Pharmacotherapy Of ADHD Essay Paper

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Pharmacotherapy Of ADHD Essay Paper

Formal recommendations, requirements – size: 50,000 – 100,000 characters (without spaces) = 30-40 pages (max. 50 pages with  title page and references) – Times New Roman 12 point, 1.5-line spacing, justified.  – Margins: 2 cm everywhere, excluding left (margin in book-binding): 3 cm. – Page numbering – Structure of the thesis: o title page (see above) o table of content o list of abbreviations o introduction o discussion (separate chapters, decimal numbering of the headings, e.g. 1.1.1) o summary o bibliography o declaration of originality and defense note (see below) – Figures: should be numbered and supplied with explaining legends and  references under the figure, with referring to the figure in the text. – Tables: should be numbered and supplied with title and references above the  table, with referring to the table in the text. Interpretation, if necessary, in the  footnotes. – Bibliography Referring in the text, numbering according to the occurrence or in alphabetic order of  the authors.  At most 25 references are allowed to cite. Primarily, the thesis should be based on  recent reviews, although citation of certain research articles may occasionally be  necessary.Pharmacotherapy Of ADHD Essay Paper.

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The style of citation should be prepared in a uniform manner; the use of a software  for reference listing (EndNote, Reference Manager) is recommended. Recommended format: Vancouver Style o article:  Russell FD, Coopell AL, Davenport AP. In vitro enzymatic processing of  radiolabelled big ET-1 in human kidney as a food ingredient. Biochem  Pharmacol 1998; 55: 679-701. o book:  DEPARTMENT OF  PHARMACODYNAMICS,  SEMMELWEIS UNIVERSITY 3 Lodish H, Baltimore D, Berk A, Zipursky SL, Matsudaira P, Darnell J.  Molecular cell biology. 3rd ed. New York: Scientific American; 1995. o book chapter:  Porter RJ, Meldrum BS. Antiepileptic drugs. In: Katzung BG, editor. Basic and  clinical pharmacology. 6th ed. Norwalk (CN): Appleton and Lange; 1995. p.  361-80. o internet: National Organization of Rare Diseases [online]. 1999 Aug 16 [cited 1999 Aug  21]; available from: URL:http://www.rarediseases.org/ Literature research Useful home pages: – Central Library of Semmelweis University: http://www.lib.sote.hu/ – PubMed: http://www.ncbi.nlm.nih.gov/pubmed/ – EMA and FDA pharmaceutical databases: http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/landing/epar_search.j sp&mid=WC0b01ac058001d124 http://www.fda.gov/Drugs/default.htm – Medscape Pharmacist: http://www.medscape.com/pharmacists – Wikipedia: http://en.wikipedia.org/wiki/Main_Page – Google (to find figures and images as well – in appropriate resolution) Schedule of thesis preparation – The student is obligated to consult 3 times in both the 8 th and 9 th semester.  – Until the end of the 8 th semester, the student should come to know and study literature  on the subject intensively and on this basis should structure the thesis. – Until the end of the 9 th semester, the main parts of the thesis should be prepared.  – Thesis preparation must be signed in the index by the head of the department if work  on the thesis is verified by the tutor, although it can be rejected in case of  unaccomplished obligation.  – Deadline of thesis submission: 1 st March (covered, in two copies).  – Defense of thesis is in front of a three-member committee, until the 20th, March DEPARTMENT OF  PHARMACODYNAMICS,  SEMMELWEIS UNIVERSITY 4 Declaration of originality should be included into the diploma work and signed by the  author: DECLARATION I, name of the student hereby declare that this piece of written work is the result of my own  independent scholarly work, and that in all cases material from the work of others (in books,  articles, essays, dissertations, and on the internet) is acknowledged, and quotations and  paraphrases are clearly indicated. No material other than that listed has been used.  Budapest, Date  signature Appendix for defense should be included: DEFENSE OF DIPLOMA WORK This diploma work, entitled „Title” is prepared by student’s name (ID #: …) in the  Pharmacist Master Program of Faculty of Pharmacy, Semmelweis University. The student defended the thesis Pharmacotherapy Of ADHD Essay Paper.

Dorothea Orem and the theory of Self Care Essay

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Dorothea Orem and the theory of Self Care Essay

Dorothea is one of the leading nursing theorists, and was an important influence in service, practice and education in nursing. In this paper, the focus will not be on who Dorothea was, but on the theory of Self Care and how it was formulated explicated in the professional field. The four main stages of the paper will involve steps in which theorizing occurs, syntax is developed, the theory is tested and lastly evaluation. Dorothea Orem and the theory of Self Care Essay

Stage One: Theorizing

The self-care theory is development at an early stage of a nurse’s career. When an individual is working at an administrative capacity in state health board, their thinking is most likely aligned to finding a solution to the changing needs of the state’s hospitals (Orem, 1991). The changing needs can be met through proper definition of nursing practice and self-care. The concept is developed in line with what is seen to be important elements of self-care.

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Stage Two: Development of Syntax

At this stage, the most important thing that is done is definition of concepts that are very critical to the theory. The most critical question that comes to one’s mind is related to definition of nursing (Taylor, 2006). Orem defined nursing as an act, which involves the process of assisting others in management and provision of self-care to improve the functioning of human at the level of being effective at home.

Another important concept that has to be defined in this case is the self-care. It is described as the practice and performance of certain activities initiated by an individual on their own behalf to ensure that they maintain proper life and health. The concept of nursing and self-care are about the existence of human beings (Orem, 1991). In the case of these theory human beings are defined as those with the ability to use and reflect on the symbols. The human is viewed as a total being that has developmental and universal needs and has the capacity to uphold self-care.

Third Stage: Theory Testing

The concept of nursing as defined by Orem has been split into three other important elements that include self-care, self-care deficit and theory of nursing system. Under the theory of self-care there is the understanding of what self-care means. The definition is that activity with is initiated by an individual in performing their own wellbeing and maintenance of life. The human ability to engage in self-care is what has been defined as the self-care agency. Such ability is conditioned through other elements such as state of development, age and life experience on sociocultural orientation and use of resources that are made available. The therapeutic self-care demand means the totality of self-care actions that are carried out for a given period of time to meet the requirements of self-care for a certain period of time and is related to a given set of actions and operations (Taylor, 2006). The self-care requisites make up part of the theory, and it means the actions that are carried out and directed towards giving of self-care.

