Evaluation Of The And Alcohol Addiction

929 Words May 8th, 2016 4 Pages
Johnny Obrien aged 79 years, presented to the Emergency Department after a fall at the RSL, resulting in a laceration on his left elbow which required 3 stitches. He lives by himself with no family close by, and has a history of hypertension and alcohol addiction. Clinical reasoning is a cyclic process, where cues are collected and their data processed to come to a conclusion of the patient situation so that appropriate interventions can be implemented and evaluated through reflective practices which allows for further learning (Levett-Jones 2013). Applying these clinical reasoning skills in practice is important as it has a positive impact on patient outcomes, resulting in less adverse effects due to the detection of patient deterioration throughout this process to ensure safe and effective care (Levett-Jones 2010).Subjective data is information from the patient’s point of view, including their feelings, perceptions and concerns, whereas objective data is information that is observable or measurable (Delmar Cengage Learning 2015).
Johnny Obrien’s first set of vital signs at 0500hrs showed a temperature of 37°C, a blood pressure of 120/60mmHg, a pulse rate of 50 beats/minute and a respiratory rate of 14 breaths/minute. The laceration on his left elbow required 3 stitches, and a simple dressing. His background states he has hypertension and an alcohol addiction.
He was visibly observed to be in pain during the interview as he was holding his left elbow with the laceration,…

More about Evaluation Of The And Alcohol Addiction

Open Document