[Authentic] Assignment – components of clinical reasoning cycle

Details: presentation outline:
This is a group presentation of 800 words worth 20%. From both case scenario, you need to write 800 words each. we supposed to write 5 components of ISBAR handover as you can see in the outline. However, among the 5 components of ISBAR handover from both scenario you just need to write is situation which is S and Assessment which is A. You should also use the components of clinical reasoning cycle and should also include the community nurse role in both components. I want you to write the community nurse role as you are done with situation part and assessment part. You can also research more for the 5 components of ISBAR handover and have a look in details.
ISBAR handover should use components of the clinical reasoning cycle to guide your ISBAR handover;
Identify yourself/client information
Situation/current issue
Identify the problem or current issue
Why are you visiting them?
Background/history
Consider the patient/collect cues
What is the pathophysiology of the clients’ current condition?
How do other existing comorbidities affect the current issue?
Assessment
What is your understanding of the clients’ current medication including pharmacology?
What information do you need to gather before your visit?
What further information do you need to gather while you with the patient?
Recommendation/Plan
Establish goals – what is it that you aim to achieve through your care and how will you
undertake the care required?
What strategies will you use to evaluate the outcomes?
What do you need to follow up at the next appointment?
Case scenario 1:
Mrs Zoya Solarian – Estimated consult time: 30min
Age: 72
Medical History

Type II Diabetes Mellitus
Hyperlipidemia
Hypertension
Cataract right eye
Social History

Widowed, no children
Lives alone in 3rd floor walk-up apartment.
Current medication
perindopril 4mg OD
Actrapid pen 100units/ml as per sliding scale
simvastatin 40mg OD
Current issue being managed
Venous ulcer on left leg weekly dressings
Case Scenario 2:
Name: Mr. Anh Duong – Estimated consult time 2-3 hours
Age: 74
Medical History
Renal Failure
Type II Diabetes Mellitus

Hypertension

Impaired vision

Peritoneal dialysis (PD) (self-managed home)
Social History

Retired science teacher
Lives in own home with wife, large vegetable garden
8 adult children and 18 grandchildren live in the same neighborhood Active in local community and community projects
Active in religious community
Wishes to continue to manage PD at home for as long as possible
Current medications
calcium carbonate 1500mg TDS with meals
ramipril 10mg mane

omeprazole 20mg mane

captopril 12.5 mg TDS

calcitriol 0.025mcg BD

metformin 1gm BD

erythropoietin 60 units per week
Current issue being managed
New patient, reddened area around catheter site

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