The development of the theory also does involve making of certain assumptions that are very critical. The main assumption is that people are required to be self-responsible and reliant for their own health care and for the care of their family. In the theory, it is further assumed that the people are distinct individuals (Orem, 1991). Nursing is also defined through a given assumption which looks at the practice as a form of action that involves interaction between more than one individual. Meeting the needs of self-care is an important part of primary care and most importantly looks at prevention of ill health. Dorothea Orem and the theory of Self Care Essay

Fourth Stage: Evaluation

In the evaluation of the theory is a philosophical debate about how the theory is implemented. In this case the theory is looked at in terms of its strength and weaknesses when applied in nursing practice (George, 2012). The main strength is that it is a theory that offers comprehensive basis under which nursing practice is carried out. It provides utility for professional nursing in form of education, administration in nursing (Whelan, 2014). It is a theory that is contemporary and in line with the contemporary ideas of health maintenance and promotion.

The limitations to the theory also explain a better part of the philosophical application. The main shortcoming is based on the fact that health in most cases is seen as a dynamic and ever-changing concept. It cannot be viewed as a single element but as a whole with several parts. In general view, the theory can be said to be simple but it can be applied to variety of patients (Tomey & Alligood, 2002). It does provide an explanation of what nursing systems entail deficits in self-care and the terms under self-care. The theory is also an indication that patients are in need of taking care of themselves and that they are at a better position of getting better if they perform their personal self-care.

References

George B. J. (2012). Nursing Theories- The base for professional Nursing Practice, 3rd ed. Norwalk, Appleton & Lange.

Orem, D.E. (1991). Nursing: Concepts of practice (4th ed.). St. Louis, MO: Mosby-Year Book Inc.

Taylor, S.G. (2006). Dorthea E. Orem: Self-care deficit theory of nursing. In A.M.

Tomey, A. & Alligood, M. (2002). Significance of theory for nursing as a discipline and profession. Nursing Theorists and their work. Mosby, St. Louis, Missouri, United States of America.

Whelan, E. G. (2014). Analysis and application of Dorothea Orem’s Self-care Practice Model.

Dorothea Orem and the theory of Self Care Essay

 

Tina Jones Neurological shadow health assessment Lifespan & Review Questions

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Tina Jones Neurological shadow health assessment Lifespan & Review Questions

LifespanActivity Time: 10 min

Tina’s three-year-old neighbor presents to the clinic with fever, neck pain, headache, and confusion. He has no symptoms of an upper respiratory infection. The parents mention that they do not believe in immunizations. Based on the information given, what diagnosis is of the greatest concern? What is your next action?

Student Response: Rule out bacterial meningitis, there was no immunizations to increase meningitis risk.

Model Note: Bacterial Meningitis needs to be ruled out immediately. He has not had immunizations which puts him at increased risk for meningitis from Haemophilus influenzae type B. Seizure disorder does not cause fever. Children with immunodeficiency syndrome are at increased risk for meningitis but this child has no previous history of chronic infections. Although children with strep throat can present with fever and neck pain, they are not confused. He needs an immediate spinal tap to determine the nature of the meningitis, and broad spectrum antibiotics should be started as soon as possible. He should be sent to the emergency room.

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Tina’s 83-year-old great uncle forgets where he is during his yearly check-up. He doesn’t remember if he’s had memory problems before and no family members came to your office with him. List your differential diagnosis. What assessments would you perform? Tina Jones Neurological shadow health assessment Lifespan & Review Questions

Student Response: Differential diagnosis include stroke, dementia, electrolyte imbalance, dehydration, infection and drug toxicity. An Neurological assessment can rule out stroke and transient ischemic attack. Urinalysis should rule out uti.

Model Note: Differential diagnosis includes stroke, transient ischemic attack, dementia, infection, electrolyte imbalance, dehydration and drug toxicity. The provider should do a neurological assessment to rule out stroke and TIA. Visualization of mucous membranes and skin assessment for tenting is indicated to rule out dehydration. A urinalysis should be performed to rule out a urinary tract infection which is a common cause of confusion in the elderly. He should be asked questions about his medication intake and medical history in case he retains some memory. If he is completely disoriented, family members should be contacted, if possible, to gain more information. Tina Jones Neurological shadow health assessment Lifespan & Review Questions

Review QuestionsActivity Time: 6 min

To assess spinal levels L2, L3 and L4 in Tina, which deep tendon reflexes would have to be tested?

 Correct: The patellar deep tendon reflex involves the sensory and motor nerve fibers associated with spinal segments L2, L3, and L4. Location of abnormal reflexes may be helpful in identifying neurological pathologies of the spine.
  • Achilles
  • Biceps
  • Patellar (Correct Response)
  • Triceps

Imagine that you were preparing to irrigate a Foley catheter of a patient with a spinal cord injury at T4 in a urology clinic. Upon moving the leg bag, the patient became suddenly flushed and diaphoretic above the nipple line. What would you suspect was happening?

 Correct: Autonomic dysreflexia is the sudden increase in blood pressure caused by dysregulation of sympathetic and parasympathetic nervous systems reacting to a noxious stimulus below the site of spinal injury. Other symptoms include bradycardia, anxiety, blurred vision, headache, flushing, and sweating Tina Jones Neurological shadow health assessment Lifespan & Review Questions. The noxious stimulus (pulling of the Foley catheter) should be alleviated to resolve the condition.
  • Odynophagia
  • Febrile reaction
  • Idiopathic spinal reaction
  • Autonomic dysreflexia (Correct Response)

Which of the following is not a common symptom of Parkinson’s disease?

 Correct: Parkinson’s disease is characterized by tremors at rest, bradykinesia, cogwheel rigidity, postural instability, festination, lack of facial expression, reduced arm swing, autonomic and neuroendocrine dysfunctions, and a variety of psychological issues such as depression, anxiety, and sleep disturbances.
  • Lack of facial expression
  • Festination
  • Cogwheel rigidity
  • Intention tremors (Correct Response)

Name at least three ways to assess cerebellar function during a physical exam.

Student Response: Test cerebellar function by assessing gait and instructing the patient to perform the finger-to-finger, finger-to-nose, heel-to-shin, rapid alternating movements Tina Jones Neurological shadow health assessment Lifespan & Review Questions

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Model Note: The cerebellum is responsible for smooth and accurate coordination of voluntary movements. You can test cerebellar function by assessing gait and by instructing the patient to perform the finger-to-finger, finger-to-nose, heel-to-shin, rapid alternating movements, and Romberg tests.

If Tina had a fever and photophobia, you would have had to test for meningitis. Describe how you would have tested for the Kernig’s sign.

