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department by her

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.
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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