Assignment Details:-

• Referencing Styles: APA
• Words: 4250
• Course Code: NUR2102
• Course Title: Chronic Care Across Lifespan B
• University: University of Southern Queensland
• Country: AU

 

Question:

Apply the Clinical Reasoning Cycle to identify and describe how you would assess, intervene and evaluate care for the case study “Mr. Noel Smith”.

 

Task Detail

Step 1: Review the elements of the Clinical Reasoning Cycle

Step 2: Using the information provided in the patient situation and the current patient information and supported by the best available scholarly evidence apply the Clinical Reasoning Cycle in short answer format responding to the following questions:

 

Patient Situation:

Mr. Noel Smith a 55-year-old retired mining manager presents to the local Emergency Department with marked dyspnoea and audible wheeze increasing over the past 24 hours. He was diagnosed with asthma 20 years ago.

Mr. Smith recently divorced from his wife of 15 years. While he used to be very active socially, he has withdrawn from family and friends since the divorce. He smokes 30 cigarettes a day, consumes 3-4 standard drinks daily, and his diet is high in saturated fat and sodium. Mr. Smith is independent with daily care and mobility; however, he does not exercise routinely.

Mr. Smith does not routinely visit his General Practitioner (GP). Over the past 5 years, his episodes of coughing and wheezing have increased. Mr. Smith only takes his prescribed medications sporadically or when his symptoms worsen. He acknowledges that he once had an asthma action plan but admits that he does not understand it or has never had it reviewed by his GP. He does not feel that his diet or weight contributes to his asthma and states that exercise only makes him feel “puffed”.

 

Part A. Collect Cues and Recall Knowledge 

1. From the provided patient situation and current patient information, identify the relevant patient cues/information and using best available scholarly evidence explain how these relate to asthma pathophysiology.
2. Analyse the subjective and objective data in the current patient information table and compare normal vs abnormal signs and symptoms. From this comparison provide an interpretation of his overall health status with support from the best available scholarly evidence.

 

Part B. Identify Problems, Establish Goals, Take Action and Evaluate Outcomes 

1. Identify and discuss the acute and chronic problems/issues for Mr. Noel Smith. Provide a rationale for the identified problems based on the cues/information collected from Part A.
2. From the chronic problems/ issues identified, outline ONE (1) SMART goal developed in collaboration with Mr. Noel Smith.
3. Identify relevant nursing interventions that will assist Mr. Noel Smith in achieving the identified SMART goal. Using the best available scholarly evidence provide a rationale as to why these interventions are appropriate for Mr. Smith.
4. Using the best available scholarly evidence, describe the strategies you would use to evaluate the effectiveness of the nursing interventions you identified in Question 3.

 

Part C. Contemplate/Reflect On New Learning

Critically discuss the role of the nurse in facilitating self-efficacy and self-management for patients (and their families) living with a chronic condition in order to achieve improved health outcomes and quality of life. Use the best available scholarly evidence to support your discussion.