Student Response: flex the knee and hip when the patient is supine,at a right angle with the flexed knee. Straighten the leg at knee.

Model Note: The test for Kernig’s sign is used to identify meningeal irritation. To perform the test, flex the leg at the knee and hip when the patient is supine, making a right angle with the flexed knee. Then attempt to straighten the leg at the knee. Resistance and pain in the lower back constitute a positive Kernig’s sign, indicating meningeal irritation.

Suppose you assessed pain sensation over Tina’s left foot, and noticed that she had decreased sensation. How would you have proceeded with your exam?

Student Response: Assess bilateral sensations from feet and up the legs since the client is at risk of diabetic nephropathy.

Model Note: Because Tina is at risk for diabetic neuropathy, it is important to assess bilateral sensations starting at her feet and proceeding up the legs. Sensation tests should include sharp and dull touch, light touch, vibration, temperature, point location, and positioning of joints. Superficial and deep tendon reflexes of the feet, ankles, and knees should also be assessed to determine the extent of her neuropathy. Tina Jones Neurological shadow health assessment Lifespan & Review Questions

The Future of Nursing: Leading Change, Advancing Health

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The Future of Nursing: Leading Change, Advancing Health

Review the Institute of Medicine (IOM) report: “The Future of Nursing: Leading Change, Advancing Health,” focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership.

Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include:

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The impact of the IOM report on nursing education.

The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report.

The impact of the IOM report on the nurse’s role as a leader.

Cite a minimum of three references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

https://lc-.gcu.edu/learningPlatform/externalLinks/externalLinks.html?operation=redirectToExternalLink&externalLink=http%3A%2F%2Fwww.nationalacademies.org%2Fhmd%2FReports%2F2010%2FThe-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

The Interprofessional Education Collaborative (IPEC)

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The Interprofessional Education Collaborative (IPEC)

Interprofessional practice requires that health care practitioners recognize that patient outcomes are better when there is a collaborative team approach in addressing patient health issues. Also, there are barriers to interprofessional practice that must be addressed among health care practitioners. The Interprofessional Education Collaborative (IPEC) is an initiative including multiple professions designed to advance interprofessional education so that students entering health care professions are able to view collaboration as the norm and seek collaborative relationships with other providers (IPEC, 2011). The Interprofessional Education Collaborative (IPEC)

This week your Discussion will focus on interprofessional practice. This Discussion is an opportunity for you to examine your perspective and experiences with interprofessional collaborative practice and to apply your knowledge to managing patient care.

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To prepare:
  • Identify a professional nursing organization and review their position on interprofessional practice
  • Review the following case study: The Interprofessional Education Collaborative (IPEC)

Case Study:

Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks.

The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis.

Post an explanation of your understanding of interprofessional practice. Also, explain the position on interprofessional practice for a professional nursing organization that you are a member of or of which you plan to become a member. Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.

Read a selection of your colleagues’ responses. The Interprofessional Education Collaborative (IPEC)

 

Brian foster chest pain shadow health assessment Subjective Data

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Brian foster chest pain shadow health assessment Subjective Data

Subjective Data Collection: 30 of 30 (100.0%)

Hover To Reveal…

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

  • Found:

     Indicates an item that you found.

  • Available:

     Indicates an item that is available to be found.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient. Brian foster chest pain shadow health assessment Subjective Data

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

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Chief Complaint


  • Finding:

    Established chief complaint


  • Finding:

    Reports sporadic chest pain

    (Found)

    Pro Tip: Chest pain can be a sign of many health problems, some serious and some less serious. It is important to follow up with discovery of chest pain by asking about its characteristics and severity.

    Example Question:

    Do you have chest pain?

History of Present Illness


  • Finding:

    Asked about onset of pain


  • Finding:

    Reports chest pain started appearing in the past month

    (Found)

    Pro Tip: Establishing the onset of a patient’s pain is essential in diagnosing its severity as well as the comfort of the patient.

    Example Question:

    When did your chest pain start?

  • Finding:

    Asked about location of pain


  • Finding:

    Reports pain is in center of the chest

    (Found)

    Pro Tip: Identifying the location of a patient’s pain is essential in determining which body systems are affected, the underlying cause of the pain, and how best to treat it.

    Example Question:

    Where is the pain?

  • Finding:

    Reports pain does not radiate

    (Found)

    Pro Tip: Pain radiation is an important symptom that can be helpful in understanding the cause of pain and narrowing the diagnosis.

    Example Question:

    Does the pain radiate?

  • Finding:

    Denies arm pain

    (Found)

    Pro Tip: When combined with chest pain, arm pain can be a telling sign that the complaint may be cardiac in nature.

    Example Question:

    Are you experiencing arm pain?

  • Finding:

    Denies shoulder pain

    (Found)

    Pro Tip: When combined with chest pain, shoulder pain can be a telling sign that the complaint may be cardiac in nature.

    Example Question:

    Are you experiencing shoulder pain?

  • Finding:

    Denies back pain

    (Found)

    Pro Tip: When combined with chest pain, back pain can be a telling sign that the complaint may be cardiac in nature.

    Example Question:

    Are you experiencing back pain?

  • Finding:

    Denies neck pain

    (Found)

    Pro Tip: When combined with chest pain, neck pain can be a telling sign that the complaint may be cardiac in nature.

    Example Question:

    Are you experiencing neck pain?

  • Finding:

    Asked about duration of pain episodes


  • Finding:

    Reports each episode lasted “several” minutes

    (Found)

    Pro Tip: Knowing the duration of a patient’s pain gives you a more complete picture of its severity and potential impact on the patient’s health.

    Example Question:

    How long does your chest pain last?

  • Finding:

    Asked about frequency of pain


  • Finding:

    Reports 3 episodes in past month

    (Found)

    Pro Tip: Establishing a timeline for a patient’s symptoms can help you to better diagnose his condition and most effectively treat him.

    Example Question:

    How many times in the last month have you had chest pain?

  • Finding:

    Reports that episodes did not seem related

    (Available)

    Pro Tip: Asking your patient if the episodes seem associated can point to possible factors that aggravate the episodes or trigger symptoms, and can help narrow your diagnosis.

    Example Question:

    Did the episodes seem associated?

  • Finding:

    Asked about severity of pain


  • Finding:

    Reports current pain is 0 out of 10

    (Found)

    Pro Tip: For many patients, it is difficult to clearly describe pain. Asking Brian to rate his pain on a scale from 0 to 10 develops a consistent measure of pain severity.

