Identify the three nursing care priorities using the first four steps of the Clinical Reasoning Cycle.
A suggested structure of Assessment One
CLINICAL SCENARIO – We use NRSG259 Tutorial scenario Giuseppe’s situation as an example to help you understand and structure of Assessment One.
INTRODUCTION: (175 words approx.)
· Introduce the topic and any important and relevant concepts to the reader.
· Indicate the purpose of the paper
· Describe the overall plan or structure of the paper
BODY: (1400 words approx.)
Please note that the table below is to guide you to structure the body of the essay. You will need to use paragraphs to present the discussion in your assignment. The body of the essay includes Part A and Part B:
Part A – identifying three nursing care priorities
Identify the three nursing care priorities using the first four steps of the Clinical Reasoning Cycle Consideree Functional Consequences Theory –(embedded in discussion):
1. Consider the patient – describe facts and contents. This is the first stage of the clinical reasoning cycle, the nurse begins to gain an initial impression of the client’ situation.
This is an 89 old client – Giuseppe Guinta. He feels breathless on exertion, with wheezing and chest tightness. A 5 x 6x 0.2 cm ulcer is found at his right ankle, with a fair amount of exudate and an offensive smell. Giuseppe lives with his wife, Regina who experiences an intermittent memory loss, in a two- storey house…
· Age-related changes (not modifiable) such as the decreased respiratory muscle tone and efficiency; decreased number of
cilia cells; diminished chemoreceptor sensitivity to hypoxaemia; increased chest-wall compliance (Hunter, 2012, p. 434).
· Risk factors (modifiable) such as smoking, occupational exposure to respiratory toxins, living in a 2storey house, with COPD, etc. (Hunter, 2012, p. 434).
· Negative Functional
Consequences – difficulty
2. Collect cues/information – review the information, gather new information and recall knowledge;
Giuseppe had a history of smoking for
20 years, COPD for 10 years, hypertension and cardiac failure for 6 years…
Giuseppe feels tired easily and has difficulty climbing stairs and managing garden recently. His leg ulcer shows no sign of improvement. He also feels embarrassed about the smell and exudate from his leg ulcer…
performing ADLs; a risk of being socially isolated and depression.
3. Process information – to interpret, discriminate, relate, infer, match the data and predict an outcome.
· COPD – related to smoking
· Shortness of breath – related to COPD and cardiac failure…
· Leg ulcer – related to immobility, smoking, cardiac failure and
(You should expand each point with support of the literature evidence.)