American Sentinel N522 2021 July Complete Course Latest (Full)

N522 Advanced Physical Assessment

Module 1 Discussion

Post to the discussion board a planned approach to communicating with someone who speaks another language.  What type of questions will you need to ask?  What communication issues were discussed this week in Shadow Health? How does communication impact the concept of clinical reasoning in nursing? Please discuss the issues completely, citing your sources so that your classmates can reference the information. Include one insight gained this week from your readings or interaction in Shadow Health.

 

N522 Advanced Physical Assessment

Module 2 Discussion

This week you have studied advanced physical assessment of the eyes, ears, nose, throat, head, neck and skin (HEENT). Describe the classification of rashes.  What additional resources for HEENT advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week? Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of your difficulties.  Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

 

N522 Advanced Physical Assessment

Module 3 Discussion

This week you have studied cardiovascular, peripheral vascular, and respiratory advanced physical assessment. What additional resources for these advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week?

Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties.  Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

 

N522 Advanced Physical Assessment

Module 4 Discussion

DQ1 As you know, abdominal pain can be a challenging patient complaint because it is frequently benign, but it can also herald serious acute pathology. The history and physical examination are critical to narrowing the differential diagnosis of abdominal pain and guiding the evaluation. Acute abdominal pain frequently requires urgent investigation and management. Some patients may require the assessment of their airway, breathing, and circulation, followed by appropriate resuscitation. Many patients will require analgesics, which can be administered judiciously without compromising the physical assessment of peritoneal signs. That said, what are the common differential diagnoses of abdominal pain in emergency situations? Also, does your healthcare institution have a specific policy, algorithm and/or protocol on how to assess, manage, and treat abdominal pain? Please share an example of the protocol for abdominal pain from practice or the literature.

DQ2 You studied the cardiovascular system in your readings last week.  This week you completed a focused assessment of Brian Foster, a patient who is assessed for chest pain.  Please share your analysis of the subjective & objective data you collected during your assessment and provide your differential diagnoses, describing your clinical reasoning that helped you choose your diagnoses.  Share your individualized plan of care for Brian and include any lifespan or developmental considerations as well as cultural needs for this patient.

 

N522 Advanced Physical Assessment

Module 5 Discussion

This week you have studied neurological and musculoskeletal advanced physical assessment. While a diverse set of advanced physical assessment skills where do you place your greatest level of confidence and what areas need more development. What methods do you use to remember assessment of cranial nerves, mental status, or other important clinical assessments of persons with neurological or musculoskeletal problems? Of these areas of advanced physical assessment what psychomotor skill is most challenging for you to accomplish? Why?

Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties.  Please describe the clinical issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

 

N522 Advanced Physical Assessment

Module 6 Discussion

This week you have studied mental health (psychological); urinary and reproductive systems of the male and female in advanced physical assessment. While this is a diverse set of advanced physical assessment skills where do you place your greatest level of confidence and what areas need more development.  Of these areas of advanced physical assessment where to you struggle in your nursing practice most when providing patient-centered education?

Please cite sources for additional knowledge, skill development, or professional development related to reproductive health and provide additional “clinical pearls” learned this week. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

 

N522 Advanced Physical Assessment

Module 7 Discussion

Caring for persons across the life span and from very diverse cultural backgrounds can present challenges in nursing practice. As you studied the ethical and legal issues related to advanced physical assessment what insights have you gained to advance your clinical reasoning? Describe knowledge gained or re-affirmed through a de-identified clinical story.

 

 

 

N522 Advanced Physical Assessment

Module 8 Discussion

DQ1 Complete the focused assessment of Esther Park in Shadow Health.  Analyze your health history & physical assessment findings here with your list of differential diagnoses and a detailed explanation of your clinical reasoning for the choices you made.  Include a discussion of the specific cultural needs of this patient & how you will plan an individualized care plan that includes these needs.  What specific developmental & life span considerations will be necessary to provide care for Esther, keeping in mind the legal & ethical considerations of professional nursing practice?

DQ2 Consider the special topics of pain assessment and cultural competency. How are these nursing assessments conducted in your nursing practice? Are your assessments current and based upon contemporary evidence or are these in need of policy and procedural revision? If revision is needed, what might you suggest to be changed? If you perceive the assessments are clinically relevant, what evidence supports your current practice?

 

N522 Advanced Physical Assessment

Assignment 1

Assignment Instructions:

Write a 3-4 page paper on the use of clinical reasoning in developing and applying advanced health history and physical assessment skills at the graduate level. Consider contemporary nursing literature on the development of clinical reasoning and decision-making. How does the use of the nursing process enhance critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level? Please use the submission parameters and rubric below to guide you when completing this assignment.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is 3-4 pages, which does not include the cover page and reference page(s).