    Example Question:

    How would you rate your pain on a scale of zero to ten?

  • Finding:

    Reports pain severity at its worst is 5 out of 10

    (Found)

    Pro Tip: For many patients, it is difficult to clearly describe pain. Asking Brian to rate his pain at its worst gives a clearer picture of the pain’s severity.

    Example Question:

    How would you rate your pain on a scale of zero to ten?

  • Finding:

    Asked about character of pain


  • Finding:

    Describes pain as tight and uncomfortable

    (Found)

    Pro Tip: Asking Brian to describe his pain helps identify the cause and the severity of his discomfort. Patients may not know how to answer, so you may need to suggest words like sharp, dull, crushing, gnawing, or burning.

    Example Question:

    Can you describe your pain?

  • Finding:

    Denies crushing pain

    (Found)

    Pro Tip: Asking Brian to describe his pain helps identify the cause and the severity of his discomfort. Patients may not know how to answer, so you may need to suggest words like sharp, dull, crushing, gnawing, or burning.

    Example Question:

    Is the pain crushing?

  • Finding:

    Denies gnawing pain

    (Found)

    Pro Tip: Asking Brian to describe his pain helps identify the cause and the severity of his discomfort. Patients may not know how to answer, so you may need to suggest words like sharp, dull, crushing, gnawing, or burning.

    Example Question:

    Is the pain gnawing?

  • Finding:

    Denies burning pain

    (Found)

    Pro Tip: Asking Brian to describe his pain helps identify the cause and the severity of his discomfort. Patients may not know how to answer, so you may need to suggest words like sharp, dull, crushing, gnawing, or burning.

    Example Question:

    Is the pain burning?

  • Finding:

    Asked about aggravating factors


  • Finding:

    Reports pain is aggravated by activity

    (Found)

    Pro Tip: Aggravating factors reveal further information about the nature of the pain and the body systems affected.

    Example Question:

    What makes the pain worse?

  • Finding:

    Pain occurred with yard work and taking stairs

    (Found)

    Pro Tip: Determining the activity that may have caused the patient’s complaint is crucial because it may reveal the root cause of the complaint.

    Example Question:

    What activity triggered the pain?

  • Finding:

    Pain does not worsen with eating

    (Available)

    Pro Tip: It is important to ask about the patient’s diet and its impact on his complaint because cardiac complaints and gastrointestinal pain can be very similar and are frequently conflated. Ruling out one or the other can assist your diagnosis.

    Example Question:

    Is the pain worse when you eat?

  • Finding:

    Pain does not worsen after spicy foods

    (Available)

    Pro Tip: It is important to ask about the patient’s diet and its impact on his complaint because cardiac complaints and gastrointestinal pain can be very similar and are frequently conflated. Ruling out one or the other can assist your diagnosis.

    Example Question:

    Is the pain worse after you eat spicy food?

  • Finding:

    Pain does not worsen after high-fat foods

    (Found)

    Pro Tip: It is important to ask about the patient’s diet and its impact on his complaint because cardiac complaints and gastrointestinal pain can be very similar and are frequently conflated. Ruling out one or the other can assist your diagnosis.

    Example Question:

    Is the pain worse after you eat high-fat foods?

  • Finding:

    Asked about relieving factors


  • Finding:

    Reports pain relief with brief period of rest

    (Found)

    Pro Tip: It’s important to assess the nature of pain by asking about relief. Relieving factors can help narrow the body system and assist in a more accurate diagnosis.

    Example Question:

    What relieves your pain?

  • Finding:

    Reports no medication to treat chest pain

    (Found)

    Pro Tip: It’s important to assess the nature of pain by asking about relief. Discovering any pain medication Brian takes can help you assess the nature and severity of his pain and avoid any unwanted medication interactions.

    Example Question:

    Did you take anything for the chest pain?

Medical History


  • Finding:

    Confirmed use of medications


  • Finding:

    Confirms medications

    (Found)

    Pro Tip: Determining what, if any, medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions.

    Example Question:

    What medications do you take?

  • Finding:

    Reports taking hypertension medication

    (Found)

    Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

    Example Question:

    Do you take medication for hypertension?

  • Finding:

    Reports taking hyperlipidemia medication

    (Found)

    Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

    Example Question:

    Do you take medication for hyperlipidemia?

  • Finding:

    Reports occasional ibuprofen use

    (Available)

    Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

    Example Question:

    Do you take over the counter medications?

  • Finding:

    Reports taking fish oil

    (Found)

    Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication or supplements will help you to treat your patient.

    Example Question:

    Do you take any supplements?

  • Finding:

    Denies aspirin regimen

    (Available)

    Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

    Example Question:

    Do you take aspirin?

  • Finding:

    Followed up on hypertension treatment


  • Finding:

    Medication is Lopressor

    (Found)

    Pro Tip: Discovering which specific medications a patient takes helps you assess his health conditions, effectiveness of treatment, and guards against unwanted medication interactions.

    Example Question:

    What medication do you take for hypertension?

  • Finding:

    Lopressor dose is 100mg

    (Found)

    Pro Tip: The current dose of any patient’s prescription medications is important to learn about because it provides useful information about the patient’s treatment plan as well as potential medication interactions.

    Example Question:

    What dose of medication do you take for hypertension?

  • Finding:

    Takes Lopressor once daily

    (Found)

    Pro Tip: The frequency with which a patient takes his medications is an essential element of the complete picture of his medication treatment plan.

    Example Question:

    How frequently do you take medication for hypertension?

  • Finding:

    Followed up on hyperlipidemia treatment


  • Finding:

    Medication is Lipitor

    (Found)

    Pro Tip: Discovering which specific medications a patient takes helps you assess his health conditions, effectiveness of treatment, and guards against unwanted medication interactions.

    Example Question:

    What medication do you take for hyperlipidemia?

  • Finding:

    Lipitor dose is 20mg

    (Found)

    Pro Tip: The current dose of any patient’s prescription medications is important to learn about because it provides useful information about the patient’s treatment plan as well as potential medication interactions.

    Example Question:

    What dose of medication do you take for hyperlipidemia?

  • Finding:

    Takes Lipitor once daily

    (Found)

    Pro Tip: The frequency with which a patient takes his medications is an essential element of the complete picture of his medication treatment plan.

    Example Question:

    How frequently do you take medication for hyperlipidemia?

  • Finding:

    Takes Lipitor at bedtime

    (Available)

    Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication information, like at what time of day Brian takes Lipitor, will help you to treat your patient.

