NRS163: Clinical Reasoning Cycle Written Task Assignment Help
Question
NRS163: This is a Bachelor of Nursing assignment for Charles Sturt University in which the students are required to demonstrate an in-depth understanding of the Clinical reasoning cycle and how it informs clinical decision-making in nursing. This assessment comprises of two parts-
Part One: In part one, the student is supposed to identify each stage of the Clinical Reasoning Cycle and explain its purpose. Additionally, it should also discuss how a registered nurse can plan and carry out patient-centered care with the assistance of each of these distinct stages.
Part Two: The second part of the assignment presents the responses to the assessment questions using the Case Study and the Case Study SAGO chart.
The case study provided in the assessment file revolves around Ms. Jordy Park, who comes into a medical facility and has been taken for full observation. Her case history related to medical and social information is noted by the Registered Nurse.
Solution
While providing help for this Bachelor of Nursing assignment, our experts have written a comprehensive solution addressing all the requirements corresponding to each of the two parts. We have provided some parts of the complete solution for guidance purposes below:
Part One
In the first section of this Clinical Reasoning Nursing Cycle written by Nursing Experts at OAS, a comprehensive discussion of each of the stages of the Clinical Reasoning Cycle has been provided along with highlighting its significance for providing patient-centered by a Registered Nurse.
Clinical reasoning cycle is a eight stage methodological strategy to plan and implement a person-centred care (Levett-Jones, 2017). Firstly, it considers a patient’s situation as per their current health status and chief complaints followed by collecting cues regarding patient’s history of complaint, medical history, results of investigations and vital signs (Levett-Jones, 2017). It will help registered nurses (RN) comprehend a patient’s sign and symptom and correlate it with pathophysiology, mechanism of action of the causative pathways and pharmacology. The third step involves processing this information by identifying any patterns or abnormalities and prioritising the most pressing concerns followed by identification of any problems that need to be addressed (Levett-Jones, 2017).
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Part Two
This section incorporates three sections: Consider the patient’s situation, Collect cues and information, and processing of the information.
Consider the patient’s situation
In providing help for this section of the Charles Sturt University assignment, our experts have highlighted the clear cues from the case study and explained the patient’s circumstances.
Ms Park is a 24-year-old female who lives with a flatmate. She drove herself to the Care For You medical facility after she had vomited twice this morning. On arrival, she is not making eye contact with the nurse; also she is very quiet and nods to respond initially. Ms Park is pale with tan lines and complains of weakness and shivering from the cold along with constant perspiration and a difficulty to stay warm. Additionally, she also complains of stinging sensation while passing urine along with no bowel movement since this morning. She is currently on Slinda, an oral contraceptive. Ms Park goes to the gym three times weekly, and consumes alcohol on the weekends.
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Collect cues and information
In the following section, using the CRC of review, the signals from the case study have been identified. Additionally, the ways through which the Registered Nurse is guided in making the best clinical decisions for a patient by the particular information from this stage are also discussed here.
On arrival, Ms Park is quiet and does not maintain eye contact with the RN, indicating her state of distress or anxiousness. She also looks pale but has tan lines suggesting her recent outing which could also be a potential source of distress. Hence, assessments like Kessler Psychological Distress Scale (K10) must also be performed by RNs to assess her psychological state (Bessaha, 2017). Ms Park has vomited twice and has an empty stomach since morning which can potentially cause dehydration which could be the cause of Ms Park’s low blood pressure (Lacey et al., 2019). Dehydration increases urine concentration which can irritate the urethra causing Ms Park’s symptoms of stinging sensation during urination (Lacey et al., 2019). Apart from dehydration it could also be due to other factors like Urinary tract infection (UTI), sexually transmitted infections (STI) etc. Along with this, Ms Park increasing body temperature from 38 C to 38.5 C and vomiting also strongly suggests UTI (de Cueto et al., 2017).
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Process the information
The next section outlines the triggers and anomalous assessment findings from the case study.
According to the collected cues about Ms Park’s condition and situation, her inability to make eye contact with the nurse and unusual quietness indicates a state of psychological distress. As per the case study, Ms Park drove herself to the hospital as she lives with a flatmate who is away and she also lives far away from her family, which could also cause a state of distress in few individuals (Elbay et al., 2020). Ms Park was clearly anxious during her admission to hospital because when she got a little comfortable, she thanked the nurse for their kindness indicating that she was under psychological distress. It also calls for an emotionally and psychologically supported patient centred care for her. She also has tan lines indicating her recent outing. Hence, along with the K10 assessment, RN must also take a detailed history regarding any recent life incidents that were stressful for Ms Park. Stress can potentially lead to mental health problems like anxiety and depression and even alter Ms Park’s menstrual cycle causing hormonal imbalance and mood swings (Shayani et al., 2020). This can further be exacerbated by her current medication, Slinda, which is an oral contraceptive. Ms Park’s history of taking Slinda indicates that she is sexually active. Sexually active women are at a very high risk of developing various infections like UTI which is caused by bacteria that enter the urinary tract during sexual activity (Medina & Castillo-Pino, 2019). Furthermore, her fever is also indicating the presence of infection in her body along with Ms Park’s complaint of stinging sensation during urination which is strongly indicative of UTI (Boon et al., 2021).
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