Download Free Sample

Introduction

This essay explores the clinical reasoning cycle in association with the Caritas procedure. The elaboration on the topic is done in the article with the help of an analysis of a case study. The Caritas process is part of the caring human sciences which focuses on providing care to patients with humanitarian emotions rather than treating them like a mere responsibility. The essay first elaborates on the factors associated with the case study. Then it describes what the Caritas process means in nursing practices and the application within the case study. Further in the essay, the care needs of the patient and the family are explained, along with the solutions incorporating Caritas processes and clinical reasoning. Finally, the article concludes with all the essential aspects in adherence to the Caritas process and clinical reasoning cycle.

Clinical Scenario

Mr. David Parker was presented to the hospital in the company of his wife with the complaint of heightened chest pain, anxiety, and breathlessness. An instant dose of IV morphine was administered to Mr. Parker as per the doctor's instructions post-examination. The ECG evaluation displayed the ST elevation or ischaemic injury in Mr. Parker's anterior leads. Upon further investigation, David suffered from myocardial infarction and was admitted to the cardiac unit. The situation became complicated when Mr. Parker became restless and insisted his children leave for school. David then went to the healthcare setting along with his children and was brought in again in the evening with progressed damage to his heart tissues.

The clinical scenario of Mr. Parker shows the significance of making the patient comfortable and fulfilling the care needs of the patient and the family to prevent any progressive harm to the patient's condition (Cardenas, 2021). The agitated response and reluctance to stay in the hospital are signs of his psychological barrier and anxiety (Featherstone et al., 2019). The clinical aspects of Mr. Parker's case show that psychological barriers within the patient can cause adverse complications (Morganstein & Ursano, 2020). Integrating Caritas procedures and evaluating his condition with the help of the clinical reasoning cycle would ensure that Mr. Parker receives care designed with a focus on his physiological and psychological requirements (Stanley, 2022). The efficacy of the therapy can be enhanced by the collective incorporation of the Caritas processes and the clinical reasoning cycle (Sitzman & Watson, 2018).

Application of Caritas Processes and Clinical Reasoning in the Case Study

Mr. Parker's clinical scenario is ideal for incorporating Caritas processes and the clinical reasoning cycle. As per the clinical description of the scenario of Mr. Parker, it can be observed that by the first step of the clinical reasoning cycle- consideration of patient condition, it is clear that David required the involvement of the Caritas process component- development of the interpersonal relationship (Costello, 2018). To understand the causes of reluctance in Mr. Parker during hospital admission, it is necessary to develop an efficient connection and trust between the healthcare workers and the former (Sigurdson et al., 2020). Establishing an interpersonal relationship would help David overcome his reluctance toward hospital care. Further in the clinical scenario, the next steps of the clinical reasoning cycle- information collection and processing; showed that Mr. Parker had been suffering from myocardial infarction (Castro et al., 2020). These steps of clinical reasoning can be applied to the Caritas processes aspect of ensuring a caring and developing environment for Mr. Parker (Akbari & Nasiri, 2022). Formulating a positive environment that facilitates the enhancement of recovery for David is necessary regarding patient well-being and security.

To achieve the next stage of clinical reasoning- identifying the issue requires the involvement of Caritas procedure features of practicing kindness and building trust for forming the base of an interpersonal relationship (Younas & Maddigan, 2019). Developing an enhanced interpersonal relationship would help identify the problem faced by Mr. Parker (Roscoe et al., 2019). Identifying the problem is necessary to achieve the next stage of clinical reasoning- developing goals and taking action (O'Cathain et al., 2019). Establishing recovery goals is essential for the evaluation and recovery of the patient. The recovery goals found help in the formation of the action strategies of treatment for Mr. Parker (Parker et al., 2021). The action plan or care plan development is essential to the treatment procedure. It helps assess the progress, causes, symptom regulation, and future aspects of the treatment incorporated in Mr. Parker’s care plan (Dineen- Griffin et al., 2019).

The last stages of the clinical reasoning cycle include evaluation and reflection, the assessment in clinical practice assess the efficacy and validity of the clinical strategies formulated for the patient (Rolfe & Freshwater, 2020). Current evaluation based on the clinical scenario suggests that the deterioration in the condition of Mr. Parker might have been due to lack of proper incorporation of the Caritas processes and clinical reasoning cycle. The lack of trust and interpersonal relationship initially with Mr. Parker led to the inefficient ability to make David stay and receive proper care in the healthcare setting (Drossman et al., 2021). Future action plan with respect to David includes the development of an efficient interpersonal relationship, adhering to his care needs, applying the humanitarian features like- effective listening, empathy, kindness, and compassion. Involvement of human caring sciences along with the clinical reasoning cycle enables the healthcare professionals to gain deeper knowledge, identify the symptoms, causes, and impacts associated with Mr. Parker’s health conditions (McAllister et al., 2020). Lastly, the reflection of the clinical scenario helps the health care professionals in attaining all the necessary skills, enhance the quality of care provided by them, and also to achieve self-actualization (Chew et al., 2021). Apart from the healthcare professionals; the patients also develop get the opportunity of enhancing their recovery and overcome psychological barriers.