    Example Question:

    What time of day do you take your lipitor?

  • Finding:

    Has taken Lipitor for 1 year

    (Found)

    Pro Tip: The medication that a patient takes will indicate any relevant health conditions, their treatment plan, and how well they comply with it. Asking about relevant medication will help you to treat your patient.

    Example Question:

    How long have you taken lipitor?

  • Finding:

    Confirmed allergies


  • Finding:

    Confirms allergies (no new allergies reported)

    (Found)

    Pro Tip: Asking Tina if she has any new allergies will allow you to understand how, beyond the chief complaint, Tina’s health has been.

    Example Question:

    Do you have new allergies?

  • Finding:

    Asked about possible contributing factors in health history


  • Finding:

    Reports no known diagnosis of angina

    (Found)

    Pro Tip: A history of angina can weaken the heart and lead to further cardiovascular complications. Asking Brian about angina helps you understand his overall cardiovascular health.

    Example Question:

    Do you have a history of angina?

  • Finding:

    Reports hypertension

    (Found)

    Pro Tip: Hypertension is the most important risk factor for stroke. Soliciting a health history from Brian will allow you to assess his risk of cardiovascular disease.

    Example Question:

    Do you have hypertension?

  • Finding:

    Reports high cholesterol

    (Found)

    Pro Tip: High cholesterol can lead to cardiovascular disease. Asking Brian whether he’s had a history of high cholesterol reveals important details about his cardiovascular health.

    Example Question:

    Do you have high cholesterol?

  • Finding:

    Reports no known coronary artery disease

    (Available)

    Pro Tip: Coronary artery disease is a major risk factor for further cardiac illness. Discovering coronary artery disease in a patient complaining of chest pain can be essential to an accurate diagnosis.

    Example Question:

    Do you have coronary artery disease?

  • Finding:

    Denies diabetes

    (Found)

    Pro Tip: A diagnosis of diabetes can have a major impact on many body systems, and factoring it into a cardiovascular complaint can affect your diagnosis and treatment plan.

    Example Question:

    Do you have diabetes?

  • Finding:

    Denies previous treatment for chest pain

    (Found)

    Pro Tip: Discovering any previous treatments for chest pain can be a valuable source of information for continued treatment. The success or failure of previous treatments can inform your treatment plan.

    Example Question:

    Have you had previous treatment for chest pain?

  • Finding:

    Asked about blood pressure monitoring


  • Finding:

    Does not frequently monitor BP at home

    (Found)

    Pro Tip: Monitoring blood pressure helps to keep track of a patient’s cardiovascular health. Asking Brian how often he measures his blood pressure will indicate his health literacy and a current treatment plan.

    Example Question:

    How often do you measure your blood pressure?

  • Finding:

    Reports infrequent BP checks at the doctor or drugstore

    (Found)

    Pro Tip: Monitoring blood pressure helps to keep track of a patient’s cardiovascular health. Asking Brian when he measures his blood pressure will indicate his health literacy and a current treatment plan.

    Example Question:

    When do you measure your blood pressure?

  • Finding:

    Reports not remembering typical BP reading

    (Found)

    Pro Tip: Monitoring blood pressure helps to keep track of a patient’s cardiovascular health. Asking Brian what his typical blood pressure reading is will indicate his health literacy and a current treatment plan.

    Example Question:

    What is your typical blood pressure reading?

  • Finding:

    Asked about past cardiac tests


  • Finding:

    Reports recent EKG test

    (Found)

    Pro Tip: An EKG test checks for electrical problems with the heart. Asking Brian whether he’s had an EKG will reveal his recent medical history, cardiac health, and medical literacy.

    Example Question:

    Have you recently had an EKG?

  • Finding:

    Reports annual stress test

    (Available)

    Pro Tip: A stress test can illustrate the amount of stress a patient’s heart can handle before developing irregular rhythm. Asking Brian if he’s recently had a stress test will indicate a treatment plan, cardiac health, and health literacy. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Have you recently had a stress test?

  • Finding:

    Followed up on results of cardiac tests


  • Finding:

    Reports belief that EKG was normal

    (Found)

    Pro Tip: An EKG test checks for electrical problems with the heart. Asking Brian whether he’s had an EKG will reveal his recent medical history, cardiac health, and medical literacy. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    What were the results of your last EKG?

  • Finding:

    Reports belief that stress test was normal

    (Available)

    Pro Tip: A stress test can illustrate the amount of stress a patient’s heart can handle before developing irregular rhythm. Asking Brian if he’s recently had a stress test will indicate a treatment plan, cardiac health, and health literacy.

    Example Question:

    What were the results of your last stress test?

  • Finding:

    Asked about visits to healthcare providers


  • Finding:

    Has a primary care provider

    (Found)

    Pro Tip: Asking about Brian’s current primary care provider is important in determining his current health care access, health literacy, and treatment plans.

    Example Question:

    Do you have a primary care provider?

  • Finding:

    Reports last visit 3 months ago

    (Found)

    Pro Tip: A patient’s last visit to his doctor can not only help you elicit objective data about his health, but provides you a glimpse into his access to healthcare.

    Example Question:

    When was your last visit to a healthcare provider? Brian foster chest pain shadow health assessment Subjective Data

  • Finding:

    Usually sees doctor every 6 months

    (Available)

    Pro Tip: Asking how frequently Brian sees a healthcare provider is important in determining his current health care access, health status, and treatment plans.

    Example Question:

    How often do you see a healthcare provider?

Social History


  • Finding:

    Asked about stress


  • Finding:

    Reports generally low stress lifestyle

    (Found)

    Pro Tip: Stress can have a profound effect on the patient’s health and wellness. Asking about stress is an important part of any health assessment. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    What is your stress level?

  • Finding:

    Asked about exercise


  • Finding:

    Denies regular exercise routine

    (Found)

    Pro Tip: Activity levels have an important impact on cardiovascular health. Asking Brian about his exercise patterns can help you understand how his lifestyle might affect his health.

    Example Question:

    What kind of exercise do you get?

  • Finding:

    Last regular exercising was 2 years ago

    (Found)

    Pro Tip: Activity levels have an important impact on cardiovascular health. Asking Brian about his exercise patterns can help you understand how his lifestyle might affect his health. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    When did you last exercise regularly?

  • Finding:

    Asked about typical diet


  • Finding:

    Typical breakfast is granola bar and instant breakfast shake

    (Found)

    Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Brian about his typical breakfast will allow you to assess whether his eating habits put him at risk of cardiovascular disease or other health complications.

