and safe care to patients. These professionals grow their problem-solving and decision-making skills by following the various Clinical Reasoning Cycle stages.

Every student in this line should get the proper training to develop his/her clinical reasoning skills so that they can apply it while dealing with critical patients.

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Most Popular FAQs Searched By Students:

Que 1. What is the clinical reasoning cycle?

Ans: Clinical reasoning cycle is described as a process that-

• It is a cognitive process that involves formal and informal thinking strategies to analyse and evaluate patient information.
• Health professionals' understanding of patients' problem and plan to implement interventions.

Que 2. What is the clinical reasoning cycle used for?

Ans: Clinical reasoning is used for-

• Collect patients’ information in both a formal and informal manner.
• Identify patients’ problems and underlying health issues.
• Process information about patients.
• Process information and take action accordingly.
• To plan and implement interventions and evaluate outcomes based on the collected information about patients.

Que 3. What is the relationship between the clinical reasoning cycle and the nursing process?

Ans: Clinical reasoning is a cognitive process by which nurses and other medical professionals collect and process information about patients. They come to an understanding of the patients' concerns, evaluate outcomes, and reflect on and learn from the process.

The whole process of clinical reasoning is conducted by nurses (and other clinical practitioners). On this note, the nursing process is considered as a modified scientific method. It includes a systematic guide to client-centered care following sequential steps, just the way it is followed in reasoning cycle.

Que 4. What does it mean to demonstrate clinical reasoning skills?

Ans: Demonstrating clinical reasoning skills include-

• Interpersonal and communication skills
• Judgment skills
• Compassion and empathy towards patients
• The ability to integrate and apply different types of knowledge in the process of treating patients.
• To weigh formal and informal evidence.
• Critical thinking about arguments to arrive at the diagnosis.

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