Identify the three nursing care priorities using the first four steps of the Clinical Reasoning Cycle Consideree Functional Consequences Theory – (embedded in discussion): 1.Consider the patient –...

Identify the three nursing care priorities using the first four steps of the Clinical Reasoning Cycle
Consideree Functional Consequences Theory – (embedded in discussion):
1.Consider the patient – describe factsand contents. This is the first stage ofthe clinical reasoning cycle, the nursebegins to gain an initial impression ofthe client’ situation.
For example: This is an 89 old client – Giuseppe Guinta. He feels breathless on exertion, with wheezing and chest tightness. A 5 x 6x 0.2 cm ulcer is found at his right ankle, with a fair amount of exudate and an offensive smell. Giuseppe lives with his wife, Regina who experiences an intermittent memory loss, in a two- storey house…Age-related changes (notmodifiable) such as the decreasedrespiratory muscle tone andefficiency; decreased number ofcilia cells; diminishedchemoreceptor sensitivity tohypoxaemia; increased chest-wallcompliance (Hunter, 2012, p.434).
Risk factors (modifiable) such assmoking, occupational exposureto respiratory toxins, living in a 2-storey house, with COPD, etc.(Hunter, 2012, p. 434).
Negative FunctionalConsequences – difficulty
2.Collect cues/information – review theinformation, gather new information andrecall knowledge;
Giuseppe had a history of smoking for 20 years, COPD for 10 years, hypertension and cardiac failure for 6 years…
Giuseppe feels tired easily and has difficulty climbing stairs and managing garden recently. His leg ulcer shows no sign of improvement. He also feels embarrassed about the smell and exudate from his leg ulcer…
performing ADLs; a risk of being socially isolated and depression.
3.Process information – to interpret,discriminate, relate, infer, match thedata and predict an outcome.
COPD – related to smoking
Shortness of breath – related toCOPD and cardiac failure…
Leg ulcer – related to immobility,smoking, cardiac failure andCOPD…
(You should expand each point with support of the literature evidence.)
4.Identify problems/issues – synthesiseall the information that has beencollected and processed in order toidentify the most significant patientproblems or issues. You only need toidentify three (3) issues for thisassignment.
You can conduct a literature search on your client’s issues and find relevant nursing
diagnoses for each of the identified problems. Here is a useful link for some nursing diagnoses for COPD as an example.