Nursing Care Using Clinical Reasoning Cycle-Samples for Students

Question: Discuss about the Health Care Industry. Answer: The health care industry is changing every day, with the newer and better advancements coming out every day, the potential of this industry have long surpassed the expectations of the human society. The number of diseases that used to be incurable once upon a time has a varied array of treatment options now. Apart from just the treatment options, revolutions has come in the diagnosis procedure, prognosis, and even in documentation. Today a properly documented care regime along with proper patient education and consent is a part of proper and legit health care procedure (Estes et al., 2015). However with all this advancements to the health care industry the health conditions of the society is deteriorating with a vengeance to outrun the advancements. Coronary heart diseases, kidney failures, respiratory diseases or digestive disorders, the adverse effects of the fast paced lifestyle have encompassed individuals of all age group. Gall bladder disorders that are the onset of many more complicated health related disorders have now become one of the most prevalent public health disorders in the current scenario. The number of adult population succumbing to these health concerns has worried the health care authorities worldwide (Estes et al., 2015). Gall bladder disorders have become one of the most prevalent lethal health disorders there is that has a vast majority of the society crippled. This essay will attempt to carve out a care plan for the gall bladder disorder of Mr kasim al-mutar case taking the aid of the elements of the clinical reasoning cycle. The most important part of the job of the nursing professional in the health care scenario is to ensure that the patient is in complete and optimal cared situation. As the patients in most cases are under the care of the nursing professionals it is their responsibility to make challenging clinical judgments for the patients. However in most cases the nursing professionals find themselves in the conundrum to make the logical decisions in the health care scenario that will be in the best interest of the patient and the health care scenario. However the innovations like the clinical reasoning cycle have made it easier for the nursing professionals to make clinically reasonable decisions that will ensure that the patient is optimally cared for (Levett-Jones Hoffman, 2013). Various studies have suggested that the need for health care at the moment has become the critical thinking and evaluation to ensure that the health care and treatment related judgments that have been taken are at com pliance with the health care standards along with being compatible with the particular needs of the patients. Clinical reasoning cycle has provides the opportunity to the health care professionals to achieve this goal by the means of a number of strategic step by step actions. A clinical reasoning cycle generally has a number of distinct steps that started with the healthy care professional to consider the condition of the patient, collect viable information from the patient, process and reflect at the information collected and the arrive a clinical judgment that will be compatible to the scenario (Levett-Jones Hoffman, 2013). The very first step to a clinical reasoning cycle is to consider the health situation that the patient is in. In this case the patient is a 49 year old male, who is suffering from acute pain the right upper quadrant. Along with that the patient is also suffering from nausea and fever which has rendered him very weak and irritated. The symptoms that the patient is experiencing are indicative of acute cholecystis (Gutt et al., 2013). Considering the demographic data for cholecystis it has to be mentioned that cholecystis is a common health care disorder in the adult population. Studies suggest that the risk of cholecystis increases with age and the lack of proper treatment can lead to other more complicated and fatal health concerns as well. Hence it can be stated that the health related complaint from Mr. Al-Mutar is common and expected considering his age and gender as the males are found to be more prone to this particular disease (McGillicuddy et al., 2012). The next element of the clinical reasoning cycle is where the health care professional is supposed to collect cues and information about the patient and the medical concern he represents. This phase is crucial in the clinical reasoning cycle in order to arrive at a reasonable clinical judgment and hence the nursing professional responsible for the patient must elicit all the information not just about the present signs and symptom that the patient is exhibiting but also consider the past medical history, lifestyle habits and dietary habits as well (Potter et al., 2013). Apart from that this step is incomplete without considering the vitals and metabolic rates of the patient as that informs the nursing professional about the present needs and requirements of the patient, and nursing handovers are crucially beneficial in this scenario. The handover information about the patient opted for this case scenario reveals that the patient has a heart rate of 126 beats per minute, and he had his blood pressure ranging around 100/45. The body temperature of the patient is feverish at 38.8 F and the patient had the last episode of vomiting two hours ago which has left him tired and weak. The pain that the patient had been experiencing in the right upper quadrant has been acute for him as he had scored the pain 7 out of 10 in the pain assessment scale. From the information that the patient handover is representing it can be stated that the patient is suffering from an acute cholecystis and is in need of a cholecystectomy (Riall et al., 2010). The next part of the clinical reasoning cycle is the evaluation and analysis of the information that has been accumulated and elicited from the patient, about his past and present medical history. This step provides the health care professional to reflect and establish the link between theory and practice and draw the most logical and clinically scientific prognosis for the patient and his medical concern (Riall et al., 2010). Here in this case scenario the patient is suffering from acute right upper quadrant pain, now abdominal pain can be due a number of health care concern. Diseases like pancreatitis, liver sclerosis, colitis, appendicitis, the primary symptom of all these health concerns are abdominal pain. However the patent under consideration for this assignment is experiencing a nausea and vomiting along with right upper quadrant pain which narrows down the prognosis, and represents cholecystis to be the most plausible diagnosis (Schmidt et al., 2011). In order to process the information more and arrive at a definite conclusion about why the patient is suffering from these symptoms, investigative health assessments need to be performed. The testing should initiate with competitive blood cell count test as a marker to check inflammation. As increased concentration of white blood cells and bilirubin hint at bile congestion in the gall bladder which is the marker for cholecystis. Xray radio imaging of the right upper quadrant is a more definite assessment method which can confirm the presence of inflammation or stones in the gall bladder which are confirmative markers of cholecystis (White et al., 2012). Cholecystis is considered to be a gall bladder inflammation which blocks the cystic duct, most often due to presence of gall stones, and blocks the digestive bile, imperative for digestion of fatty food items. In this disease the symptoms of pain and nausea, that the patient is going through is generally spiked after a heavy meal rich with oily and spicy food items, as that spikes the biliary colic production. The patient, considering his condition, will need a laparoscopic cholecystectomic surgery and will require the service of certified gastrointestinal specialist, nursing professionals, dietician and a community service worker. The care plan for the patient should focus on the relieving the pain of the patient through analgesia and antipyretics as well (White et al., 2012). The responsibility of the nursing professional, prior to the surgery is to minimize the vomiting urge and fever, and also educating the patient properly about his treatment plan. Post the surgery the patient w ill need to bring a few changes in his lifestyle and will also require following precautions to help him attain speedy recovery. The regular visits from community social service should be offered to ensure that the patient follows the post surgical guidelines (Yokoe et al., 2013). On a concluding note, it can be stated that cholecystis or gall bladder inflammations are considered to be a highly common health care concern among the adults and the risk factors rises with the increasing age. The deteriorating lifestyle habits of this generation are only adding more fuel to the myriad of medical complications that are prevalent. The health care industry needs to outsmart the increasing complication with its technology and care standard advancements. The innovations like clinical reasoning cycle can aid this process of improving health care to offer the best at all times to the patients. References: Estes, Calleja, Theobald, Harvey (2015).Health Assessment Physical Examination(2nd ed.). Australian New Zealand: Cengage Giger, J. N. (2014).Transcultural nursing: Assessment and intervention. Elsevier Health Sciences. 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