Shadow health respiratory assessment questions and transcript

Shadow health respiratory assessment questions and transcript

NR 509 Week 2 Alternate Writing Assignment: Respiratory Summer 2018

Purpose

As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative 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.

Course Outcomes

This assignment is guided by the following Course Outcomes (COs):

1. Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)
2. Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)
3. Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2). Shadow health respiratory assessment questions and transcript.

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).

NOTE: You are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Due Date: This alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session. The standard MSN Participation Late Assignment policy applies to this Shadow health respiratory assessment questions and transcript assignment.

Title: Shadow Health Respiratory Assessment Questions and Transcript
Course: NR 509 Week 2 Alternate Writing Assignment: Respiratory Summer 2018

Purpose
As a family nurse practitioner, you need strong physical assessment skills. This alternate writing assignment mirrors the debriefing session’s content and lets you expand your knowledge of health assessment principles specific to advanced practice.

Course Outcomes
This task is guided by these Course Outcomes (COs):

1. Apply advanced practice nursing knowledge to gather health history and physical exam findings for diverse patients.
2. Differentiate normal and abnormal health history and physical exam findings.
3. Adapt skills to patient needs based on development, gender, age, and special requirements.

Assignment Goals
This assignment has three purposes: (a) identify advanced assessment techniques for a specific body system, (b) differentiate normal and abnormal findings for a disease impacting the body system, and (c) adapt assessment skills for specific patient populations.

Assignment Details
– Choose a body system from the lesson corresponding to the assignment week.
– Study the selected body system in your textbooks.
– Use a scholarly peer-reviewed journal article related to the body system.
– Explain advanced physical assessment skills, techniques, practice knowledge, and modification for patient populations.
– Summarize the key points in the conclusion.
– Use APA format for in-text citations and references.

Due Date
Complete this assignment if you didn’t participate in the weekly debriefing session. It’s due by Sunday of the week you missed. Regular MSN Participation Late Assignment policy applies.

Brian Foster Chest Pain Shadow Health Assessment

Preparing the Paper:
1. Choose a body system.
2. Study it in textbooks.
3. Use a relevant journal article.
4. Explain skills and knowledge.
5. Conclude with key points.

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

Shadow Health Respiratory Assessment Pre Brief
This section provides the questions and answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT, and CARE PLAN format. Order to score well in this assignment.

Patient History
Tina had an asthma episode 2 days ago. She used an albuterol inhaler, but symptoms persisted. She had ten wheezing episodes and shortness of breath every 4 hours. Presenting with continued shortness of breath and wheezing. Relevant questions about related systems are needed. Evaluate lung sounds during the physical exam.

Reason for Visit
Tina seeks care for an ongoing, unresolved asthma episode.

Approach
– Overview
– Transcript
– Subjective Data Collection
– Objective Data Collection
– Education & Empathy
– Documentation / Electronic Health Record
– Student Pre-Survey
– Lifespan Activity
– Review Questions
– Self-Reflection Activity

Shadow Health Respiratory Assessment

Model Documentation

Subjective
– Social History: No known irritants at home or work.
– Review of Systems:
– General: No changes
– Nose/Sinuses: …
– Gastrointestinal: …
– Respiratory: …

Objective
– General: Tina is pleasant.
– Respiratory: Chest expansion is…

Assessment
– Mild-persistent…

Plan
– Diagnostics: …
– Education: …
– Referral/Consultation: …
– Follow-up Planning: …

Patient History Scenarios
1. Tina’s cousin had asthma at 5. Treatment plan considerations?
2. Tina’s uncle, 68, smoked heavily. Expected respiratory assessment findings?
3. Tina diagnosed with pneumonia. Expected findings during percussion?
4. Tina’s pulse oximetry at 97%. What does this mean?
5. Auscultation reveals bronchial breath sounds. What could this indicate?
6. Scattered expiratory wheezes. Why for Tina?
7. Indicator of respiratory distress assessable through observation?

Assessing Dyspnea
Dyspnea assessed by…

Tasks Undertaken
Examination tasks…

Clinical Reasoning
Clinical reasoning behind decisions and tasks…

Lessons Learned
Performance improvements…

NR 509 Week 1 Shadow Health History Assignment

Module 2: THE GENERAL SURVEY AND HEENT
Module 2: Discussion Question

Discussing Chronic and Acute Pain
Chronic and acute pain have distinctions. Assessment differs. Acute pain is sudden, like injuries. Chronic pain lasts longer. Assessments for both require tailored strategies. Acute pain assessments should address immediate causes. Chronic pain assessments involve long-term factors. Shadow health respiratory assessment questions and transcript.

Reflecting on a Pain Assessment
During a patient assessment, effective questions revealed pain’s impact. Diagnostic tests might include X-rays. Differential diagnoses considered fractures or sprains. Patient teaching covered pain management and rest. Medications weren’t needed. Critical thinking guided assessments.

Shadow Health HEENT Assessment Reflection

Assessment Experience
The HEENT assessment with Shadow Health was informative. Questions identified issues, like recent symptoms and history.

Areas for Improvement
However, it felt lengthy, possibly overwhelming for a real patient. Streamlining question flow would be better.

Findings and Effective Questions
Key findings were dry mucous and pale gray nasal mucosa. Questions on symptoms provided insights.

Diagnostic Tests and Differential Diagnoses
If actual patient, I’d order X-rays. Differential diagnoses included sinus infection.

Patient Teaching and Medications
I provided teaching on managing symptoms. Medications weren’t needed.

Critical Thinking and Practice Application
Critical thinking was evident in adapting questions. I can enhance my approach to make assessments more patient-friendly.

N 581: SHADOW HEALTH ASSIGNMENT

Experiencing Shadow Health Assessment
The Shadow Health HEENT assessment was insightful. It highlighted subjective and objective data’s relevance.

Strengths and Improvements
My assessment went well with comprehensive data collection. However, managing time more efficiently would improve the process.

Findings and Effective Approaches
I uncovered signs of sinusitis. Focused questions yielded valuable information.

Diagnostic Tests and Differential Diagnoses
Diagnostic tests like imaging could confirm findings. Differential diagnoses could involve allergies or infections.

Patient Teaching and Medications
I educated the patient about symptom management. Medications were not required.

Critical Thinking and Clinical Decision Making
My assessment demonstrated critical thinking by tailoring questions to specific concerns. I aim to improve efficiency and accuracy.

Brian Foster Chest Pain Shadow Health Assessment

Preparing the Paper:

1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
2. Carefully read and review the selected body system in your course textbooks.
3. Incorporate at least onescholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations. Shadow health respiratory assessment questions and transcript.
5. Provide concluding statements that should summarize key points of the overall assignment content.
6. In-text citations and reference page(s) must be written using proper APA format (6thedition).

NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

Shadow Health Respiratory Assessment Pre Brief

NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. All you need to do is ORDER NOW for an equivalent of 4 pages and score 100% in this assignment and all other Shadow Health Assignments. By placing this order, the only thing you will do is ask Tina the questions that we will give you and then use our documentation  to create yours!!! Shadow health respiratory assessment questions and transcript.

Tina had an asthma episode 2 days ago. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about related body systems. This case study will provide the opportunity to carefully assess lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical terminology.

Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved.

APPROACH

Overview
| Transcript
| Subjective Data Collection
| Objective Data Collection
| Education & Empathy
| Documentation / Electronic Health Record
| Student Pre-Survey
| Lifespan Activity
| Review Questions
| Self-Reflection Activity

SAMPLE Shadow Health Respiratory Assessment

Model Documentation