Advanced Health Assessment Topic:? ?abdomen and neurological syste
1) Minimum 8 pages
Part 1: You must address each of the points of the question according to the attached example (See template). You should not use "normal" "regular" or the like, you must be precise with the information and demonstrate the possible outcomes for a healthy patient.
Part 2: Minimum 1 page
Part 3: Minimum 1 page
Part 4: Minimum 1 page
Part 5: Minimum 1 page
Part 6: Minimum 1 page
Part 7: Minimum 1 page
2)¨******APA norms
All paragraphs must be narrative and cited in the text- each paragraphs
Bulleted responses are not accepted
Dont write in the first person
Dont copy and pase the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 3 references not older than 5 years
Part 1: No references
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1: Advanced Health Assessment
Topic: abdomen and neurological system
The purpose of this assignment is to practice the skills you have learned and demonstrate your ability to assess the abdomen and neurological system.
Gender: Male
A. Abdomen:
1. Inspect the skin and contour of the abdomen
2. Observe for peristalsis and pulsations
3. Auscultate the abdomen
4. Auscultate for bruits over the aorta, renal arteries, iliac arteries and femoral arteries
5. Percuss the abdomen
6. Palpate the abdomen (light then deep)
7. Assess for peritoneal inflammationa
a. Rebound tenderness
b. Murphy’s sign
c. Rovsing’s sign}
d. Psoas sign
e. Obturator sign
f. Cutaneous hyperesthesia
8. Percuss liver
9. Palpate liver
10. Percuss spleen
11.Palpate spleen
12. Palpate bilateral kidneys
a. Assess for CVA tenderness
13. Palpate width of the aorta
B. Nervous system
1. Assess mental status
2. Cranial nerves 1-12
3. Motor system: muscle bulk, tone strength, coordination, gait and stance
4. Sensory system: pain/temp, vibration, light touch, discrimination
5. Deep tendon reflexes
Part 2: Physiology 1
Topic: organ dysfunction syndrome (MODS)
1. Describe multiple MODS
2. Summarize the pathophysiology
3. Clinical manifestations,
4. Evaluation, and treatment.
Part 3: Physiology 2
Topic: Psoriasis, lichen planus, pemphigus, seborrheic keratosis, and actinic keratosis.
1. Describe the pathophysiology
2. clinical manifestations
3. evaluation, and treatment(s)
Part 4: Pharmacology 1
1. Discuss the current trend in the use of over-the-counter vitamins.
2. What are the expected health outcomes and the outcomes for different populations?
Part 5: Pharmacology 2
1. Discuss and identify a specific population group or aggregate that have high levels of tuberculosis
2. Identify health policies that advocate for the improvement of health in this population group.
Part 6: Financing 1
This course focuses on health policy formation and evaluation in politics enhancing the student’s political knowledge and skills in preparing for leadership roles in policy-making and public health. Topics include history, trends, and issues in health care systems; legal issues, legislation and regulation; funding, planning, and delivery systems; and evaluation of health care services to individuals and populations. Methods of fostering creative and positive change in nursing roles, both as participants in policy processes and as professionals affected by policy changes, are included in this course. The student will analyze the complex dynamics of organizational process, structure, culture, and outcomes in state and national public sector policy making that affects nursing.
1. Reflect on what you have learned in this course.
2. What were your major takeaways? Surprises?
3. How will you apply what you have learned to your career?
Part 7: Financing 2
1.. Describe how the educational level achieved by a nurse or the entry point into professional nursing practice affects the quality and competence of a nurse's participation in policy making.
2. Why it is important for registered nurses to influence the regulatory process?
3. Does the nurses education have influence on their ability to make an impact? .
Running Head: THORAX, LUNGS, AND CARDIOVASCULAR SYSTEM 1
THORAX, LUNGS, AND CARDIOVASCULAR SYSTEM 3
Thorax, Lungs, and Cardiovascular System
P – Position the patient. In this examination, the patient should be supine and reclined at sitting position or 45 degrees.
E – Expose the necessary parts of the patient. Ideally the patient should be undressed from the waist up, taking care to ensure the patient is not cold.
Is there anything you wanted to tell me concerning your breathing before I begin?
Thorax
Assess the patient’s for any signs of respiratory difficulty
Denies cough or Shortness of breath. No wheezing or crackles
Normally chest is symmetric and spine is vertically aligned
Inspect the shape and movement of the chest
Normal or there is no deformity. When the patient takes a deep breath, is possible to observe the chest wall symmetrical or a symmetrical movement.
Asses for chest expansion
Place your hands on the patient’s chest, inferior to the nipples
Wrap your fingers around either side of the chest
Bring your thumbs together in the midline, so that they touch
Ask the patient to take a deep breath
Observe the movement of your thumbs, they should move apart equally
Normal Chest expansion, there is no collapse/pneumonia
Palpate for tactile fremitus posteriorly
Equal and moderate vibrations are noticed during speech
Percuss the posterior chest
Percuss for diaphragmatic excursion
Excursion is about 5 cm interval As a result, bronchial breath sounds are heard normally over the trachea
in systematic sequence
Auscultate posterior breath sounds
No skin abnormalities. No abnormalities in breath sounds, including the lateral aspects of the back
Auscultate for egophony, bronchophony and pectoriloquy
No abnormalities.
Examine the anterior chest
Normal chest size and shape
Observe for any abnormalities (size, shape, bruising)
Normal chest size and shape, warm, dry skin, no tender spots, symmetrical chest expansion
Auscultate for tactile fremitus anteriorly
Moderate vibrations are noticed during speech
Percuss the anterior chest
Normal, percussion notes resonance
Auscultate anterior breath sounds
Normal chest size and shape
Cardiovascular System
Assess JVP
Vertical distance above the midpoint of the right atrium, is 7 cm H2O
Assess carotid pulses
70 beats per minute (bpm).
Assess the brachial artery
90 beats per minute
Inspect and locate the PMI
Located near the mid-clavicular point at intercostal space 5.
Palpate for thrills/bruits
No thrills, bruits or abnormal vascular.
Auscultate heart sounds
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