NRS 434VN Week 5 Assignments Only

NRS 434VN Week 5 Assignments Only

NRS 434VN Week 5 Topic 5 Assignment: Benchmark – Individual Client Health History And Examination

In this assignment, you will be completing a health assessment on an older adult. Do the following:

1. Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).

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1. Complete a physical examination of the client using the “Individual Health History and Examination Assignment” resource. Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template.
2. Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website at ihs.gov……..
3. as a guide. Document the findings of the physical examination in the assessment worksheet.
4. Using the “Individual Health History and Examination Assignment” resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions.

NRS 434VN Week 5 Topic 5 Assignment: Movie Character Health Assessment Presentation (2 Versions)

Create a PowerPoint presentation based on the application of the functional health assessment of a movie character. Choose a movie from the following list and identify a character from the movie on whom you would like to do a health assessment. If you wish to use a character from a movie not included on the following list, get the approval of your instructor.

Films: → 1) Away From Her → 2) Lorenzo’s Oil → 3) Mask → 4) My Sister’s Keeper → 5) Philadelphia → 6) Rain Man → 7) Steel Magnolias → 8) Stepmom → 9) The Elephant Man → 10) The Mighty → 11) The Tic Code

Directions:

1. Create a PowerPoint presentation of 10-12 slides using the template “Movie Character Presentation.”
2. Provide an introduction and background overview of the movie character (client).
3. Assess the client using the “Functional Health Pattern Assessment.”
4. Based on your “observations” and thoughts, document your assessment, providing examples from the movie.
5. Describe any observed or potential cultural, geographic, religious, ethnic, or spiritual considerations of this client.
6. Describe two normal health patterns of the client as well as two abnormal health patterns that you observe, and provide examples.
7. Develop an appropriate nursing diagnosis for the client based on your assessment.
8. Identify and describe three interventions for the client: health promotion, health prevention, and maintenance.
9. Identify at least two possible resources or community services to which you would refer this client and provide rationale for your choices.

ADDITIONAL INFORMATION 

Individual Client Health History And Examination

Introduction

The health history is the first step in the physical assessment. It’s a vital part of the evaluation process, because it gives you an idea of what your client’s past experience has been and how they respond to new experiences. In this section, we’ll discuss some of the most common questions that come up during a client’s health history:

Health history

The health history should include:

• Current medications, supplements and other health information.

• Past medical history (including current medications), surgical history and past physical activity level.

• Current level of physical activity

Occupation

• What kind of work do they do?

• How long have they been doing it? What types of jobs are involved in the occupation, and how many hours per day or week are required? For example: a plumber who works 60 hours per week should be evaluated for heart disease compared with a pilot who flies 40 hours per week. The amount of physical activity that must be performed in order to perform their job is also important because it will influence the number of calories burned during exercise sessions. Physical activity can include climbing stairs, lifting heavy objects, walking on uneven surfaces (like sidewalks), lifting boxes from shelves onto trucks/vans etc…

Past medical history

• List all medical visits, even if they were not related to your injury.

• Include any hospitalizations, surgeries and injuries that you have had in the past six months.

• Also list any chronic conditions such as asthma or diabetes.

• Add allergies to this section if you have any allergies that need treatment or medication (such as an EpiPen®).

• If you take medications regularly, add them here as well—even if they aren’t related to your past injuries!

Past surgical history

Your client will be asked about any surgeries or procedures that they have had in the past. This includes any surgeries that are planned for the future and any recent or upcoming surgeries.

If you notice any inconsistencies between what your client tells you and what their medical records say, make sure to discuss this with them so that it can be addressed appropriately.

Current medications or supplements

You should list all medications and supplements that you are currently taking, their dosage, frequency of administration and side effects.

• Do not forget to include information about how long they have been taking these medications/supplements for. If you don’t remember when your current medication was prescribed by your doctor or other healthcare provider, write down the date on which it was prescribed instead.*

Current level of physical activity

You will want to ask the client about their current level of physical activity. Do they participate in any organized sports, or do they simply exercise on their own? How often do they exercise and for how long? Are there any sports that are more strenuous than others, such as running vs cycling? What type of exercises does he/she perform regularly (e.g., walking)? How much time does he/she spend sitting down versus standing up during the day?

Weight and related health concerns (e.g. eating disorders)

Weight and related health concerns (e.g. eating disorders)

The client’s weight is important to note, but it should be discussed in context of overall health. A client who loses a significant amount of weight may experience symptoms that are not related to their loss of weight, such as fatigue or low energy levels. Similarly, a client who has gained a great deal of weight may have other serious issues such as high blood pressure or diabetes on top of the extra pounds they have gained.

General physical examination, including posture and gait

The physical examination is the cornerstone of a good fitness assessment. It involves observing your body shape, posture and gait to determine if there are any risks for injury. Posture and gait can be used to determine how well your body is functioning, which will help you make an informed decision about whether to continue exercising or not.

Special tests, such as joint mobility or cardiovascular screening tests, may be indicated later in the assessment process.

• Joint mobility tests. Joint mobility is an important part of the assessment, as it can affect how well the client moves and performs activities. These tests are used to assess range of motion, strength and endurance as well as general health status.

• Cardiovascular screening tests. Cardiovascular risk factors such as high blood pressure (BP) or cholesterol levels are assessed during this session to determine if there’s a need for further treatment or monitoring.* A number of cardiovascular screening tests may be conducted during your visit with us:

Health history is necessary to get a full picture of your clients’ needs.

A health history is the collection of information about a person’s current and past health that can be used to determine their needs. It includes personal data such as:

• Current medications

• Medical conditions, such as asthma or diabetes, that need attention

• Past injuries, illnesses and surgeries

Conclusion

The health history will give you a full picture of the client and their past medical, surgical and psychological issues. This is important so that you can know what kind of treatment they need, what types of specialists they should see, and whether or not they have any pre-existing conditions that may cause problems during physical therapy sessions.