NRS 434 Shadow Health: Comprehensive Assessment

NRS Week 4: Comprehensive Assessment Tina Jones

NRS 434 Shadow Health: Comprehensive Assessment

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT NRS 434 Shadow Health: Comprehensive Assessment

Complete the Comprehensive Assessment on the Shadow Health platform. This homework should take 3 hours on average each time to finish. Please be aware that this is a typical time. Some pupils might require more time.

This clinical encounter serves as a thorough examination. The Shadow Health Digital Clinical Experience requires students to get a “Proficiency” score. There are three chances for students to finish this assignment and receive a Proficiency level grade. Once finished, drop the lab pass into the assignment dropbox.

Students who successfully complete the Digital Clinical Experience at the Proficiency level on their first attempt will receive a grade of 150 points; students who complete the Digital Clinical Experience at the Proficiency level on their second attempt will receive a grade of 135 points; and students who complete the Digital Clinical Experience at the Proficiency level on their third attempt will receive a grade of 120 points. If students do not pass the performance-based assessment after three attempts by scoring at the proficiency level, they will receive a failing grade (102 points).

If Proficiency is not achieved on the first attempt, it is recommended that you review your responses with the correct answers on the Experience Overview page. Click on each of the tabs to the left labeled Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work with the report. You could improve your grade by reviewing this summary and the course materials.

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Lopes Write.

If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.

Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Also Read: Assignment: Research Critiques and PICOT Statement Final Draft

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ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT NRS 434 Shadow Health: Comprehensive Assessment

Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.

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Replies to Thomas Leen

Aging is an inevitable process in our lifecycle. Older adults are looked to for guidance and wisdom from those younger and far less wise than they are. When the mind or body starts to deteriorate younger generations tend to seek that guidance less and less. Some individuals tend to take in his or her parents when they get to the point where the body or mind start to diminish. After a time, these family members that take in the older aging adult can begin feeling the frustration of caring for someone else and not having them be the same person the family member remembers from younger years. Some examples of this frustration can be expressed through negative outlets such as verbal abuse, physical trauma inflicted, or lack of attention needed for daily living (bathing, eating, toileting, moving).

The population of older adults 65+ has steadily increased over recent years. According to Federal Interagency Forum on Aging-Related Statistics, “The prediction is that older adults comprise 21% of the population by 2030” (2016). The aging process will likely bring about other chronic health conditions in that time. According to Green, “frailty includes the presence of biomedical factors that reduce the older adult’s ability to endure environmental stressors, such as hospitalization” (2018). Alarming numbers are reported by The World Health Organization in regards to elder-abuse or neglect; an estimated 1 out of 6 older adults fall victim. This is saddening because often times the abuser/ person neglecting is a close family member caring for the older adult. Memory loss and decrease physical abilities (different from findings of middle age adults) are a few reasons these older adults fall victim to the hands of caregivers, but identification of the fear and injuries is vital to ensure a safe and caring environment.

Nurses must utilize thorough assessment skills in order to identify signs and symptoms of elder abuse. Scattered bruising around the body that appear different colors. This indicates that the bruises are from different time periods. Elder abuse can also come in the form of malnourishment, pressure injuries, or the far less visible emotional/ verbal abuse. Though emotional and verbal abuse are less noticeable, asking many questions and just listening to the patient will que in certain details that nurses can likely pick up on to further evaluate the safety of his or her environment. Understanding that the older adult will likely not address any mistreatment. Patients and family members alike trust nurses and the care they provide; using that relationship and asking more personal detailed questions about findings is important to keep the patient(s) safe.

References:

 

Federal Interagency Forum on Aging-Related Statistics. (2016). Older Americans 2016: Key Indicators of

Well-Being. Retrieved from https://agingstats.gov/docs/LatestReport/Older-Americans-2016-

Key-Indicators-of-WellBeing.pdf

Green, S. Z. (2018). Health assessment of the aging adult. In Grand Canyon University (Eds.), Health

assessment: Foundations for effective practice. https://lc.gcumedia.com/nrs434vn/health-

assessment-foundations-for-effective-practice/v1.1/#/chapter/5

World Health Organization. (2018). Elder abuse. Retrieved from http://www.who.int/en/news-

room/fact-sheets/detail/elder-abuse

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