(NSG2TBN) Nursing assignment finding nursing problem statementsbased on clinical reasoning cycle

Question

Task: Using the clinical reasoning cycle in your nursing assignment, list at least three (3) actual or potential nursing problem statements in order of priority.Explain why it is of high priority making use of evidence from the literature. Formulate patient-centered goalsfor your care. Remember that nursing care goals must be specific, measurable, achievable, and realistic and have a timeframe (SMART criteria). Identify three (3) relevant nursing interventions that you would implement to meet the patient-centered goal listed above. Discuss each intervention and rationale using evidence from the current peer reviewed nursingliterature.

Answer

Introduction
This nursing assignmenthas proved helpful for understanding the problem faced in the nursing service, along with the discussion regarding the priority of the nursing problem statements. The respective nursing assignmenthas proved effective for discussing three different problems in nursing that have been faced generally in order to provide a better service to the patient, along with the practice to overcome the situation. The patient-centered goal of the nurse has also been discussed in this nursing assignmentwhich has proved effective for understanding the SMART analysis of the care provided by the nursing organization. The priority that a provided by the nursing process includes the process to follow the prescribed medicine and maintaining daily exercise that can be helpful for maintaining the patient health to control hypertension and congestive cardiac failure (Gao et al. 2021). The respective priority statement has been considered as the highest as the patient's past record has illustrated that Mrs Wang has faced cardiac failure and hypercholesterolemia.

SMART Analysis

Figure 1: Clinical Reasoning Cycle
(Source: created by Author)

Nursing assignment discussing the Clinical Reasoning Cycle
The respective clinical reasoning cycle mentioned in the nursing assignmentcan be helpful for managing the patient health in order to check and understand the patient's health condition which can be helpful in reducing the chance of having hyper cholesterol and hypertension. In order to maintain the chance of having cardiac failure, the patient needs to provide better practice to maintain health and control the cardiac response during the post-operation (Shitara et al. 2021). The developed clinical reasoning cycle can be used by the nurses that include the study and practice to maintain the regular checkup of the patient health status, which has proved helpful for managing the patient's mental health to reduce hypertension.

Nursing Intervention
Threenursing intervention as per the nursing assignment findings can be included which are independent, dependent and interdependent that can be followed by the nurse in order to maintain better health quality for the patient. The nursing intervention that can be used for reducing the chance of cardiac failure includes the practice of studying the cardiac outputs by using nursing diagnosis (Tian et al. 2021). In order to maintain the risk of decreasing cardiac output, the nursing diagnosis can include the use of the practice to check vascular resistance and myocardial damage. The respective practice can be helpful for managing the patient's health by the nurse which also includes the checking of the common factors such as Myocardial ischemia and ventricular rigidity of the patient. It is found in thenursing assignment that the activity tolerance can also be maintained by the nurse to Mrs Wang which has proved effective for understanding and maintaining a sedentary lifestyle. The generalized weakness needs to be found by the nurse in order to maintain the decreased activity tolerance, which can be helpful for understanding and maintaining the imbalance between the oxygen supply and demand of the patient body.

The verbal report for thenursing assignmentof the weakness of the patient can be collected by the nurse in order to make sure the participant of the patient in desired activities. The respective nursing interventions can prove effective for maintaining the patient health that can also be used for increasing the activity tolerance of the patient. In order to maintain the good health of the respective patient that has been used in the respected case study can include the use of better assistance and care to a patient the nurse (Zhang, Du & Song, 2021). Postpartum support by the nurse to the patient can also be used in order to maintain the chance of cardiac failure that can be occurred in the post-operation time for the respective patient along with the development of a clinical reasoning cycle that has been followed by the nurse for reducing the chance of having a cardiac failure. The use of respected intervention mentioned in the nursing assignmentforMrs Wang has proved effective that can be helpful for the health of the patient, which can be illustrated from the post-operative report. It has been seen that the blood pressure of the patient has become normal after using the respective practice and techniques followed by the nursing process. The heart rate has also become good that has been measured by the nurse in the process of RTW at 1400 hours, which can be helpful for understanding the positive response of the patient regarding the nursing intervention. In order to achieve a better idea regarding the effect of nursing on Mrs Wang’s health, the temperature and HR have been checked within a continuous break, which has proved effective for the respective patient's health (Chardalias et al. 2022). Moderate pain in the patient's body has become less that has been achieved by using the prescribed medication by the nurse, which can be considered as one of the important results of using the respective interventions.

Conclusion
It can be concluded from the above nursing assignmentthat nursing intervention can be useful for understanding and maintaining the health condition of the patient that includes regular checkups and consideration of the patient's past records. The chance of having some issues regarding the patient's health can be reduced by using the respective intervention that has been discussed in the above study. The SMART analysis mentioned in the nursing assignmentcan be helpful for understanding the treatment impact and importance that can be achieved by the nurse.

References
Chardalias, P., B.Sc, Kourkouta, L.,B.Sc PhD., Paoullis, P.,B.ScM.Sc PhD., Tsaloglidou, A.,B.ScM.Sc PhD., Iliadis, C.,R.N.M.Sc, Koukourikos, K.,R.N.B.ScM.Sc PhD., &Sapountzi-Krepia, D. (2022). COVID - 19 and Nursing Interventions. International Journal of Caring Sciences, 15(2), 1614-1619. https://www.proquest.com/scholarly-journals/covid-19-nursing-interventions/docview/2723217585/se-2

Gao, L., Lv, J., Hou, L., Yuan, Y., & Wan, Q. (2021). Clinical Effects of Chinese Herbal Decoction Combined with Basic Chemoradiotherapy and Nursing Intervention in the Treatment of Cervical Cancer and the Effect on Serum CEA, CA125, and TNF-0RW1S34RfeSDcfkexd09rT2?1RW1S34RfeSDcfkexd09rT2 Levels. Evidence - Based Complementary and Alternative Medicine, 2021https://doi.org/10.1155/2021/1446864

Shitara, J., Kasai, T., Murata, N., Yamakawa, N., Yatsu, S., Murata, A., Matsumoto, H., Kato, T., Suda, S., Matsue, Y., Naito, R., Hiki, M., &Daida, H. (2021). Temporal changes of cardiac acoustic biomarkers and cardiac function in acute decompensated heart failure. ESC Heart Failure, 8(5), 4037-4047. https://doi.org/10.1002/ehf2.13492

Tian, M., Wang, Y., Liu, J., & Wang, A. (2021). Clinical Study of Influence of Continuous Nursing Intervention Combined with Comfort Nursing Intervention under Medical-Nursing Combination on Self-Care Ability and Satisfaction of Elderly Patients with Chronic Diseases. Evidence - Based Complementary and Alternative Medicine, 2021https://doi.org/10.1155/2021/1464707

Zhang, L., Du, H., & Song, J. (2021). Effect of Holistic Nursing Intervention Combined with Humanized Nursing Intervention on Activities of Daily Living and Limb Movement Ability of Elderly Patients with Cerebral Hemorrhage after Surgery. Evidence - Based Complementary and Alternative Medicine, 2021https://doi.org/10.1155/2021/2480551