      I.        Introduction of topic in one paragraph with a purpose statement

    II.        Clinical Reasoning

Describe & define how clinical reasoning is used in developing and applying advanced health history and physical assessment skills at the graduate level.

Differentiate clinical reasoning, critical thinking, clinical judgement ,& clinical decision-making.

   III.        Nursing Process

Describe how the use of the nursing process enhances critical thinking, clinical reasoning, and clinical judgment in professional nursing practice at the graduate level.

  IV.        Clinical Example

Discuss an example from your practice or the literature demonstrating the nurse’s use of critical thinking, clinical judgment, and clinical reasoning with the well-adult.

Also discuss how nursing care is provided when each of these concepts are evidenced in care of the patient within one of the following patient populations: older adult, adolescent, or another special population of your choice.

    V.        Conclusion

  VI.        References (consider contemporary nursing research studies or reliable electronic sources)

Please use the following as a guide to follow APA formatting:

Include a cover page and running head (this is not part of the 3 pages limit)

Include transitions in your paper (i.e. headings or subheadings)

Use in-text references throughout the paper

Use double space, 12 point Times New Roman font

Apply appropriate spelling, grammar, and organization

Include a reference list (this is not part of the 3 pages limit)

Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

 

N522 Advanced Physical Assessment

Assignment 2

Assignment Instructions:

For this  5-6 page assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Danny Rivera, a child who is complaining of a cough. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment.

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 5-6pages, which does not include the cover page and reference page(s).  Please synthesize your assessment data rather than sharing all of the data in your written work.  Your final written paper should be an APA formatted analysis of your assessment no more than 6 pages in length, excluding title page & reference list.

Introduction (including purpose statement)

Focus of the assessment

Describe the focus of this particular assessment on the patient complaining of a cough

Subjective Component

Analyze the health history data accumulated, including, but not limited to the Review of Systems & Past Medical History.

Objective Component

Analyze the physical examination findings including techniques of examination

Documented evidence to support clinical reasoning (connecting the assessment data to the diagnoses)

 Choose & list the differential diagnoses based upon the clinical evidence

Plan of care

Briefly describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for the focused area of assessment.

Conclusion

References

 In regard to APA format, please use the following as a guide:

Include a cover page and running head (this is not part of the 4-5 pages limit)

Include transitions in your paper (i.e. headings or subheadings)

Use in-text references throughout the paper

Use double space, 12 point Times New Roman font

Apply appropriate spelling, grammar, and organization

Include a reference list (this is not part of the 4-5 pages limit)

Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

 

N522 Advanced Physical Assessment

Final Project

This assignment synthesizes the study of advanced physical assessment by conducting a comprehensive virtual assessment of Tina Jones in Shadow Health. This synthesis is focused upon designing evidence-based, culturally competent nursing interventions through the development of an individualized health plan. Assessment of competency is based on the Comprehensive Patient Interview, Physical Examination and Individualized Plan of Care incorporating Healthy People 2030 and evidence-based interventions and patient-centered goals.

You will use one comprehensive digital clinical experience health history and physical assessment for this assignment: Comprehensive Assessment.

For this assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. Use the following headings in your paper to clarify your content—recommended headings are bolded below:

1.      An introductory paragraph including a purpose statement (The title of the paper should head this section)

2.      Subjective Findings Synthesis (Do not list all the assessment data—you will need to synthesize it to develop a clear plan of care)

3.      Objective Findings Synthesis (Do not list all the assessment data—you will need to synthesize it to develop a clear plan of care)

4.      Plan of Care (Use the sections below for subheadings within your plan of care)

a.       Application of Nursing Theory (Apply one nursing theory in planning care for this patient)

b.      Healthy People 2030 (Incorporate three Healthy People 2030 Objectives into the plan of care prioritized to meet the health needs of the patient)

c.       Support for Clinical Reasoning (Document evidence to support clinical reasoning for selected evidence-based plan of care)

d.      Individualized Plan of Care (Plan of care is individualized to findings, life-span stage of development with culturally specific considerations, and patient-centered)

e.       Health Informatics Technology (Include an analysis of how health informatics technology could be used in this plan of care to improve decision making, evaluate evidence to prevent or treat illness, perform patient education, or formulate an adaptive needs list)

5.      Conclusion

6.      References (use primary and/or reliable electronic sources)

Remember, this is a formal paper and should be written with APA formatting in mind.

In regard to APA format, please use the following as a guide:

Include a cover page and running head (this is not part of the 6-8 pages limit)

Include transitions in your paper (i.e. headings or subheadings)

Use in-text references throughout the paper

Use double space, 12 point Times New Roman font

Apply appropriate spelling, grammar, and organization

Include a reference list (this is not part of the 6-8 pages limit)