ASSESSMENT TASK 1 :-
Write a clinical reasoning report.
Demonstrate your understanding of the clinical reasoning cycle by applying the first three components of the cycle to the case above.
a) Consider the patient situation (tells us what is significant about her age, culture, health specific issues, medical history and social history, making links to the presenting situation).
b)Collect cues and information by reviewing current information, gathering new information (telling us what assessments are needed while linking this to a clear understanding of what is going on with the patient from a functional and structural perspective within the brain).
Making these links requires you to recall knowledge of the
bio scientific principles underlying the case.
c)Process the information by careful analyses identifying
normal from abnormal. Discriminate by narrowing down to tell us what are the most important and relevant cues to Mrs Amari at this time(the current situation). Relate the cues collected to tell us which cues can be clustered together and connect the dots to inform us that Mrs Amari is having a deterioration.
Next infer- think about the cues collected and consider what Mrs Amari is experiencing.
These questions are not allocated any marks towards the clinical reasoning report. They are guiding questions to assist with
knowledge recall in preparation to write the clinical reasoning report.
1.What causes a TIA and what is the natural progression of a TIA?
2.Explain how a TIA differs from a cerebrovascular accident (stroke, brain attack, CVA)?
3.Discuss the defining characteristics of a transient ischemic attack(TIA).
4.How does Mrs. Amaris case fit the profile of the typical client with a TIA?
5. Mrs. Amari has hypertension and hypercholesterolemia. Think about why this is a concern.
6. Identify Mrs Amaris predisposing risk factors for a TIA and possible stroke. Which factors can she change and which factors are beyond her control?
What can she do to change her risk factors?
7. A nurse reports she hears a carotid bruit on physical assessment. What is a bruit and why is this of concern to the nurse?
8.What assessments are normally carried out on a patient with a changed neurological health status?
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