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Quizlet on nursing h physical health assessment
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The Model (Shuler & Davis, 1993) views each client as a holistic individual with unique physiological, psychosocial, and cultural differences. The Framework (CNA, 2010) requires NP to perform comprehensive physical assessment with a focus to individual’s special needs, which includes “physical, psychosocial, emotional, ethnic, cultural and spiritual dimension of health.” With these guidelines, NP is able to obtain the following health history. Mrs. Sia Who is a39-year old accountant of Italian decent. She is married with a 5-year old son. Mrs. Who’s past medical history includes: Wisdom teeth x4 extraction at age 20; Shoulder dislocation at age of 28; a natural birth of her son at age 34 without complication. She denies any history of significant
During my career as a registered nurse I have had the privilege of caring for my patients at the bedside and meeting their needs holistically. Additionally, the safety of my patients is one of the most important aspects of my current role. The experience of advocating for my patients during my nursing career has taught me to place my patient’s health and wellbeing first. The second most important aspect of nursing that I have learned during my career is how to meet my patient’s needs as a whole, not just physically but also emotionally and psychologically applying the holistic approach to each patient. I believe that the patient’s needs
The NP core competencies are independent practice, ethics, health delivery system, policy, technology and information, practice inquiry, quality, leadership, and scientific foundation are accomplished by mentored patient experiences. However, stress on independent and interprofessional practice is essential (Thomas, Crabtree, Delaney, Dumas, Kleinpell, Logsdon, Marfell, & Nativio, 2012). Therefore, the NP and other providers must work in a collective fashion that includes mutual respect among all individual healthcare team members.
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days.
The Practitioner can also inform the Patient that the types of question asked are in relation to working in this holistic model. By explaining or informing the patient that a balance of health is not just limited to the physical body. But discussing the mind body connections and the importance of understanding if this is a case of the mothers infections and tiredness.
Parse, R. R., Bournes, D. A., Barrett, E. A. M., Malinski, V. M., & Phillips, J. R. (1999). A better way: 10 things health professionals can do to move toward a more personal and meaningful system. On Call, 2 (8), 14-17.
Morgan read over each patient assessment in their chart, as well as rounding on each patient daily to gather her own assessment. With all of the data, she came up with diagnosis that was required from her. Morgan stated the nursing diagnosis she most frequently uses is risk for falls. Goals are then set depending on individual needs. By collaborating with the interdisciplinary team in a therapeutic way, interventions are implemented to meet each patient’s needs. Evaluations are performed daily by case managers through interdisciplinary rounding and the goals that were made are assessed and any changed to the plan of care are made. Case managers will follow up with outside facilities that patients transfer to after a hospital admission to evaluate their progress. If a patient is readmitted to the hospital within 30 days of discharge, a reevaluation is
The National Institute of Nursing Research (NINR) Strategic Plan approached the clinical intervention studies, implementation research approaches, comparative effectiveness research and analysis of the cost, outcome and quality of care. Furthermore, NINR is committed in advancing the health of populations, irrespective of race, ethnicity, age, gender, socioeconomic status, and or sexual orientation to develop culturally responsive, evidence-based interventions.
The outcome has also been met through the completion of a head to toe physical assessment in the clinical lab with Troy nursing faculty. I have submitted multiple SOAP notes and received feedback from my clinical faculty. I have planned, delivered and assessed the care of multiple patients in the clinical setting under the guidance of my clinical preceptors. Each of these experiences, have equipped me with the role capabilities necessary to practice as a MSN prepared family nurse practitioner upon completion of this program.
her husband, who is in fact a doctor, who is ordering her to take total
Campbell, J., Finch, D., Allport, C., Erickson, H. C., & Swain, M. A. (1985). A theoretical approach to nursing assessment. Journal of Advanced Nursing, 10(2), 111-115.
Craig, S. & Lloyd, S. (2007). A guide to taking a patient’s history…clinical skills. Nursing Standard, 22(13), 42-48.
Gordon’s functional health pattern was proposed and developed by Marjory Gordon. It is the method used by nurse to provide a comprehensive assessment on the client. Gordon’s functional health pattern is divided into 11 categories. These categories are a systematic and standardized approach to data collection. Each of the categories enables the nurse to determine the different factors of health and human function. These categories are health perception and health management, nutrition and metabolism, urine and waste elimination, activity and exercise, cognition and perception, sleep and rest, self-perception and self-concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, and values and belief (Functional Health Patterns, 2005).
This course has broaden my knowledge and clinical skills through comprehensive assessment across all ages, races and gender. The nursing foundation, theory and physical assessment courses has all come together to play a vital role on APN. In this past eight weeks, I have learned that not everything is cut and dry when it comes to patient’s complaints and symptoms as to what we may actually think at the initial assessment. I love the fact that we learn how to take the patient’s complaint, assessments, disease process, labs and etc… and put it all together piece by piece in reaching a definite diagnosis. This class has prepared me for the role of APN to meet each individual goal and health outcome regardless of gender, race and disease process.
According to Gronroos (1983), patients make their service’s assessments based on the practical and functional elements, those involves: how, why, who and when (complies with the delivery provision)
Weber, J. R., & Kelley, J. H. (2014). Health assessment in nursing (5th ed.). Philadelphia, PA: Wolters Kluwer Health: Lippincott Williams & Wilkins.