American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment

American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment Discussion 3 This week you have studied cardiovascular, peripheral vascular, and respiratory advanced physical assessment. What additional resources for these advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week? American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties. Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. 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. Permalink: https://nursingpaperessays.com/ american-sentine…atory-assessment / Discussion Sample Solution and Responses I really struggled to get through Tina’s HEENT visit, so for this week’s respiratory and cardiac I tried to change how I organized the work. This week I started with the concept labs, which I found helpful. Then I moved to the reading and I’m currently working on the assessments. I found Jessica Nishikawa’s YouTube assessment video to again be helpful as an example of how the assessment should flow. With shadow health I have a hard time getting the answers I am looking for with my questions, as well as knowing how much to educate and empathize. In person it is much easier to read the patient and educate and empathize when you can see they need it or there is an opportune moment to educate. I’m trying to get better at reminding myself to use those buttons and switch from the question to those more often. I’ve used the “made incredibly easy” series of books previously in nursing school and they also are proving to be helpful now as well. As noted in the forward of the book, “every topic – from examining the retina to percussing liver borders to auscultating for a pericardial friction rub – is described step by precise step.” Reference Knudtson, M. D. (2008). Assessment Made Incredibly Easy. Springhouse Cooperation. Philadelphia, PA. Nishikawa, J. (2012). Procedures of the Cardio Vascular / Peripheral Vascular exam. YouTube. Retrieved from https://www.youtube.com/watch?v=qlfVHjVXlmQ 237 words Permalink In reply to Jennifer Lyon Re: D3 – American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment by Darcy Paisley – Thursday, October 8, 2020, 3:43 PM Hi Jennifer, I am also trying to reorganize how I am completing reading and Shadow Health to feel more informed and competent during the process. I have watched Jessica Nishikawa’s YouTube assessment video for the HEENT assessment we completed but have not watched any other ones yet. The ones I have found very helpful for me are the RegisteredNurseRN on Youtube. I completed the respiratory one and am watching the Cardiac one at this time, she actually has two for this assessment. I’m continuing to use “thePoint” for the skill assessments along with both of our text but the area I keep struggling with is the questions. I think I have asked everything and then I have not gone in-depth enough. I do appear to be getting better at educating and empathizing with Tina, but this is not something I’m as concerned with as I do interact differently when I am with a real person. I did not think to use the “made incredibly easy” books, so thank you for mentioning that. One of our fellow students talked about a Pocket PEx app on google that he said is very helpful so I am going to look at that also. References: Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2016). Bates guide to physical examination and history taking (Thirteenth, North American ed.). Wolters Kluwer,. Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). Mosby / Elsevier, St. Heart Sounds | S1 S2 S3 S4 and Murmurs Nursing Assessment. (2016). RegisteredNurseRN. https://www.youtube.com/watch?v=H48WsyIjFs0 Lung Auscultation Landmarks, sounds, placement nursing | assessing lungs Part 1. (2016). RegisteredNurseRN. https://www.youtube.com/watch?v=KNrcG077brQ 289 words Permalink Show parent In reply to Jennifer Lyon Re: D3 by Dona Clarin – Thursday, October 8, 2020, 4:20 PM I just posted some tips in the announcements. You can also use your text book and review the Review of Systems section so you will know what to ask about other systems too. Describe why it is important to ask a 3 generation history. 44 words Permalink Show parent In reply to Jennifer Lyon Re: D3 – American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment by James Rhinehart – Saturday, October 10, 2020, 2:05 AM Jennifer, I feel your pain on performing this type of physical examination. One of the challenging aspects for me has been the headings given to us. In all the provider documentation I have read the format is different. In my mind at least, I have been practicing an advanced physical for quite some time. I have that down fairly well in my head. Then when I look at our sections I feel lost. I have found numerous flash cards and pocket guides for physical exams. I have done numerous literature searches and was floored when I read one article that mentioned the newer clinicians feel that the physical exam is outdated (Kelly, Freeman & Dornan, 2019). Something else mentioned in this article is that newer clinicians are not practicing physical exams, which makes them less proficient, thereby leading to higher rates of misdiagnosis and medical costs. References Kelly, M.A. Freeman, L.K. Dornan, T. (2019) Family physicians’s experiences of physical examination. Annals of Family Medicine 17(4) doi 10.1370/afm.2420 171 words Assignment 2 Assignment Instructions: For this 4-5 page 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 Danny, a child who is complaining of a cough. 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 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment 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 a cough 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/or reliable electronic sources) 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 font 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) 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. American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment 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. /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 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment /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 no 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 American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment Discussion 3 This week you have studied cardiovascular, peripheral vascular, and respiratory advanced physical assessment. What additional resources for these advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week? American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties. Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. 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. Permalink: https://nursingpaperessays.com/ american-sentine…atory-assessment / Discussion Sample Solution and Responses I really struggled to get through Tina’s HEENT visit, so for this week’s respiratory and cardiac I tried to change how I organized the work. This week I started with the concept labs, which I found helpful. Then I moved to the reading and I’m currently working on the assessments. I found Jessica Nishikawa’s YouTube assessment video to again be helpful as an example of how the assessment should flow. With shadow health I have a hard time getting the answers I am looking for with my questions, as well as knowing how much to educate and empathize. In person it is much easier to read the patient and educate and empathize when you can see they need it or there is an opportune moment to educate. I’m trying to get better at reminding myself to use those buttons and switch from the question to those more often. I’ve used the “made incredibly easy” series of books previously in nursing school and they also are proving to be helpful now as well. As noted in the forward of the book, “every topic – from examining the retina to percussing liver borders to auscultating for a pericardial friction rub – is described step by precise step.” Reference Knudtson, M. D. (2008). Assessment Made Incredibly Easy. Springhouse Cooperation. Philadelphia, PA. Nishikawa, J. (2012). Procedures of the Cardio Vascular / Peripheral Vascular exam. YouTube. Retrieved from https://www.youtube.com/watch?v=qlfVHjVXlmQ 237 words Permalink In reply to Jennifer Lyon Re: D3 – American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment by Darcy Paisley – Thursday, October 8, 2020, 3:43 PM Hi Jennifer, I am also trying to reorganize how I am completing reading and Shadow Health to feel more informed and competent during the process. I have watched Jessica Nishikawa’s YouTube assessment video for the HEENT assessment we completed but have not watched any other ones yet. The ones I have found very helpful for me are the RegisteredNurseRN on Youtube. I completed the respiratory one and am watching the Cardiac one at this time, she actually has two for this assessment. I’m continuing to use “thePoint” for the skill assessments along with both of our text but the area I keep struggling with is the questions. I think I have asked everything and then I have not gone in-depth enough. I do appear to be getting better at educating and empathizing with Tina, but this is not something I’m as concerned with as I do interact differently when I am with a real person. I did not think to use the “made incredibly easy” books, so thank you for mentioning that. One of our fellow students talked about a Pocket PEx app on google that he said is very helpful so I am going to look at that also. References: Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2016). Bates guide to physical examination and history taking (Thirteenth, North American ed.). Wolters Kluwer,. Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). Mosby / Elsevier, St. Heart Sounds | S1 S2 S3 S4 and Murmurs Nursing Assessment. (2016). RegisteredNurseRN. https://www.youtube.com/watch?v=H48WsyIjFs0 Lung Auscultation Landmarks, sounds, placement nursing | assessing lungs Part 1. (2016). RegisteredNurseRN. https://www.youtube.com/watch?v=KNrcG077brQ 289 words Permalink Show parent In reply to Jennifer Lyon Re: D3 by Dona Clarin – Thursday, October 8, 2020, 4:20 PM I just posted some tips in the announcements. You can also use your text book and review the Review of Systems section so you will know what to ask about other systems too. Describe why it is important to ask a 3 generation history. 44 words Permalink Show parent In reply to Jennifer Lyon Re: D3 – American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment by James Rhinehart – Saturday, October 10, 2020, 2:05 AM Jennifer, I feel your pain on performing this type of physical examination. One of the challenging aspects for me has been the headings given to us. In all the provider documentation I have read the format is different. In my mind at least, I have been practicing an advanced physical for quite some time. I have that down fairly well in my head. Then when I look at our sections I feel lost. I have found numerous flash cards and pocket guides for physical exams. I have done numerous literature searches and was floored when I read one article that mentioned the newer clinicians feel that the physical exam is outdated (Kelly, Freeman & Dornan, 2019). Something else mentioned in this article is that newer clinicians are not practicing physical exams, which makes them less proficient, thereby leading to higher rates of misdiagnosis and medical costs. References Kelly, M.A. Freeman, L.K. Dornan, T. (2019) Family physicians’s experiences of physical examination. Annals of Family Medicine 17(4) doi 10.1370/afm.2420 171 words Assignment 2 Assignment Instructions: For this 4-5 page 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 Danny, a child who is complaining of a cough. 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 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment 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 a cough 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/or reliable electronic sources) 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 font 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) 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. American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment 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. /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 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment /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 no 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 American Sentinel N522PE Module 3: Cardiovascular, Peripheral Vascular System & Respiratory Assessment Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10