Importance of Clinical Reasoning Cycle-Free-Samples for Students

Questions: 1.Explain your understanding of the function of Clinical Reasoning Cycle in relation to nursing assessment. 2.List any additional health assessment data would need to be collected for this patient as part of a focused nursing assessment? 3.Considering the patients demographics (age, gender, lifestyle,) identify two focused nursing assessments that would assist you in collecting appropriate data for this patient? Answers: 1.Clinical reasoning cycle is an important assessment tool in nursing by which nurses collect cues and then process the information. Through this process, they come to an understanding of the problem or situation which is bothering the patients health and hence plan and implement interventions with proper evaluation of outcomes. This is followed by reflection form the learning acquired by the nurse. Many decisions are often complex and depend on a number of different internal as well as external factors. Therefore this decision making tool helps the nurse to make choices through a systematic process that considers different clinical predisposing and contributing factors (Dalton, Gee Levett Jones, 2013). This tool helps the nurse to move sequentially through a number of logical considerations that ultimately end at a final decision. 2.Apart from the vital signs which provide a large number of indicators about improper functioning of the heart and chances of myocardial infarction, another diagnostic test that is also important in this scenario is the electrocardiography. Electrocardiography in suspected myocardial infarction often act to be very helpful in recognizing ischemia as well as acute coronary injury in the emergency departments patient who are coming with symptoms of myocardial infarction. ECG is also helpful in distinguishing different types of myocardial infarction. 12 lead ECG is often used for such patients with ST segment elevation, St Segment depression or with non diagnostic symptoms (Hassell et al., 2016). 3.The BMI of the patient is found to be 35. This BMI states that he is an obese individual. Hence information about the patients lifestyles are needed to be inquired and assessed for so that the nurse can make appropriate lifestyle change recommendation which will reduce his weight and maintain an healthy lifestyle (Mazor et al., 2014). Obese patients have high chances of hypertension, diabetes, dyslipidemia and many others which often become reason for cardiovascular diseases like myocardial infarction. He also has high stress employment. Increased amount of stresses can cause heart problems. Excess of stress hormones may be produced which cause myocardial infarction. It occurs when a blockage forms in one of the arteries supplying oxygenated blood to heart/ stress hormone interrupted the system affecting the condition of the patients heart. References: Dalton, L., Gee, T., Levett-Jones, T. (2015). Using clinical reasoning and simulation-based education to'flip'the Enrolled Nurse curriculum.Australian Journal of Advanced Nursing, The,33(2), 29. Hassell, M. E. C. J., Delewi, R., Lexis, C. P. H., Smulders, M. W., Hirsch, A., Wagner, G., ... Piek, J. J. (2016). The relationship between terminal QRS distortion on initial ECG and final infarct size at 4months in conventional ST-segment elevation myocardial infarct patients.Journal of electrocardiology,49(3), 292-299. Mazor-Aronovitch, K., Lotan, D., Modan-Moses, D., Fradkin, A., Pinhas-Hamiel, O. (2014). Blood pressure in obese and overweight children and adolescents.The Israel Medical Association journal: IMAJ,16(3), 157-161