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Soumi answered on
Aug 28 2020
Running Head: CRITICAL REASONING IN CASE STUDY ANALYSIS 1
CRITICAL REASONING IN CASE STUDY ANALYSIS 8
CRITICAL REASONING IN CASE STUDY ANALYSIS
Table of Contents
Critical Reasoning Cycle 3
Nursing issues and Interventions 5
Reflection 7
References 8
Critical Reasoning Cycle
Nurses play a very fundamental role in the treatment and recovery of the patient as it is the nurse who remains in close vicinity to the patient. Hence, the nurse has a wide range of duties to perform starting from the initial assessment to the administration of medications. A sound ability to analyse the symptoms and decide upon the direction of treatment would be necessary for the nurse. However, the analysis of the patient’s condition should not only be patient centric but also ethical, keeping patient autonomy, awareness, control and participation in decision making into account.According to Dalton, Gee and Levett-Jones (2015), there are certain guidelines that assist nurses in analysing situations.
One such guideline is the Critical Reasoning Framework. It is a cyclical framework which reinforces the importance of analysis and observation of patient so as to devise the proper intervention strategy by the nurse. It also includes the importance of reflection or analysing the possible effects of the intervention and possible outcomes of the strategy implemented. The cycle encompasses the steps of observing, collecting, analysing, deciding, planning, implementing, evaluating and reflecting. In order to offer the best possible care to the patients, all of these steps should be mandatorily followed and none could be skipped.
Case Study
Mrs. Connie Brownstone, a 79 year old woman was
ought into the HDU cubicle after being assigned category 2 on the Australasian Triage Scale. Due to her increasing respiratory distress, she was immediately supplied with 6L/min of oxygen using the Hudson Mask. Upon closely observing her posture, she was found to have a stiff disposition. Even while sitting, she leaned forward. Upon closer scrutiny it was understood that this posture helped to facilitate her use of accessory respiratory muscles that would aid her
eathing.
Other parameters like height and certain vital signs were measured. The measurements indicated an abnormal Respiratory Rate, an above normal Heart Rate, high fever as well as exceedingly high levels of Blood Pressure. The peripheral capillary oxygen saturation was also much below normal. Upon examination with a stethoscope, it was found that the exhalation was accompanied by a wheezing sound.
Following this, data was gathered from the initial nurse assessment conducted before shifting the patient to the HDU cubicle. As per the initial assessment records, there was no significance difference in the vital parameters post shifting into the cubicle. Physical examination revealed shortness of
eath or Dyspnoea, increased anxiety as well as wheezing sounds during expiration. Tracking past history, it came to light that the patient had Asthma. The patient was allergic towards dust mite and pollen.
The patient was admitted to ICU five years back with asthamaticus. Endotracheal intubation was performed to open up airways and prevent suffocation. The patient was on ventilation on two days. The...