Clinical Reasoning in Patient Care ...

1. Patient assessment (250 words):

   • Provide an initial impression of the patient and identify relevant and significant features from the patient presentation. Ensure you identify what the presenting condition/issue/concern is.
   • Identify further elements of a comprehensive nursing assessment (this is in addition to what has been done already, and can be presented as a list. If you repeat assessments, provide a rationale).

2. Disease pathophysiology and complications (750 words):

   • Discuss in detail the pathophysiology of the presenting condition/issue/concern and how the patient’s presenting signs and symptoms reflect the underlying pathophysiology.
   • Based on the patient’s history and presenting condition, he is at risk for complications. Choose two (2) possible complications from the list below, and explain why he is at risk of developing these. You need to refer back to the patient details to support your answer.
     • Septic shock
     • Fluid overload
     • Respiratory failure
     • Acute kidney injury

3. Identify nursing issues (400 words):

   • Identify and prioritise 3 nursing issues you must address for the patient for their current admission, and justify why they are priorities and support your discussion with evidence and data from the case study. These can be actual or at-risk issues, and need to be written using the “issue, cause, evidence” format.

4. Nursing interventions (600 words):

   • Identify, rationalise and explain, in order of priority, the nursing care strategies you should use or plan for within the first 24 hours of admission for the patient.

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