Care Needs of the Patient and the Family

The assessment of Mr. Parker’s condition during hospital admission showed that he had a cardiac medical condition, myocardial infarction. The immediate care need for David was addressed by the doctor post-examination and he was administered with IV morphine dose instantly. The administration of morphine was to reduce his increasing chest pain and anxiety (Cantor et al., 2022). Another area of concern in Mr. Parker’s clinical scenario is his psychological barriers which are making him reluctant towards getting complete care within the healthcare setting, which can further lead to adverse health complications. Immediate care needs of David included- management of his pain, reduction in anxiety, stabilize the cardiac activity, prevention of further tissue damage, and regulate the fluid volume, and the lack of knowledge in Mr. Parker and his family. To address all the care needs and develop efficient care strategies with the incorporation of Caritas procedures and clinical reasoning cycle (White-Trevino et al., 2022). The efficacy of the care plan can be enhanced by the appropriate integration of human caring sciences or Caritas processes (Aghaei et al., 2020).

The first objective in Mr. Parker’s of care needs was to provide him medical attention required for myocardial infarction to prevent fatal situation, damage to cardiac tissues, and stabilize his breathing along with the anxiety. The psychological barriers of David made him extremely reluctant and repulsive towards admission in hospital and receiving the required care. The Caritas processes and clinical reasoning cycle integration in the clinical scenario can help in ensuring effective care and security to Mr. Parker. The administration of Caritas processes is beneficial in the development of personalized care strategies, for instance, after identifying Mr. Parker's care needs, the Caritas processes can be applied to develop strategies, which are required in order to help David in overall recovery (Nichols et al., 2022). Some of the solutions that can be derived after effective identification and analysis of the clinical scenario of Mr. Parker can be discussed in the below paragraph.

Establishment of interpersonal relationship to understand and evaluate the symptoms, causes and psychological requirements of Mr. Parker.A requirement in the care of David is regulating his breathlessness which can be achieved by integrating stress management therapy to allow Mr. Parker in relaxing and managing his breathing. The anxiety experienced by Mr. Parker can be managed by the incorporation of psychological counselling. Ensuring that Mr. Parker is treated with kindness, compassion, and empathy to help him overcome his psychological and emotional barriers. Involving David and his family in the centralised decision making and ensuring that they are well-informed. Consider the possibility of providing him with home-based care. Interaction with the family to evaluate their perspectives and address the concerns. Integration of human caring sciences to help David in trusting the healthcare workers and receive the necessary care within the clinical practice. A care need of David’s family is the emotional and psychological assurance so that they can also contribute in helping Mr. Parker to overcome his reluctance. Educating the family and David regarding all the aspects involved in the treatment to receive consent and give them an opportunity to be prepared about the possible consequences.

Conclusion

Caritas processes work on the principle of human caring sciences, which imply that the care provided to patients should be delivered with kindness, compassion, and empathy. Integration of human sciences in clinical practices helps in overcoming the psychological barriers of the patient. Caritas procedure also ensures overall recovery of the patient in terms of physiological as well as emotional or psychiatric development. Clinical reasoning cycle is a descriptive cycle that is employed in the clinical scenario to evaluate the patient's condition along with the determination of care needs of the patient and his family. The coordinated integration of Caritas process and clinical reasoning cycle allow the patient and healthcare professionals to establish a centralised care plan with the recognition of effective solutions to fulfill the care needs.

References

Akbari, A., & Nasiri, A. (2022). A concept analysis of Watson's nursing Caritas process. In Nursing Forum. https://doi.org/10.1111/nuf.12771

Cantor, W. J., Tan, M., Berwanger, O., Lavi, S., White, H. D., Nicolau, J. C., & Goodman, S. G. (2022). Morphine and clinical outcomes in patients with ST-segment elevation myocardial infarction treated with fibrinolytic and antiplatelet therapy: Insights from the TREAT trial. American Heart Journal, 251, 1-12. https://doi.org/10.1016/j.ahj.2022.05.005

Cardenas, D. (2021). Ethical issues and dilemmas in artificial nutrition and hydration. Clinical nutrition ESPEN, 41, 23-29. https://doi.org/10.1016/j.clnesp.2020.12.010

