NR 509 Week 1 Assignment: Shadow Health History Assignment
NR 509 Week 1 Assignment: Shadow Health History Assignment
The process of carrying out a patient assessment could be challenging and there are issues that may arise in the process. Considine and Currey (2015) adduce that during a patient assessment, there could be questions that could yield the best results and need to be noted for the purpose of carrying out the correct diagnosis. Typically, patient assessment involves assessing both the physical, emotional and the social health issues affecting the patient for the derivation of information that could be helpful for the process of making the correct diagnosis (Lewis et al., 2016). This essay seeks to present a reflection of the experience with the shadow health virtual assessment for a patient named Ms. Jones who is 28 years old and is an African American brought to the clinic with the complaint of sore, itchy throat, itchy eyes, and having a running nose.
In the assessment, there are various activities that went well and that were helpful for the purpose of making a decision on the health condition of the patient. One of the things that went well is the assessment of the patient. Typically, there is an effective communication with the patient and hence it has been possible for the collection of reliable information on the health condition of the patient. In addition, the process of carrying out tests and education of the patient went well since the patient is willing to take part in the activities that she is asked to do.
However, there are things that did not go well with the process of assessing the patient. One of the things that did not go well is the fact that the assessment is not completed immediately since there was a need for the patient to have their assessment being collected in the next visit. It could be necessary that changes are made in the period of time that the patient is being assessed and tests should be carried out and the results should be presented on the same day.
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The findings that were uncovered in the process of assessing the patient is that the patient has had a running nose for the past week and the challenge is seen to be occurring almost for the whole day. In addition, it is found that the patient has a sore throat that she feels pain and itchy feeling as well as itchy eyes that the patient claims to have started a week ago. These findings are useful for the process of making a diagnosis for the patient condition. It was not possible that a diagnosis could be made on the basis of making an observation alone or on the assessment that was carried out and hence further tests were necessary.
The question that yielded the most information is on each of the issue being faced by the patient. Specifically, the question on the description of the describing if there is an itchy feeling in the nose, eyes, or the throat. The information is critical for the process of making a decision on the strategies of enduring for a successful provision of a healthy process that allows for the management of the challenge that the patient is facing. The effectiveness of this questions is attributed to the willingness of the patient to take part in the assessment.
The diagnostic tests that could be ordered based on the findings would include a strep test for the determination of the throat culture. This will an important test for the assessment of the condition of the patient as a result of the continuous cases of having an itchy throat. The findings will as well help in the process of decision making in relation to the change in the health condition of the patient. In addition, a palpation and visualization of the throat will be useful tests.
The differential diagnosis that is being considered includes viral pharyngitis, strep throat, influenza, cold, and sinusitis. Each of the differential diagnosis will be assessed such as rapid strep for the elimination of the strep throat. The patient teaching that was completed includes the need for the patient to be keen on the determination of her signs and symptoms for further assessment in the next patient visit. In addition, the patient is education on the importance of taking more water of fluids, avoiding any risk that could be seen to trigger allergies, and the need for her further medication including the need for her to seek episodes of epistaxis and the headache. It will be as well important that the patient is educated to visit after 2 to 4 weeks.
At this point, there is a need that the patient is not prescribed with any medication due to the need for further research to be carried out. At the moment the patient should be allowed to make use of a puff or inhaler. After the completion of the assessment of the patient and the collection of all the information on the condition of the patient, the patient can be prescribed with the correct medication. Owing to Benjamin et al. (2017), it will be important that an assessment and tests are completed before a patient is prescribed with a medication since the healthcare provider can be able to identify any cases of allergic reaction of the patient.
The assessment that is carried out demonstrated sound critical thinking in that the kind of questions that the patient is asked and the order that the questions are being asked is desirable. Typically, the question allows for the collection of reliable information for the patient care. The decision on the follow-up questions is as well an indication of critical thinking. The changes that could be made to make it better could be taking into account the family history of the patients.
Benjamin, K., Vernon, M. K., Patrick, D. L., Perfetto, E., Nestler-Parr, S., & Burke, L. (2017). Patient-reported outcome and observer-reported outcome assessment in rare disease clinical trials: an ISPOR COA Emerging Good Practices Task Force Report. Value in Health, 20(7), 838-855.
Considine, J., & Currey, J. (2015). Ensuring a proactive, evidence‐based, patient safety approach to patient assessment. Journal of clinical nursing, 24(1-2), 300-307.
Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M. M., Kwong, J., & Roberts, D. (2016). Medical-Surgical Nursing-E-Book: Assessment and Management of Clinical Problems, Single Volume. Elsevier Health Sciences.
NB: We have all the questions that you will ask Tina Jones plus the answers that she will provide already documented in the Subjective Data, Objective Data, Assessment, and Care Plan format. Further, all the answers to additional activities for this assignment will be given to you as a bonus. In other words, we are offering you a chance to score 100% in this NR 509 Week 1 Assignment: Shadow Health History Assignment plus all the other Shadow Health Assessments for this course.
Welcome to Health Assessment
Hello class: my name is, and I will be the instructor for this class. For more information on how to get a hold of me, please go under my profile for specific information. However, my email is: ***The best way to contact me though, is through the Private forum***
This course will focus on methods of health history taking, physical examination skills, documentation, and health screening. The course emphasizes the individual as the client, functional health patterns, community resources, and the teaching learning process. This course will take us through infancy to an older adult.
To find course material, go under your Dashboard, then you will see PATH. There are two links to find information regarding this course; course material and syllabus.
- The course material tab shows what textbook is used for this class.
- The syllabus will show what this course is, the assignments for the course, the topics of the course, the grading system, and how to refer to the student policy handbook. **there has been some problems downloading the syllabus, thus the PATH is also the syllabus…but 1 week and topic at a time.
Under your Assignments, will have the due date and the rubric posted to look at.
Under the Planner tab, assignments are listed along with the due dates. Clicking the collaborative reminder within the calendar tab will show the assignment, any information that is needed for the assignment, and give the rubric of how the assignment will be graded.
Please refer to all other announcements for Class Policies and Week 1 class.
Feel free to contact me anytime. I look forward to this 5 week journey with each of you
Shadow Health History Assignment
NR 509 Week 1 Assignment Debriefing
Faculty will lead virtual debriefing sessions during Weeks 1-6. The date, time, and duration of the weekly debriefing session will be posted by the course faculty. Students must register to attend the debriefing session.
During the debriefing process, students reflect upon their simulation experience and revisit their assessments, interventions, observations, and patient responses. Faculty coach students to review patient data and reflect upon the interventions performed in response to the clinical situation presented during the simulation experience. This process facilitates students to analyze their own thought processes and supports transference of knowledge gained from simulation experiences to actual clinical practice.
The goals of each debriefing session are to:
- Answer questions
- Address perspectives, perceptions, and concerns
- Emphasize and reinforce learning objectives and clinical outcomes
- Create linkages to the “real world”
- Assess and validate what was learned
Each student is expected to contribute to the debriefing session by:
- Reflecting on personal strengths, limitations, beliefs, prejudices, or values
- Identify improvement goals and strategies
- Discuss the simulation experience and provide comments and suggestions to student peers
- Transfer knowledge from the simulation experience to actual clinical practice
Please refer to the Debriefing Session Guidelines and Grading Rubric located in the Course Resource section.
NR 509 Week 1 Assignment Alternate Writing Assignment
NOTE: You will complete this alternate writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.
As a family nurse practitioner, you must possess excellent physical assessment skills. This alternate writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.
The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).
Please refer to the Alternate Writing Assignment Guidelines and Grading Rubric located in the Course Resource section.