Health Assessment 2 – Clinical Reasoning Report
For this assessment item you will be required to write a clinical reasoning report, demonstrating your understanding of the clinical reasoning cycle by applying the first three components of the cycle to the case of Zac (case study document below).
Clinical Reasoning Cycle:
In this report you will be required to:
1. Consider the patient situation:
This requires you to study the patients profile in the case and consider how it shapes your clinical reasoning.
- Discuss what is significant about the patient’s age, gender, social situation and medical history, making links to their chief complaint. Also consider what risk factors are present in relation to the chief complaint. Remember that age, gender, social situation and medical history influence the likely health outcome.
2. Collect cues and information: Review the available information
- The patient’s notes from the emergency department.
- The background information in the case study.
- The subjective and objective data and differentiate normal from abnormal.
- Propose new assessment data/cues to collect and describe the nursing assessments that you will use to collect those cues, as well as the frequency with which those assessments need to be performed.
- Link the nursing assessments to a clear understanding of what is occurring from a functional and structural perspective within the brain. Making these links requires you to recall knowledge of the bioscientific principles underlying the case.
3. Process the information:
- Relate and Infer: Cluster the cues in the case to identify and support the problem that you think might be occurring with the patient. From what you know about the patient’s background, the cues that you have clustered, and the signs and symptoms they are experiencing, explain your interpretation of their condition. In other words, what do you think is going on?
CNA155 AT2 Case-study 2020
Zac Smyth is 18-year-old university student who lives on-campus as his parents reside in another state. Zac is studying engineering and enjoys university life. Zac has a part-time job working at the local supermarket for 15 hours each week. Zac has no immediate family in the state, but he has a
friend of his parents that he sees from time to time. Zac usually goes home to his family during his breaks but due to his work commitments Zac has not seen his mum, dad, and younger brother for the past 4 months….Continue Reading….