During this advanced health assessment course, remember the Vision is to become a master’s prepared certified nurse as a NE, NL, or FNP so keep that goal in the forefront of your mind during this course
Comprehensive Health Assessment
During this advanced health assessment course, remember the Vision is to become a master’s prepared certified nurse as a NE, NL, or FNP so keep that goal in the forefront of your mind during this course. We will be looking deeper into health assessment, health promotion, and health prevention. Read the article Improving Healthcare by Embracing Systems Theory as well as the Center for Disease Control’s Picture of America Prevention. We will apply the System’s Approach to health prevention for this week’s discussion.
Using a systems theory approach through this course helps retain stability through three levels of prevention:
Primary prevention to protect the normal line and strengthen the flexible line of defense.
Secondary prevention to strengthen internal lines of resistance, reducing the reaction, and increasing resistance factors.
Tertiary prevention to readapt and stabilize and protect reconstitution or return to wellness following treatment.
Using the course materials on the Systems Theory for this week’s discussion, provide one example of a health prevention from the levels above and how you may use this information in the comprehensive health assessment.
NU610 Advanced Health Assessment
Unit 2 Discussion
Health History
Consider performing a health history on someone that may not be able to provide you with answers, such as an infant, child, an elderly person, a developmentally disabled individual, or patients who speak a language you do not know.
What strategies would you employ to obtain a complete the health history?
Provide a rationale for why you think these strategies would be effective.
Please be sure to validate your opinions and ideas with citations and references in APA format.
The post and responses are valued at 20 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.
NU610 Advanced Health Assessment
Unit 3 Discussion
Health Assessment
How can we identify health risks, strengths, and needs in our comprehensive health assessment?
Give two examples with rationale for each.
Your response should include evidence of review of the course material, websites, and literature through proper citations using APA format.
NU610 Advanced Health Assessment
Unit 4 Discussion
Focused vs. Comprehensive Assessment
Discussion post for this week, please take the following descriptive information and place it with the appropriate categories listed. Based on the descriptive information would this be a focused or comprehensive assessment and if focused what system or systems would you want to assess and why?
Descriptions
Presents with c/o headache
Pain is a ‘4’ on a scale of 1-10
Scoliosis corrected with Charleston brace, broken toe
No cold/sinus symptoms
Eye exam 2 years ago
No medications, NKDA
No hospitalizations
No tobacco use, wine once monthly, no recreational drug use
Single, lives alone
Traveled to UK, Caribbean in past 3 months
Throbbing for past 2 hours, can feel pulse in temple
Sports-induced asthma
No fever, no changes in vision
Categories
Chief Complaint
History of Present Illness
Past Medical History
Personal and Social History
Review of Symptoms
NU610 Advanced Health Assessment
Unit 5 Discussion
Levels of Prevention
A 32-year-old female presents for an evaluation of a lump in her right breast that she found on breast self-examination. The lump is found to be 2cm in size, firm, and mobile. No Adenopothy noted.
What are two questions you would ask this patient?
What are two risk factors would you want to assess for?
What are the levels of prevention for this patient?
Your response should include evidence of review of the course material, websites, and literature through proper citations using APA format.
NU610 Advanced Health Assessment
Unit 6 Discussion
Neuro Case Study
A 60-year-old man is brought to the ER by ambulance because of slurred speech and left side weakness. His wife states they went to bed at 11pm and woke up at 5am when she noticed his symptoms. He is right-handed with a history of coronary artery disease, hypertension, and hypercholesterolemia and a heart attack at age 50.
He currently is unable to move his left arm and leg.
He had an episode of amaurosis fugux (blindness)in his right eye one month ago that lasted for 5 minutes.
Around 3 months ago his wife states he had bilateral pain in his legs while they were on a walk that lasted about 15 minutes.
He is taking a baby aspirin a day an ACE inhibitor, and statin as well.
He does have a history of alcohol use and smoking in the past but stopped after his heart attack.
His blood pressure is 195/118 Pulse 106, Respiratory rate 18, Temperature 99.8, O2 sat is 97% on room air.
Although his pupils are equal and reactive, and the ocular movements are intact, he is unable to turn his eyes voluntarily toward the left side.
The neck is supple, there is no jugular vein distension, and there are no bruits.
The lungs are clear heart sounds regular without murmurs, and abdomen is normal.
The limbs are not well perfused distally.
The neurologic examination reveals that he is alert and oriented, although he does not recognize he is sick.
He shows loss of awareness and attention with respect to objects or stimuli on his left side.
He has mild dysarthria but, his speech is fluent, and he understands and follows commands very well.
There is mild weakness on the left side of the face and left sided homonymous hemaianopsia, but there is no nystagmus or ptosis, and no tongue or uvula deviation.
He is not able to move his left arm and leg, has hyperreflexia, and the left great toe is upgoing.
What are two questions you would ask this patient?
Identify the subjective data for this patient.
Identify the objective data for this patient.
What Social Determinants of Health would be relevant for this patient?
Your response should include evidence of review of the course material, websites, and literature through proper citations using APA format.
NU610 Advanced Health Assessment
Unit 7 Discussion
Diabetes Treatment
You have a newly diagnosed diabetic 16-year-old female in your clinic.
Describe a teaching plan for this client.
How will your plan differ from an adult plan?
Give your rationale with documentation in APA format.
How will you incorporate the family in your plan, give rationale with documentation?
What other professionals will you include in the plan, give your rationale with documentation in APA format?
How will you address her participation on the basketball team at school, give rationale and documentation?
NU610 Advanced Health Assessment
Unit 8 Discussion
Reflection
Please respond to the following questions based upon these course objectives:
Perform a comprehensive physical, psychosocial, developmental and cultural assessment in a concise and systematic manner.
Document health assessment data in a concise, accurate and logical manner to meet standards for reimbursement.
Critically analyze interview data and physical exam findings to begin to formulate a patient plan of care. (AACN I, II, III, VIII).
Effectively manage communication central to shared decision-making with other healthcare professionals and patients, demonstrating awareness of gender and cultural differences.
Design patient centered and culturally responsive strategies in the delivery of clinical prevention and health promotion interventions and/or services to individuals, families, communities, and aggregates/clinical populations. (AACN VIII).
Advance equitable and efficient prevention services and promote effective population-based health policy through the application of nursing science and other scientific concepts.
Please answer the following questions with supporting examples and full explanations.
For each of the learning objectives, provide an analysis of how the course supported each objective.
Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.
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