    Example Question:

    What is a typical breakfast for you?

  • Finding:

    Typical lunch is turkey sub

    (Found)

    Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Brian about his typical lunch will allow you to assess whether his eating habits put him at risk of cardiovascular disease or other health complications. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    What is a typical lunch for you?

  • Finding:

    Typical dinner is grilled meat and vegetables

    (Found)

    Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Asking Brian about his typical dinner will allow you to assess whether his eating habits put him at risk of cardiovascular disease or other health complications. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    What is a typical dinner for you?

  • Finding:

    Denies moderation of salt intake

    (Available)

    Pro Tip: A healthy and balanced diet is crucial for maintaining good health. Salt intake in particular can have a detrimental effect on blood pressure, which is why it is important to ask a patient like Brian, who suffers from hypertension, about his salt consumption.

    Example Question:

    Do you moderate your salt intake?

  • Finding:

    Asked about liquid intake


  • Finding:

    Reports regular water intake

    (Found)

    Pro Tip: Insufficient water intake can lead to dehydration and fatigue. Asking Brian how much water he drinks every day will indicate whether he is drinking sufficient fluids. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Do you drink water every day?

  • Finding:

    Drinks a liter of water a day

    (Available)

    Pro Tip: Insufficient water intake can lead to dehydration and fatigue. Asking Brian how much water he drinks every day will indicate whether he is drinking sufficient fluids.

    Example Question:

    How much water do you drink per day?

  • Finding:

    Drinks 2 cups of coffee daily

    (Available)

    Pro Tip: Coffee is a diuretic and thus causes the patient to lose fluids. Asking Brian how much coffee he drinks per day will help you to assess the level of his fluid intake.

    Example Question:

    How much coffee do you drink per day?

  • Finding:

    Denies soda drinking

    (Available)

    Pro Tip: Soda is high in sugar and Insufficient water intake can lead to dehydration and fatigue. Asking Brian how much soda he drinks every day will indicate whether his fluid intake is primarily water or soda. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    How much soda do you drink per day?

  • Finding:

    Asked about substance use


  • Finding:

    Denies current illicit drug use

    (Available)

    Pro Tip: Many drugs affect the central nervous system or can cause cardiovascular complications. Asking Brian if he uses illicit drugs will indicate whether drug use puts him at risk for health complications.

    Example Question:

    Do you use illicit drugs?

  • Finding:

    Denies tobacco use

    (Found)

    Pro Tip: Tobacco affects the heart by reducing the amount of oxygen the blood is able to carry. Asking Brian if he uses tobacco will allow you to assess whether the condition is caused, in part, by tobacco use.

    Example Question:

    Do you use tobacco?

  • Finding:

    Reports moderate alcohol consumption

    (Found)

    Pro Tip: Chronic alcohol use can result in cardiomyopathy. Asking Brian whether he drinks alcohol will allow you to assess whether he has any indicators of alcoholism. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Do you consume alcohol?

  • Finding:

    Followed up on alcohol consumption


  • Finding:

    Reports drinking 2-3 alcoholic drinks per week

    (Found)

    Pro Tip: Consumption of alcohol can impact a patient’s health and is considered a risk factor for many medical conditions. Asking Brian about his drinking habits will help you determine his risk for disease linked to alcohol consumption. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Do you drink alcohol?

  • Finding:

    Reports 2-3 drinks in one sitting / night

    (Available)

    Pro Tip: Asking the patient to quantify his drinking is helpful because it elicits objective data on a subject that patients may otherwise downplay.

    Example Question:

    How many alcoholic drinks do you have in one sitting?

  • Finding:

    Reports drinking only on weekends

    (Found)

    Pro Tip: Asking the patient to describe his drinking habits can identify indicators of alcoholism. It may also be helpful to ask about the context and reasons for the patient’s alcohol intake. Heavy drinkers will often underestimate their drinking habits. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    When do you drink alcohol?

Review of Systems


  • Finding:

    Asked about general symptoms


  • Finding:

    Denies fever

    (Found)

    Pro Tip: Fever can signify infection and other complications, so it is important to determine the presence of a fever and treat it if there is.

    Example Question:

    Do you have a fever?

  • Finding:

    Denies chills

    (Found)

    Pro Tip: Chills can be a sign of circulation issues, fever, and more. Discovering a patient’s chills will reveal more about the cause of his complaint.

    Example Question:

    Do you have chills?

  • Finding:

    Denies fatigue

    (Found)

    Pro Tip: Fatigue can be an indicator of serious cardiovascular problems, and it is important to ask the patient about it in order to narrow your diagnosis.

    Example Question:

    Do you feel tired?

  • Finding:

    Denies night sweats

    (Found)

    Pro Tip: Unusual sweating can be a symptom of a number of medical conditions, including cardiac infection. Asking Brian about night sweats can help rule out these conditions.

    Example Question:

    Do you have night sweats?

  • Finding:

    Denies weight loss

    (Available)

    Pro Tip: Unintentional weight loss can be a distressing symptom for many body systems. It is important to ask about weight loss to rule out conditions that may be associated with it.

    Example Question:

    Have you experienced recent weight loss? Brian foster chest pain shadow health assessment Subjective Data

  • Finding:

    Denies dizziness or lightheadedness

    (Found)

    Pro Tip: Patients exhibiting dizziness may be at risk for several conditions as well as a fall risk. It is important to ask about dizziness to keep your patient safe.

    Example Question:

    Do you have dizziness?

  • Finding:

    Denies palpitations

    (Found)

    Pro Tip: Discovering palpitations can be an important clue into the patient’s cardiovascular history and current condition.

    Example Question:

    Do you have palpitations?

  • Finding:

    Asked review of systems for cardiovascular


  • Finding:

    Denies history of angina

    (Found)

    Pro Tip: A history of angina can weaken the heart and lead to further cardiovascular complications. Asking Brian about angina helps you understand his overall cardiovascular health.

    Example Question:

    Do you have a history of angina?

  • Finding:

    Denies edema

    (Found)

    Pro Tip: Swelling can be a major indicator of cardiovascular and peripheral vascular health. Asking the patient about swelling is an important part of a thorough cardio exam.

    Example Question:

    Do you have any swelling?

  • Finding:

    Denies circulation problems

    (Available)

    Pro Tip: Circulation is an important indicator of peripheral vascular and cardiovascular health. Asking Brian about his circulation can help diagnose vascular conditions.

    Example Question:

    Do you have any problems with circulation?

