CNA 155 Assessment Task 2
Clinical Reasoning Report
Background: | Mia Roberts is a 12-year-old girl brought to the emergency department by her basketball coach, Nadine. Nadine was called to Mia’s hotel room by her teammates as she became emotional and crying and stating she felt “hazy”. The coach also noticed that she was unusually quiet at the team dinner and did not eat much, in fact, had not eaten much at all for the day. Mia had been involved in an on court incident where she had been hit in the head during the second basketball game and immediately after the game complained of a headache, nausea and fatigue. Nadine was concerned that Mia may have concussion and brought her to the hospital. |
Consider this patient: A twelve (12) year old female basketball player (point guard) with no previous history of head injury or concussion. She is normally fit and well. Mia was born in the Kimberly Region in Western Australia and lived on a property with her parents on the Gibb River road until 3 years ago. Mia now attends Perth College boarding school for girls and attends an advanced maths program. Her parents David and Melissa Roberts remain on the property some 3,302km away. Together they have two daughters and Mia is the eldest child and the only child living away in boarding school. Mia enjoys boarding school but also likes returning to the property helping her parents. |
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Patients Notes: Emergency Department. |
12-year-old female brought to the emergency department after experiencing headaches, nausea, fatigue and some confusion after a hit to her head during a basketball game. Currently feeling “hazy” and states she has a headache rated at 4/10 on a pain scale. She stated she had experienced dizziness and was light headed after the hit to her head but now has a “slowed down” feeling and “not feeling right”. Her vital signs: Temperature: 36.7°C Blood Pressure: 105/87 Pulse: 81 Respiratory Rate: 20 SpO2: 98% |
How common is concussion in sport? |
Access the Australian Sports Commission, Concussion in sport and the Sports Medicine Australia concussion policy and consensus statement. https://ift.tt/2o8XxFW |
Case Study: Mia Roberts |
CNA 155 Assessment Task 2
Clinical Reasoning Report
https://ift.tt/20MwLhC | |
What is concussion? What happens to the brain? |
https://ift.tt/2PEbMzl campaigns/concussion-in-sport/ |
Assessment Task: | 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 patient’s profile making links to how you think this information relates specifically to the situation. Discuss Mia’s risk factors. b) Collect cues and information: Review the patient’s notes from both the emergency department and prior to presenting to the emergency department. Note the subjective and objective data. 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 might 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 bio scientific principles underlying the case. c) Process the information Relate and Infer: Cluster the cues in the case to identify and support a problem that you think might be occurring with the patient. From what you know about Mia’s background, the cues that you have clustered, and the signs and symptoms she is experiencing, explain your interpretation of her condition. In other words, what do you think is going on? |
CNA 155 Assessment Task 2
Clinical Reasoning Report
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 concussion and what might be the natural progression of a
concussion if left untreated.
2. What are the defining signs and symptoms of concussion.
3. Identify Mia’s predisposing risk factors for concussion and the associated risks.
4. What neurological assessments can be carried out on a patient with a sports
concussion?
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