American Sentinel N522PE Module 6 Assignment 4

American Sentinel N522PE Module 6 Assignment 4 American Sentinel N522PE Module 6 Assignment 4 American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4 Assignment 4 Assignment Instructions: For this 4-5 pages 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 Esther, an elderly patient who is complaining of abdominal discomfort. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment. American Sentinel N522PE Module 6 Assignment 4 Permalink: https://nursingpaperessays.com/ american-sentine…e-6-assignment-4 / 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 4-5 pages, which does not include the cover page and reference page(s). Introduction (including purpose statement) Focus of the assessment Describe the focus of this particular assessment on the patient complaining of abdominal discomfort. Subjective Component Describe the ROS, PMH, and other relevant data in this section. Objective Component Describe the physical examination findings including techniques of examination Documented evidence to support clinical reasoning Describe the list of differential diagnoses Plan of care Describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for each focused area of assessment. Conclusion References (use primary and/o reliable electronic sources r) In regards 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 fonta 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) Rubric Competency 20 18 16 0 Points Earned Focus of the Assessment is identified with Special Considerations including Documented Focused Health History American Sentinel N522PE Module 6 Assignment 4 Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. /20 20 18 16 0 Documented Physical Examination Findings including Techniques of Examination Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. /20 20 18 16 0 Documented Evidence to Support Clinical Reasoning with External Course Resources Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. No evidence that that student has read or studied the topic. Discourse lacks depth. May be presented in a rambling manner. Content is inaccurate &/or is unclear. American Sentinel N522PE Module 6 Assignment 4 /20 20 18 16 0 Individualized Plan of Care Based Upon Clinical Findings Accurately presents an individualized plan of care based upon clinical findings. Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. Presents a plan of care that is not individualized based upon the clinical findings. A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. /20 5 4 3 0 Developmentally and Culturally Specific Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. Documents a developmentally and culturally specific assessment and plan of care. Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. /5 5 4 3 0 Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. /5 10 9 8 0 Grammar, Spelling, and Punctuation APA Format APA Format, grammar, punctuation and spelling is accurate with errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. American Sentinel N522PE Module 6 Assignment 4 APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10 COMMENTS: TOTAL: /100 Competency 20 18 16 0 Points Earned Focus of the Assessment is identified with Special Considerations including Documented Focused Health History Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. American Sentinel N522PE Module 6 Assignment 4 /20 20 18 16 0 Documented Physical Examination Findings including Techniques of Examination Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. /20 20 18 16 0 Documented Evidence to Support Clinical Reasoning with External Course Resources Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. No evidence that that student has read or studied the topic. Discourse lacks depth. May be presented in a rambling manner. Content is inaccurate &/or is unclear. /20 20 18 16 0 Individualized Plan of Care Based Upon Clinical Findings Accurately presents an individualized plan of care based upon clinical findings. Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. Presents a plan of care that is not individualized based upon the clinical findings. A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. American Sentinel N522PE Module 6 Assignment 4 /20 5 4 3 0 Developmentally and Culturally Specific Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. Documents a developmentally and culturally specific assessment and plan of care. Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. /5 5 4 3 0 Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. /5 10 9 8 0 Grammar, Spelling, and Punctuation APA Format APA Format, grammar, punctuation and spelling is accurate with errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10 COMMENTS: TOTAL: /100 Discussion 6 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. Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria. American Sentinel N522PE Module 6 Assignment 4 Sample Solution for Discussion 6 This week’s readings cannot be more dissimilar. While I cannot say that I am an expert on either topic, I do sit on my facility’s mental health environment of care checklist (MHEOCC) committee. This committee’s primary goal is to assess the inpatient mental health unit’s environment to identify ligature and suicide prevention safety issues (U.S. Department of Veteran Affairs, 2018). Essentially the team puts themselves in the suicidal Veteran’s mindset to identify hazards that could cause them and staff harm. This process has reduced the suicide rate by 2.64 per 100,000 to 0.87 per 100,000 admissions (U.S. Department of Veteran Affairs, 2018). I encourage you to utilize this checklist in your facilities. In addition to these concepts, I have learned about the use of the Columbia-suicide severity risk scale (C-SSRS) (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). Suicide is the second leading cause of death for those 10 to 25 years old (Erbacher & Singer, 2018). The use of a validated tool such as the C-SSRS provides a standard practice to assess a patient’s intent to commit suicide (Erbacher & Singer, 2018). Warning signs for risk include ideation, purpose, and a plan (Erbacher & Singer, 2018). At my facility, we use this tool to trigger further intervention and implement a patient focus safety plan. In medical practice, screening questions include depression, anxiety, substance abuse and personality disorders (Bickley & Szilagyi, 2017a). While knowledge of assessment processes for suicide and the mental health environment is essential; I would not rank myself as adept at mental health patient-centered education. A female patient’s health history includes menarche, menstruation, and menopause (Bickley & Szilagyi, 