Castro, D. C., Walker, I., & Glocker, B. (2020). Causality matters in medical imaging. Nature Communications, 11(1), 1-10. https://doi.org/10.1038/s41467-020-17478-w

Chew, Y. J. M., Ang, S. L. L., & Shorey, S. (2021). Experiences of new nurses dealing with death in a paediatric setting: A descriptive qualitative study. Journal of Advanced Nursing, 77(1), 343-354. https://doi.org/10.1111/jan.14602

Costello, M. (2018). Watson’s caritas processes as a framework for spiritual end of life care for oncology patients. International Journal of Caring Sciences, 11(2), 639-644. http://internationaljournalofcaringsciences.org/docs/1_costello_special_10_2.pdf

Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PloS One, 14(8), e0220116. https://doi.org/10.1371/journal.pone.0220116

Drossman, D. A., Chang, L., Deutsch, J. K., Ford, A. C., Halpert, A., Kroenke, K., & Sperber, A. (2021). A Review of the evidence and recommendations on communication skills and the patient-provider relationship: A Rome Foundation Working Team Report. Gastroenterology, 161(5), 1670-1688. https://doi.org/10.1053/j.gastro.2021.07.037

Featherstone, K., Northcott, A., Harden, J., Harrison Denning, K., Tope, R., Bale, S., & Bridges, J. (2019). Refusal and resistance to care by people living with dementia being cared for within acute hospital wards: An ethnographic study. Health Services and Delivery Research, 7(11), 1-92. https://doi.org/10.3310/hsdr07110

McAllister, S., Tedesco, H., Kruger, S., Ward, E. C., Marsh, C., & Doeltgen, S. H. (2020). Clinical reasoning and hypothesis generation in expert clinical swallowing examinations. International Journal of Language & Communication Disorders, 55(4), 480-492. https://doi.org/10.1111/1460-6984.12531

Morganstein, J. C., & Ursano, R. J. (2020). Ecological disasters and mental health: causes, consequences, and interventions. Frontiers in Psychiatry, 11, 1. https://doi.org/10.3389/fpsyt.2020.00001

Nichols, T., Gatto, M., & Markos, D. (2022). Therapeutic Competencies for Pain and Comfort Management. Pain Management Nursing, 23(2), 243. https://doi.org/10.1016/j.pmn.2022.02.044

O'Cathain, A., Croot, L., Duncan, E., Rousseau, N., Sworn, K., Turner, K. M., ... & Hoddinott, P. (2019). Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open, 9(8), e029954. http://dx.doi.org/10.1136/bmjopen-2019-029954

Parker, A. M., Brigham, E., Connolly, B., McPeake, J., Agranovich, A. V., Kenes, M. T., ... & Turnbull, A. E. (2021). Addressing the post-acute sequelae of SARS-CoV-2 infection: a multidisciplinary model of care. The Lancet Respiratory Medicine, 9(11), 1328-1341. https://doi.org/10.1016/S2213-2600(21)00385-4

Roscoe, S., Subramanian, N., Jabbour, C. J., & Chong, T. (2019). Green human resource management and the enablers of green organisational culture: Enhancing a firm's environmental performance for sustainable development. Business Strategy and the Environment, 28(5), 737-749. https://doi.org/10.1002/bse.2277

Sigurdson, K., Profit, J., Dhurjati, R., Morton, C., Scala, M., Vernon, L., ... & Franck, L. S. (2020). Former NICU families describe gaps in family-centered care. Qualitative health research, 30(12), 1861-1875. https://doi.org/10.1177%2F1049732320932897

Sitzman, K., & Watson, J. (2018). Caring science, mindful practice: Implementing Watson’s human caring theory. UK: Springer Publishing Company.

Stanley, B. B. (2022). Mental Health Nurses’ Experiences of Transpersonal Caring Moments with Patients in Psychiatric Inpatient Settings: A Phenomenological Study (Doctoral dissertation, Oklahoma City University).

White-Trevino, K., Blackburn, A., Rosa, V., & Amin, R. (2022). Culture of care in a school of nursing: faculty embark on a quality improvement plan. International Journal for Human Caring. 10.1891/IJHC-2021-0004

Younas, A., & Maddigan, J. (2019). Proposing a policy framework for nursing education for fostering compassion in nursing students: A critical review. Journal of Advanced Nursing, 75(8), 1621-1636. https://doi.org/10.1111/jan.13946

You Might Also Like:-

Healthcare and Stigma Assignment Sample

What Are Nursing Case Study Examples

Chiropractic Science Assignment Help