In the following section, discussion will be carried out with respect to the applicability of the Levitt-Jones Clinical Reasoning Cycle in identification of the two care priorities within the realm of the given clinical scenario. The nursing vocation makes use of the Clinical Reasoning Cycle for considering the situation of the patient, further collecting and processing information, followed by identification of the problems. Based on the identified issues, goals are established, and actions are taken accordingly. As part of the next step in this cycle, outcomes are evaluated followed by reflecting on the process that in turn leads to new learning (Hunter & Arthur, 2016). According to the narration in the given case study, George is a 51 years old Aboriginal and Torres Strait Islander man who has been diagnosed with several issues on arrival to the general practitioner for his annual health check-up. He suffers from stage 4 chronic kidney disease (CKD) alongside mac
ro albuminuria secondary to diabetes nephropathy in addition to deteriorating kidney function, high blood pressure, excessive weight gain and raised level of cholesterol. He lives with his wife and three children in his own home and both husband-wife receives the Centrelink payments. He was ex-smoker and had history of stroke. Family history reveals that many of Georges extended family members undergo dialysis procedure. Moreover, he has been prescribed several medications, about which he is unsure as to whether he needs to continue taking the medications and is not aware about why they were given, even the names of the tablets. Deteriorating kidney function combined with elevated blood pressure and albuminuria prompted him to be referred to the nurse practitioner. Under such circumstances, it is imperative and most prudent on the part of the nursing professionals to streamline actions that in turn will aid in addressing the situation at hand in an effective manner.