2017b). Information about pregnancy, vulvovaginal symptoms, sexual health, pelvic pain, and sexually transmitted diseases continue to be essential for assessing female well-ing (Bickley & Szilagyi, 2017b). Necessary to determine patients ages 20 to 24 years for sexually transmitted infections such as chlamydia (Bickley & Szilagyi, 2017b). Monitoring for depression in women of reproductive age key after childbirth and neonatal loss (Centers for Disease Control and Prevention [CDC], 2020). Clinical factors, including a family history of inherited medical conditions and gene disorders, are critical components of assessing female reproductive health (American College of Obstetricians and Gynecologists [ACOG], 2020). References American College of Obstetricians and Gynecologists. (2020). Family history as a risk assessment tool. ACOG The American College of Obstetricians and Gynecologists. Retrieved October 26, 2020, from https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2011/03/family-history-as-a-risk-assessment-tool Bickley, L. S., & Szilagyi, P. G. (2017a). Behavior and mental health status. In R. M. Hoffman (Ed.), Bates’ guide to physical examination and history taking (12th ed., pp. 147–171). Wolters Kluwer. American Sentinel N522PE Module 6 Assignment 4 Bickley, L. S., & Szilagyi, P. G. (2017b). Female Genitalia. In R. M. Hoffman (Ed.), Bates’ guide to physical examination and history taking (12th ed., pp. 565–606). Wolters Kluwer. Centers for Disease Control and Prevention. (2020, April 25). Reproductive health: Women’s reproductive health. CDC Centers for Disease Control and Prevention. https://www.cdc.gov/reproductivehealth/womensrh/index.htm Erbacher, T. A., & Singer, J. B. (2018). Suicide risk monitoring: The missing piece in suicide risk assessment. Contemporary School Psychology, 22(2), 186–194. https://doi.org/10.1007/s40688-017-0164-8 Substance Abuse and Mental Health Services Administration. (2014). National suicide prevention lifeline: Columbia-suicide severity rating scale (C-SSRS). National Suicide Prevention of Lifeline. Retrieved October 26, 2020, from https://suicidepreventionlifeline.org/wp-content/uploads/2016/09/Suicide-Risk-Assessment-C-SSRS-Lifeline-Version-2014.pdf The U.S. Department of Veteran Affairs. (2018, November 15). Mental health environment of care checklist (MHEOC). VA National Center for Patient Safety. Retrieved October 26, 2020, from https://www.patientsafety.va.gov/professionals/onthejob/mentalhealth.asp 595 words Permalink In reply to Dawn Tomac Re: Week 6 Discussion – American Sentinel N522PE Module 6 Assignment 4 by Alissa Heeman – Tuesday, October 27, 2020, 2:30 PM Hi Dawn! I enjoyed reading your post and the MHEOCC sounds so interesting! At my facility we utilize the Ask Suicide-Screening Questions (ASQ) for ages 11 years old and up. We screen these patients either in the ER or on the inpatient unit if a direct admit from home. The ASQ is a simple 4 question tool that is able to identify those at risk for hurting themselves. If the patient answers yes to any of the 4 questions, they are immediately accompanied by an unlicensed individual to ensure their safety. In addition to their 1:1 status, a psych consult is placed, all belongings are removed from the room, the patient changes over into paper gowns, and the plastic trash bags are replaced by paper bags. Horowitz et. al. (2012) reviewed the statistical significance in utilizing the ASQ screening tool that the Joint Commission approved the use of this tool for all ages. Ask suicide-screening questions (ASQ) toolkit. (2020). Retrieved from https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/index.shtml Horowitz, L. M., Bridge, J. A., Teach, S. J., Ballard, E., Klima, J., Rosenstein, D. L., Wharff, E. A., Ginnis, K., Cannon, E., Joshi, P., & Pao, M. (2012). Ask suicide-screening questions (ASQ): a brief instrument for the pediatric emergency department. Archives of pediatrics & adolescent medicine, 166(12), 1170–1176. https://doi.org/10.1001/archpediatrics.2012.1276 227 words Permalink Show parent In reply to Dawn Tomac Re: Week 6 Discussion by Dona Clarin – Tuesday, October 27, 2020, 5:04 PM Well done. Describe the exam findings commonly seen in gonorrhea in male and women. 14 words Permalink Show parent In reply to Dona Clarin Re: Week 6 Discussion – American Sentinel N522PE Module 6 Assignment 4 by Dawn Tomac – Thursday, October 29, 2020, 6:34 PM You will never realize the incidence of sexually transmitted diseases until you have reported repeated cases to the health department. Eight hundred twenty thousand new gonorrhea infections occur annually in the United States (Centers for Disease Control and Prevention, 2015). Gonorrhea case rates in South Dakota last year were 220.5 per 100,000 population, a 65% increase from the year prior (South Dakota Department of Health [SDDOH], 2019). Women commonly have asymptomatic carriage (Dains et al., 2016). Purulent discharge presents at the transitional and endocervical columnar cells (Dains et al., 2016). The patient presents with painful urination due to inflammation of the Bartholin glands and Skene ducts (Dains et al., 2016). Untreated women can develop the pelvic inflammatory disease with abscess formation and chronic pain in the pelvis (Centers for Disease Control and Prevention [CDC], 2019). Symptoms in men include dysuria (CDC, 2019). Men present with a white, green, or yellow discharge from the urethra (CDC, 2019). Some will have scrotal or testicular pain and epididymitis (CDC, 2019). The symptoms show up to 14 days after initial infection (CDC, 2019). Men and women can have rectal infections that include itching and discharge (CDC, 2019). Many people have an asymptomatic infection (CDC, 2019). Patients with pharyngeal infection present with a sore throat (CDC, 2019). References Centers for Disease Control and Prevention. (2015, June 5). 2015 Sexually transmitted diseases treatment guidelines. CDC Centers for Disease Control and Prevention. https://www.cdc.gov/std/tg2015/gonorrhea.htm Centers for Disease Control and Prevention. (2019, November 5). Gonorrhea: Detailed fact sheet. Retrieved October 28, 2020, from https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea-detailed.htm Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Vaginal discharge and itching. Advanced health assessment and clinical diagnosis in primary care (5th ed., pp. 434–445). Elsevier. South Dakota Department of Health. (2019). South Dakota Disease Summary 2019. https://doh.sd.gov/documents/statistics/ID/Nov2019.pdf 317 words American Sentinel N522PE Module 6 Assignment 4 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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