Appropriate clinical reasoning ensures that the patient receives the right intervention at the right time and for the correct reasons (Rossiter, 2013). In addition, the use of evidence-based practice (EBP) guarantees that the chosen intervention is right in terms of effectiveness supported by research findings. The clinical reasoning cycle (Levett-Jones, 2012) is a useful framework to guide the clinical reasoning process. The purpose of this essay is to apply this framework in the planning of nursing care to address dyspnea in Mr. Thompson, a 70-year-old gentleman admitted to the coronary ward with congestive heart failure (CHF). This essay will ...
Essays on Cyanosis
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Patients with hypertension, coronary heart disease, and congestive heart failure have a high risk of developing impaired tissue perfusion and deep vein thrombosis. In this case, Mr. X, 71 years of age has a history of lower leg cellulitis and venous stasis ulcers in both extremities. Based on clinical and nursing diagnosis, Mr. X was known to have impaired tissue perfusion and the risk of developing deep vein thrombosis. Nursing diagnosis also revealed an altered body image due to psychosocial reasons and current health status (Mitchell C. 2016). Abnormal flow or maldistribution of blood circulation associated with selective vasoconstriction, ...
The case study discussed the case of a 52-year-old female of normal height and obese in weight. She had come with a medical history of diabetes mellitus, coronary artery disease, hypertension, acute renal failure, chronic obstructive pulmonary disease and patent ductus arteriosus (Case Study 2, n.d). She also had a family history of the problems she was suffering with. Ideally, she should have been on the transplant list but due to lack of social support, she was denied getting on the list. The proper course of treatment was taking her step by step as the first step was to ...
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ORDER AN ESSAYCardiovascular diseases are the illnesses of heart and blood vessels (arteries and veins) (World Health Organization). In fact, there are many different diseases of the cardiovascular system, but I would like to highlight the most common.
Arrhythmia
Arrhythmia is a condition in which the frequency, rhythm and sequence of heart contractions are violated. The symptoms occur because of various congenital anomalies, acquired diseases of the cardiovascular system, as well as under the influence of vegetative, hormonal or electrolyte disturbances and as a result of the adverse drug action. Violated heartbeat, weakness and fainting are frequent companions of arrhythmia. The diagnosis ...
Pulmonary emphysema is a pathological condition of the lung tissue, which is characterized by its increased airiness due to the expansion of the alveoli, as well as the destruction of alveolar walls. This disease happens with males twice as often than with females. The risk of development of emphysema among people with chronic obstructive pulmonary illnesses is very high, especially after 55 years (Mayo Clinic Staff, 2014).
Factors that Provoke the Development of Emphysema
At the present time there are many causes and risk factors of pulmonary emphysema, with which a person meets almost every day. Some of them we will consider now. The main cause ...
Vicent’s case study
Question 1- Discuss in point form The clinical features of the scenario that lead you to administer oxygen. The clinical scenario that lead you to administer oxygen; cyanosis, level of consciousness indicated with GSC 7, respiratory rate of 4 breath per minute which is regular but shallow, lowered pulse rate which is weak and regular are the clinical features that are responsible for the initiation of oxygen administration.
The physiological rationale for administering oxygen.
The physiologic rationale is to manage hypoxia and thus reduce the cyanosis, which is the result of shortage of oxygen and increased concentration ...
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