This assessment task requires you to write an essay in which you:

From the Case Scenario provided below identify the key aspects of the clinical scenario;

Case Scenario

You are a Registered Nurse (RN) working in the Emergency Department of a regional hospital in the Blue Mountains area when Mr David Parker, a middle-aged man, is brought in by ambulance, accompanied by his wife.  Mr Parker is sitting upright on the ambulance trolley with an oxygen mask over his pale, grey face.  He is very short of breath, anxious and complaining of pain in his chest.

The doctor examines him and orders a stat dose of IV Morphine.  David’s ECG is attended and shows ischaemic injury (ST elevation) in the anterior leads.  It is confirmed that David has had an acute myocardial infarction (AMI).  After being admitted to the Cardiac Unit David becomes increasingly agitated, yelling at staff to contact his children and wanting his wife to take her home.  David’s children are brought in to see him, however he becomes increasingly agitated and tells the children he is alright and to return to school.  His takes takes them home and returns later that evening.

It becomes clear that David has experienced further heart tissue damage, with associated pain.  As he starts to recover you create a care plan for David based on short term care goals and guided by relevant aspects of the heart foundation resource.  You reflect on what to communicate to David’s wife when she returns to the hospital and how to include his three children in the conversation.

• Describe the Caritas Processes and discuss where and how they relate to the Clinical Reasoning Cycle in your scenario.
• Explain how the Caritas Processes and Clinical Reasoning Cycle could be used to achieve solutions to address the care needs for the person / family / community.

In the essay you should:

• Response to questions must be provided in full sentences without informal language and jargon and referenced accurately.
• Do not use dot points
• Use only current scholarly sources for this assessment task. (e.g. the current edition of a textbook not more than 5 (five) years old and peer – reviewed journal articles not more than ten (10) years old).
• Dot com (.com) websites and blogs are not suitable for academic work and will not be recognised as credible references. General web searches will not provide you with information of sufficient quality to pass this assessment.
• Please use the CSU library search (CINHAL, EBSCOhost, ProQuest, PubMed) engines to access information.
• APA 7th edition conventions should be used for in text citations and in the reference list.

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