Clinical Reasoning Report
This assessment task aims to develop your ability to apply the first three phases of the clinical reasoning process, at an introductory level, to the patient scenario below.
Patient scenario – Frederick Chiverton
You are a student nurse working with a registered nurse in a rehabilitation centre. You and your mentor are assigned to assist in an ocean pool swimming class that commenced this morning (26th March) at 0800 hours. It is a mild morning, the air temperature is 19 oC, the water temperature is 17 oC and the wind speed is 20 km/hour.
Mr. Frederick Chiverton is one of your clients in the swimming class this morning. He is a 63 year old widower; his wife died 6 months ago. This is his first ever ocean pool swim.
The time is now 0845 hours. You assess Frederick's vital signs at the poolside and record the following results:
• Temperature (tympanic) 35.0 oC
• Pulse rate 102 beats/min
• Respiratory rate (RR) 24 breaths/min
• Blood pressure (BP) 150/84 mmHg
His past medical history cannot be accessed on the electronic medial record system on your mobile device due to the mobile phone network performance issues. When you talk to Frederick, you notice that he is shivering at times and trying to put on his jacket.
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