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In this  section wherever you're initial given any medical treatment or you have any critical diseases or chronic disease is analysed. It is the primary step of this process. In this process we gather the initial information and the medical history about the patient to get the help in treating him in a good way(Andersson, N., Klang, B., &Petersson, G. (2012) ). In this case study  we received the initial health data  and present clinical standing of the patient,.so it would be our first aim to give him treatment after considering the current medical this part we consider the whole and every point that is useful for treatment purpose.

In this case study our patient name is George  whois a 51-year-old aboriginal and torres strait islander (atsi) man. He recently had an annual health check by his general practitioner his check up  the doctor found many issue related to his kidneys. His kidneys are malfunctioning.according to the age described in the case study george is 51 years oldand has several previous  health issues  so it may be due to previous chronic diseases.he has taken previous treatment sfor various chronic diseases like high blood pressure and gaining weight and gaining the higher level of we have to work on his treatment after considering these diseases a existing diseases in his body.


we will discuss in this  section about the current medical standing data about the patient, according to (Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). ) we have to  rigorously think about the old and new medical case history of the patient, we will also determine the expected cause of the current health issues, in this  part we will also consider the treatment taken,  and their results  and results of checking reports, and present very important symptomps. We then consider or analyse  the outcomes  of the newly appeared symptomps as well and so we got some data in this study asthis data is available at the last visit of george

His current weightis  104 kg and he   gained weight  10 kg in past 2 years.

His current blood pressure 153/93 target bp<130/80

His current urine albumin 30 mg/mmolthis is macroalbuminuria

He used to smoke in last years .

Hisserumcreatinine (rr 60-110) 237 micromol/l 

His gfr (rr>60) 27 ml/min/1.73 m2 

hishba1c 78 mmol/mol (9.3%) target<53 mmol/mol (<7%)

He has also been suffered by the stroke two years ago which is also  a very serious medical issue to be considered within the methods used for treating him by getting this data in case study we found some important outcomes about his health like his current weight is more than that is necessary at this age  and he is gaining weight in a negative the second point we found that his bllod pressure is very higher that he normal.  In the third point we found that the amount of albumin in his urine is not normal and it shows that something is going wrong with kindneys.

hiscerum count is also very lower than that it should be and his gfr and hba1c values are also disturbing ad showing large variation to the normal level in the body. We also got some data regarding his medicines and proteins taken. He also said that a couple in his family is dialysed. So it may also be an important information for us to treat is prescribed perindopril and lercanidipine, furosemide, atorvastatin, metformin, sodium bicarbonate, and vitamin d.he takes some tablets but the name of those is not remind to him


in this stage we processed the collected data and analyse it to reach at an outcome or is an  essential section and also the heart of medical reasoning(Dickson, G. L., & Flynn, L. (2013).) In this section, we  explore the methods essential for processing the info on the sufferer’s present medical standing in regard to physiopathology and medicine required for the treatment, grasp which information require measure relevant, and  to verify important  findings for potential choices you create.

After the data collected we found that he has kindney issues due to the large amount of protein in his urine. That is the major  topic of concern in his treatment.havingthe higher value of hba1c shows that he amy have the higher risky level of the diabetes. So it my be interconnected that his kindney problem is mainly associated with the diabetes. But when we talk about his gfr rate it shows that  hisgfr rate is lower that the normal and it shows that his filteration rate should be higher eta this age .but  lower gfr rate shows the decline in his kidney conditions.


by a solid evidence obtained form case study scientific discipline section, we'll have to be  ready to verify the rationale that causes the decline in his current health and the diseases.After analyzing all given data and processing this data we found that his kidney condition is not so good as it should be. So our main or primary focus is to stop the declination in the kidney situation and try to make his diabetes and  blood pressure level normal. The whole matter in this data is that there is very serious kidney condition due to diabetes and we have to treat it.


in this section  we establish the treatment aims required for  the sufferer’s scenario.treating plans .according to (Lunney, M. (2010))these plans  should be time oriented like upto which duration and time the medical situation of the patient be fine. And what are the important drugs required for this treatment.. Grasp which measure  to require, and the way quick you wish the required results.

So in this section we will find the that what are goals what the problem is going on and how t can be tackled after considering the current drugs taken by our main goal in this part is to identify the ways for tacking the diabetes level and the higher blood pressure levels. As his GFR rate is going very worst so the time required for treating his kidney situation is less.We should go through hemodialysis and peritonial dialysis. Or the most effective step amy be the kidney transplant.


in this section we take  the steps  required to satisfy the sufferer’s therapy  aims. And what kind of therapy is requiredto treat him in a good way after considering his current medical situation.  According to (Chabeli, M. M. (2010))This step is very important for a treatment process as it gives the implementation of the whple analysis made on the data collected by the patient’s current medical conditions. This step will, absolutely  includes different parts of the tending group .

So in this part if a doctor is working as an individual or treating the patient in his team will have to consider medical conditions of the patient and find out the best possible way to treat ina good way.We will also have to take the steps that will not affect his heart condition as he has been suffered by the heart stroke two years ago. So action should be taken after considering this issue as a secondary topic of concern.


in this section, we appraise the efficiency  of  the steps taken  for treating the patient. This can enable us to work out whether or not to restore or going on  the road of steps this section we also finds the total cost involve in treatment in the good way and the medical facilities as well as diets and the ways taken to restore his health.  According to (Daley, B. J., & Torre, D. M. (2010)In this section we also analyse the results or outcomes taken by the patient by us and after obtaining the health restoring pattern we find the new and effective ways to restore his health along with considering his current medical findings. In this section we finds the trends followed by the body and we analyse whether body is restoring in a good way or not.


In this  section of clinical understanding or clinical analyzing we analyse the ability of the treatment given.According to (Asselin, M. E. (2011).) In this  section, we mirror on new stuff we learnt after concerning the patient’s health condition, what type of treatment you may have taken otherwise to realize a stronger result, and what new way ought to be escaped in simultaneous occurence within the coming time.In this section we find that if there is any lack of any medicine and if there is any lack of any therapy which plays the vital role in treating the patient in a good way or to restore his condition is taken or not  Acoording to (Billings, D., & Halstead, J. (2012) so this part gives overall feedback of the steps taken by you for treating the it is an important part of the clinical reasoning.


After considering these sections of clinical reasoning cycle can help us to find out the ways and methods used or implemented and result obtained and deciding what steps or measure is to taken further or to proposed anew way if needed to make treatment best possible as much as it can, permitting yourself  as a patient care taken highly  skilled  doctor to produce the most effective take care of you sufferers.


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