1. Identification of risk factors using Clinical reasoning cycle:
Clinical reasoning cycle is a culmination of the critical thinking and clinically reasonable evaluation of the symptoms of the patients and arrives at a concluding set of interventions that will help the patient. The first step to this clinical reasoning cycle is to consider the patients situation, in this case the patient is suffering from health conditions that pose a high risk to the heath and wellbeing of the patients there are a number of risk factors associated with him. He is pale, has encountered a fall, and is extremely weak. Upon this stage the health care professional is supposed to collect cues from the patient about his apst and present conditions. This is the second stage to the clinical reasoning cycle, and is concerned with eliciting all kinds of information’s from the patient about his past and present medical history. In this case scenario the patient has been suffering from medical conditions like malnutrition, anorexia and extremely fatigue. Along with that the patient has also suffered a fall and has attained a number of injuries as well. The nets step to a succinct clinical reasoning approach is processing the information collected by the health care professional. This is the step in which the health care professional assigned to him will evaluate and analyse the information collected and will attempt to determine the causes behind the medical conditions he has developed, In is old age he already is going through deteriorating health conditions and his long history of alcoholism has complicated his health further. He is in walking support and is in high of falling and unconsciousness which can potentially harm him further (Dalton, Gee and Levett-Jones 2015). Apart from that the patient is going through severe dyspnoea and being in acute care he has high risk of respiratory tract infection as well. And along with that the anaemia can cause further complications in the patients. In order to process the medical information about the patient, it is important to process the history of alcoholism as well. It has also been found out that the alcohol addiction has also generated behavioural and personality disorders in him, with the grief he endured due to the loss of his wife this can generate multiple personality disorders and psychological problems like agitation, hallucination, paranoia, and anxiety as well (Zeng, et al. 2015). His motor skills are at a risk of getting impaired as well at this point and he is in dire need of a multidisciplinary and highly impactful complex treatment plan and intensive care. Although the mental state examination score for him was 28 out of 30 so the patient was not in any immediate risk mental disorders (Fernandes, D’Cunha and Suresh 2014). However if his behavioural disorders are addressed with proper counselling and cognitive behavioural therapy coupled with the treatments that he is in need of for his other health care concerns like airway clearance, proper diet and iron supplements for the anaemia, he can approach multiple serious health concerns that can be lethal (Zeng, et al. 2015).
The last stage to a compact clinical reasoning cycle is drawing a conclusion depending on the information collected and processed about the case study of the patient and the consideration for this assignment. All the information that have been accumulated about the patient and his medical condition, indicate at the 3 major risk factors, the first being is heavy risk to falling. It has to be understood that the patient is aging and in a aging condition, with all the medical complications that he has developed he could again face a fall and this time get more injuries (Taylor, Dowding and Johnson 2017). The second risk to him being the lack of nutrition in him that has already started manifesting into fatigue and the third risk to him is the loss of cognitive abilities due to all medical complexities and extensive medication that he is under (Taylor, Dowding and Johnson 2017).
2. Best practice assessment tools:
Best practice assessment tools are one of those health care innovations that helped the he heath care plan to be moulded in a manner that suited the specific and unique needs of different patients dealing with different health care problems (Liou et al. 2016).
First and foremost, it has to be considered that the patient is aging and is weak, and his major clinical risk is falling. . In the clinical reasoning of approach the health care professionals utilize a series of step by step actions to ensure that the patient does not succumb to any other fall situation (Martin 2014). For this purpose the best practice assessment tool that can be used is the fall assessment tool which is essentially a geriatric assessment tool. Apart from risk of falling and attaining injury the patient is malnutrioned and extremely fatigued (Valentine, Nembhard and Edmondson 2015).
In case of aging patients, any changes in their medical condition, be it the change in their severity of the medical issue they are suffering from, or change in their medication, or change in their response to the medication can result in falling (Valentine, Nembhard and Edmondson 2015). Moreover the weakened and malnutritioned state of the patient also increases his risk to falling and sustaining a much more severe injury. In such cases a fall risk assessment done periodically for the patient will be beneficial on a paramount level. A fall risk assessment comprises of a questionnaire filled up by the nurse commencing the assessment regarding the condition of the patient, why he is in risk, how much risk is he in and what can be done to avoid the risk (Valentine, Nembhard and Edmondson 2015).
Along with a fall risk assessment tool, nutritional assessment tool and cognitive assessment tools are the three extremely important best practice assessment tools required for the patient under consideration in this case study (Means et al. 2015). As the patient is aging and is malnutrition and fatigued nutritional assessment tool will be required to generate a proper diet for him. Human body is heavily dependent on the nutritional uptake and the energy it in turn provides the body. Health care has advanced significantly from what it used to be years ago, with the advancements to the biomedical science there are a hundred treatment options available for the patients to choose from. Health care today is completely patient centred, prioritizing the preferences and needs of the patients above all. Along the course of revolution in the health care industry, changes have not just occurred in the treatment procedures, changes have occurred in diagnosis, nursing care and even documentation and record keeping that has morphed health care in to a logical cause and effect science minimizing the scope of mistakes completely (Bourgeois, Nirgin and Harper 2015). In this report a step by step care strategy will be curate following the clinical reasoning cycle based on a case study.
There is a critical requirement for different minerals and vitamins along with carbohydrate, protein and fat that helps in our bodily functions running smoothly. If a patient is malnutritioned, then his chance of recovery is reduced to a drastic level and will rather be detrimental to is health (Turner and Clegg 2014).
3. Patient centred approach for patient rights:
A patient centred care for him should consider keeping him as comfortable and relaxed as possible. It has to be considered that a patient has right to safe and sound environment that does not provoke or harm him or her. When discussing about logical health care, the most revolutionary innovation that the health care industry has seen is the emergence of clinical reasoning cycle. On a more elaborative note a clinical rezoning cycle is nothing but a highly logical and strategic step by step actions that aids in the health care professional eliciting valuable information about the health related abnormalities that the patient is experiencing and by the virtue of evaluating those signs and symptoms arrive at a verdict formulating the prognosis and commencing the treatment phase.
The patient should be allowed complete privacy and should be informed about his conditions and should be actively involved in the treatment options taken for him (Nys 2014). Patient consent and patient education are two vital and elemental components of the patient centred care and these rights should not be overlooked. If the patient refuses to go for aged care, he could use community service as a regular help as living in his house without a supportive care will be very risky for him (Mousavi 2016).
According to the aged care act in Australia, the patients are allowed to decide whether or not they want to undergo certain medical procedures and have a right to determine whether the health care professional addressing them are skilled or not other than the patients have a right to confidentiality of their medical data and complete privacy should also be ensured for them (Means et al. 2015).
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