  • Finding:

    Denies blood clots

    (Found)

    Pro Tip: Blood clots can be a sign of serious cardiovascular or related illnesses. Asking Brian about blood clots can provide valuable information about the state of his health. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Have you ever had a blood clot?

  • Finding:

    Denies history of rheumatic fever

    (Found)

    Pro Tip: Rheumatic fever early in life can cause fibrosis of the heart valves and can weaken the cardiovascular system. Finding out if Brian has a history of rheumatic fever is crucial to understanding his complete heart health.

    Example Question:

    Do you have a history of rheumatic fever?

  • Finding:

    Denies history of heart murmur

    (Found)

    Pro Tip: Heart murmurs can be harmless or a sign of ongoing heart disease. Learning if Brian has a heart murmur is an important component of understanding his complete cardiovascular health.

    Example Question:

    Do you have a history of heart murmur?

  • Finding:

    Denies easy bleeding

    (Available)

    Pro Tip: Bleeding can be a sign of serious cardiovascular or related illnesses. Asking Brian about bleeding can provide valuable information about the state of his cardiovascular health.

    Example Question:

    Have you noticed any unusual bleeding?

  • Finding:

    Denies easy bruising

    (Available)

    Pro Tip: Ease of bruising can be a sign of serious cardiovascular or related illnesses. Asking Brian about bruising can provide valuable information about the state of his cardiovascular health.

    Example Question:

    Have you noticed any unusual bruising?

  • Finding:

    Denies cyanosis

    (Available)

    Pro Tip: Cyanosis can be a symptom of troubling cardiovascular illness, though patients may not be aware of the connection to cardiovascular health. Asking Brian if he has noticed any cyanosis is important in ruling out certain cardiac risk factors.

    Example Question:

    Has your facial skin ever turned blue?

  • Finding:

    Asked about review of systems for respiratory


  • Finding:

    Denies cough

    (Found)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the respiratory system. A cough in a patient complaining of chest pain is a symptom worth investigating.

    Example Question:

    Do you have a cough?

  • Finding:

    Denies difficulty breathing

    (Found)

    Pro Tip: Difficulty breathing is a dangerous symptom and can be related to many body systems, including the cardiovascular system. Breathing is an important part of a thorough cardio exam.

    Example Question:

    Have you had difficulty breathing?

  • Finding:

    Denies orthopnea

    (Available)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the respiratory system. Orthopnea in a patient complaining of chest pain is a symptom worth investigating.

    Example Question:

    Do you have difficulty breathing when lying down?

  • Finding:

    Asked about review of systems for HEENT


  • Finding:

    Denies change in sense of taste

    (Found)

    Pro Tip: Changes in taste can be the result of various factors from a decrease in taste buds to Alzheimer’s. Asking Brian if he’s experienced a change in taste can reveal important medical concerns. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Have you experienced a change in taste?

  • Finding:

    Denies sore throat

    (Found)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the respiratory system. A sore throat in a patient complaining of chest pain is a symptom worth investigating.

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  • Example Question:

    Do you have a sore throat?

  • Finding:

    Denies dysphagia

    (Found)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the respiratory system. Painful or difficult swallowing in a patient complaining of chest pain is a symptom worth investigating.

    Example Question:

    Do you have dysphagia?

  • Finding:

    Asked about review of systems for gastrointestinal


  • Finding:

    Denies nausea

    (Found)

    Pro Tip: Nausea can be an urgent symptom and sign of distress in more than one body symptom. Assessing and treating a patient’s nausea is important in a cardiovascular exam.

    Example Question:

    Do you have nausea?

  • Finding:

    Denies vomiting

    (Found)

    Pro Tip: Vomiting can be a major indicator of multiple health problems. Asking the patient about vomiting is an important part of a thorough cardio exam.

    Example Question:

    Have you vomited recently?

  • Finding:

    Denies diarrhea

    (Found)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the gastrointestinal system. Diarrhea in a patient complaining of chest pain is a symptom worth investigating.

    Example Question:

    Do you have diarrhea?

  • Finding:

    Denies constipation

    (Found)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the gastrointestinal system. Constipation in a patient complaining of chest pain is a symptom worth investigating.

    Example Question:

    Do you have constipation?

  • Finding:

    Denies flatus

    (Available)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the gastrointestinal system. Excessive gas in a patient complaining of chest pain is a symptom worth investigating. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Do you have flatus?

  • Finding:

    Denies bloating

    (Available)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the gastrointestinal system. A patient complaining of bloating in addition to chest pain is a symptom worth investigating.

    Example Question:

    Do you have bloating?

  • Finding:

    Denies heartburn or GERD

    (Found)

    Pro Tip: The cardiovascular system is inextricably balanced with many other body systems, including the gastrointestinal system. Heartburn and GERD are of particular importance to ask about, since their symptoms closely follow the symptoms of cardiac pain.

    Example Question:

    Do you have heartburn or GERD?

Family History


  • Finding:

    Asked about relevant family history


  • Finding:

    Reports family history of heart attack

    (Found)

    Pro Tip: Family health history is an important genetic indicator of a patient’s predisposition to certain medical conditions. Asking Brian if anyone in his family has suffered a heart attack helps you develop a more complete picture of his cardiovascular health. Brian foster chest pain shadow health assessment Subjective Data

    Example Question:

    Has anyone in your family had a heart attack?

  • Finding:

    Denies family history of stroke

    (Found)

    Pro Tip: Family health history is an important genetic indicator of a patient’s predisposition to certain medical conditions. Asking Brian if anyone in his family has suffered a stroke helps you develop a more complete picture of his cardiovascular health.

    Example Question:

    Do you have a family history of stroke?

  • Finding:

    Denies family history of pulmonary embolism Brian foster chest pain shadow health assessment Subjective Data

Cultural competence and diversity in Healthcare

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Cultural competence and diversity in Healthcare

Cultural competence and diversity are often considered to have the same meaning in healthcare facilities. What is the difference between these two terms and their applicability in terms of healthcare professionals in various healthcare settings?

