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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.
You may wish to use the following subheadings in your report.
a) Consider the patient situation: discuss what is significant about the patients age, culture, health
CNA 155 Assessment Task 2
Clinical Reasoning Report
specific issues, medical history and social history, making links to the reason she was seeking care in the emergency department.
b) Collect cues and information: Review the patients notes from both the emergency department and the current situation. Discuss what has changed and differentiate normal from abnormal. Also, indicate the potential significance of any changes that you identify. Propose new assessment data/cues to collect and describe the nursing assessments that you will use to collect those cues, as well as the frequency with which those assessments need to be performed. Link the nursing assessments to a clear understanding of what is occurring from a functional and structural perspective within the brain. Making these links requires you to recall knowledge of the bioscientific principles underlying the case.
c) Process the information
Interpret: describe the normal parameters of the neurological assessments you have discussed in this case and briefly explain what results would indicate a change/deterioration.
Discriminate: Narrow down on the most important and relevant cues from the assessments that you would undertake for Mrs Amari (the current situation). What cues from these assessments you would be most concerned about and why?
Relate and Infer: From what you know about Mrs Amaris background, the cues that you have clustered, and the signs and symptoms she is experiencing, explain your interpretation of the change in her condition. In other words, what you think is going on?
These questions are not allocated 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 signs and symptoms of a transient ischemic attack (TIA).
4. Mrs. Amari has hypertension and hypercholesterolemia. Think about why this is a concern.
5. Identify Mrs. Amaris predisposing risk factors for a TIA and possible stroke.
6. What neurological assessments can be carried out on a patient with a changed neurological health status?
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