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Walden – NURS 6512 Advanced Health Assessment And Diagnostic Reasoning Week 2 Discussion Sample Paper
NURS 6512 Week 2 Discussion Sample Paper– Advanced Health Assessment and Diagnostic Reasoning
Week 2 Discussion
Student’s Name:
Institutional Affiliation:
Case Scenario
At-risk 86-year-old Asian male who feels like a burden to his daughter, and is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. Patient has a history of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency and chronic prostatitis, and S/P cholecystectomy. Current Medications: Lisinopril 10mg daily, Prilosec 20mg daily, B12 injections monthly, and Cipro 100mg daily.
Introduction
The US population is composed of different ethnic groups which require the health care practitioners to be aware, sensitive and competent with the patient diversity (Betancourt et al. 2016). A health care provider who is culturally competent understands the unique needs of patients from different backgrounds
Cultural Factors
The fact that the man depends on his daughter physically and financially and that the daughter is a single mother shows that the man is from a low economic background. This man has language problems. He is not fluent in English. A large percentage of the population of Asian people living in the United States has language difficulties. The language difficulties may lead to the wrong diagnosis of the disease. This man is also from an ethnic minority. According to Ball, et al. (2014), Asians and Pacific Islanders are the fastest growing ethnic minorities in the United States. Also, it is possible that the man uses traditional medicine and seeks medical help if conventional medicine fails to work. Most of the Asians trust traditional medicine.
Issues to be Sensitive About
While speaking with the patient, I would be slow and polite because most of the older people take time to process information and give a reply. I would also consider having an interpreter to help in case he does not understand my language or I do not understand his. Avoiding jargon would enhance patient compliance (Bing-Jonsson et al. 2016). I would also avoid a firm gaze since it might seem rude.
Questions that I would ask to assess his Health Risks
- How many meals do you take in a day?
- Is there anyone who helps you with your medication?
- Have you ever used any traditional medicine for your treatment?
- Do you have any friends or relatives or a social group who you can talk to when depressed?
- Is there a charity organisation or a social group that helps you with basic needs such as food?
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2014). Cultural competency. Seidel’s guide to a physical examination, 8th edn. Amsterdam: Elsevier, 21-9.
Betancourt, J. R., Green, A. R., Carrillo, J. E., & Owusu Ananeh-Firempong, I. I. (2016). Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public health reports.
Bing-Jonsson, P. C., Hofoss, D., Kirkevold, M., Bjørk, I. T., & Foss, C. (2016). Sufficient competence in community elderly care? Results from a competence measurement of nursing staff. BMC nursing, 15(1), 5.
What’s Coming Up in Week 3?
Next week, you examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition. You will also begin your first DCE: Health History Assessment which will be due in Week 4. Plan your time accordingly.
Overview of Digital Clinical Experiences (DCE) and Lab Components
Throughout this course, you are required to not only complete your standard course assignments and discussions, but you will also complete DCE and Lab Components that are either structured as optional or required assignment submissions. Please take the time to review your DCEand Lab Components for this course that are required submissions. See the table below and the attached table for specific DCE and Lab Components for the course.
Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total score of 80% or better, but you must take all attempts by the Day 7 deadline. You must pass BOTH the Health History and Comprehensive (head-to-toe) Physical Exam of at least a total score of 80% in order to pass the course.
Week | Digital Clinical Experiences | Lab Components |
Module 1: Comprehensive Health History | ||
Week 1: Building a Comprehensive Health History | ||
Module 2: Functional Assessments and Assessment Tools | ||
Week 2: Functional Assessments and Cultural and Diversity Awareness in Health Assessment | ||
Week 3: Assessment Tools, Diagnostics, Growth, Measurement, and Nutrition in Adults and Children | DCE: Health History Assessment (assigned in Week 3, due in Week 4) | Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children |
Module 3: Approach to System Focused Advanced Health Assessments | ||
Week 4: Assessment of the Skin, Hair, and Nails | DCE: Health History Assessment | Lab Assignment: Differential Diagnosis for Skin Conditions (SOAP Note for differential diagnosis) |
Week 5: Assessment of Head, Neck, Eyes, Ears, Nose, and Throat | DCE: Focused Exam: Cough | Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat (Episodic SOAP Note) |
Week 6: Assessment of the Abdomen and Gastrointestinal System | Lab Assignment: Assessing the Abdomen (Analyze SOAP Note) | |
Week 7: Assessment of the Heart, Lungs, and Peripheral Vascular System | DCE: Focused Exam: Chest Pain | |
Week 8: Assessment of the Musculoskeletal System | Discussion: Assessing Musculoskeletal Pain (Episodic SOAP Note) | |
Week 9: Assessment of Cognition and the Neurologic System | DCE: Comprehensive (head-to-toe) Physical Assessment | Case Study Assignment: Assessing Neurological Symptoms (Episodic SOAP Note) |
Week 10: Special Examinations—Breast, Genital, Prostate, and Rectal | Lab Assignment: Assessing the Genitalia and Rectum (analyze SOAP Note) | |
Module 4: Ethics in Assessment | ||
Week 11: The Ethics Behind Assessment | Lab Assignment: Ethical Concerns |
Next Week
ADDITIONAL INSTRUCTIONS FOR THE CLASS
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- Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
- APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
- LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
- Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NURS 6512 Advanced Health Assessment And Diagnostic Reasoning Week 2 Discussion Sample Paper
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Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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