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Although cultural competence and diversity are often considered to have the same meaning in healthcare facilities they are different. Diversity is in fact a component of cultural competency. This includes ethnic and racial backgrounds, age, physical and cognitive abilities, family status, religion, sexual orientation, etc… cultural competency wouldn’t exist without diversity . It is important for healthcare professionals to be culturally competent for the sake of the patient’s comfort in receiving services. Lack of cultural competence can lead to noncompliance, missed appointments, and patients seeking care from non-professionals. In the cultural compliance training video an older Hispanic women spoke on how her physician said they’d schedule her a new appointment and she basically said that she wouldn’t show up because it would be the same thing that happened to her at her current appointment; a miscommunication and nothing being resolved. Health professionals who are diverse tend to have a better work ethic and connection with their patients because they’re most likely to be understand certain cultural distinctions, treatment seeking behaviors, etc… (cultural  competency for the health professional-Cultural competence and diversity in Healthcare) Cultural competence and diversity in Healthcare

Nursing Assignment Paper

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Nursing Assignment Paper

In a 3 page APA formatted assignment, please address the following prompts.

INCLUDE 3 REFERENCES

1. Illustrate how nursing staff support patient-centered care of individuals and families whose values differ from their own (including a discussion of the barriers and potential solutions for overcoming the barriers).

2. Explain how COVID has impacted nursing practice and patient outcomes this past year.

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3. Detail how national safety guidelines are implemented on nursing units.

4. Describe three different methods for determining staffing.

5. Prepare a tentative operating budget for a 20-bed medical unit (including staff, equipment/supplies, interdepartmental charges, revenue, etc.).Nursing Assignment Paper

Objective Data – Brian foster chest pain shadow health assessment

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Objective Data – Brian foster chest pain shadow health assessment

Objective Data Collection: 30 of 33 (90.91%)

  •  Correct
  •  Partially correct
  •  Incorrect
  •  Missed
 Inspected face
1 of 1 point
Appearance (1/1 point)
  •  No visible abnormal findings
  •  Rash or lesion
  •  Cyanosis
  •  Pallor
  •  Redness or flushing
  •  Evidence of trauma (scar, laceration, or bruising)
  • Objective Data – Brian foster chest pain shadow health assessment
 Inspected for jugular venous distension
1 of 1 point
Height Of Venous Pressure (1/1 point)
  •  4 cm or less above the sternal angle
  •  More than 4 cm above the sternal angle

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Inspected chest
1 of 1 point
Symmetry (1/2 point)
  •  Symmetric
  •  Asymmetric
Appearance (1/2 point)
  •  No visible abnormal findings
  •  Rash or lesion
  •  AP diameter abnormal
  •  Intercostal retraction while breathing
  •  Excessive use of accessory muscles while breathing
  •  Pectus excavatum
  •  Skin growths (freckles or moles)
  •  Evidence of skin trauma (scar, laceration, or bruising)
  • Objective Data – Brian foster chest pain shadow health assessment
 Inspected abdomen
0.67 of 1 point
Symmetry (1/3 point)
  •  Symmetric
  •  Asymmetric
Contour (No point)
  •  Flat
  •  Rounded
  •  Protuberant
  •  Hollowed
Appearance (1/3 point)
  •  No visible abnormal findings
  •  Rash
  •  Striae
  •  Bulging around umbilicus
  •  Distension
  •  Visible masses (warts, cysts, or tumors)
  •  Freckles, birthmark, or discoloration
  •  Excessive hair growth
  •  Visible scars
  •  Laceration, lesion or wound
  •  Bruising
 Inspected hands and fingernails
1 of 1 point
Right: Appearance (1/4 point)
  •  No visible abnormal findings
  •  Redness
  •  Moles or skin tags
  •  Masses (warts, cysts, or tumors)
  •  Freckles, birthmark, or other discoloration
  •  Excessive dry or flaking skin
  •  Purpura
  •  Scarring
  •  Laceration, lesion, or wound
  •  Bruising
  •  Rash
Right: Nail Changes (1/4 point)
  •  No visible abnormal findings
  •  Pallor
  •  Cyanosis
  •  Splinter hemorrhages
  •  Clubbing
Left: Appearance (1/4 point)
  •  No visible abnormal findings
  •  Redness
  •  Moles or skin tags
  •  Masses (warts, cysts, or tumors)
  •  Freckles, birthmark, or other discoloration
  •  Excessive dry or flaking skin
  •  Purpura
  •  Scarring
  •  Laceration, lesion, or wound
  •  Bruising
  •  Rash
Left: Nail Changes (1/4 point)
  •  No visible abnormal findings
  •  Pallor
  •  Cyanosis
  •  Splinter hemorrhages
  •  Clubbing
 Inspected lower extremities and toenails
1 of 1 point
Right: Appearance (1/4 point)
  •  No visible abnormal findings
  •  Visible distortion or swelling
  •  Brownish pigmentation
  •  Skin thickening
  •  Ulceration
  •  Varicose veins
Right: Nail Changes (1/4 point)
  •  No visible abnormal findings
  •  Pallor
  •  Cyanosis
  •  Splinter hemorrhages
  •  Clubbing
Left: Appearance (1/4 point)
  •  No visible abnormal findings
  •  Visible distortion or swelling
  •  Brownish pigmentation
  •  Skin thickening
  •  Ulceration
  •  Varicose veins
Left: Nail Changes (1/4 point)
  •  No visible abnormal findings
  •  Pallor
  •  Cyanosis
  •  Splinter hemorrhages
  •  Clubbing
 Inspect lower extremities for edema
1 of 1 point
Right: Edema (1/4 point)
  •  No edema
  •  Pitting
  •  Non-pitting
Right: Severity Of Edema (1/4 point)
  •  No edema
  •  1+ Slight pitting
  •  2+ Deeper pit, disappears in 10 to 15 seconds
  •  3+ Noticeably deep pit that lasts more than a minute
  •  4+ Very deep pit that lasts 2 to 5 minutes
  • Objective Data – Brian foster chest pain shadow health assessment
Left: Edema (1/4 point)
  •  No edema
  •  Pitting
  •  Non-pitting
Left: Severity Of Edema (1/4 point)
  •  No edema
  •  1+ Slight pitting
  •  2+ Deeper pit, disappears in 10 to 15 seconds
  •  3+ Noticeably deep pit that lasts more than a minute
  •  4+ Very deep pit that lasts 2 to 5 minutes
 Tested capillary refill time
1 of 1 point
Fingers (1/2 point)
  •  Less than 3 seconds
  •  Greater than 3 seconds
Toes (1/2 point)
  •  Less than 3 seconds
  •  Greater than 3 seconds
 Auscultated carotid arteries
0.5 of 1 point
Right (No point)
  •  No bruit
  •  Bruit
Left (1/2 point)
  •  No bruit
  •  Bruit
 Auscultated heart sounds
0.5 of 1 point
Heart Sounds (No point)
  •  S1 and S2 audible
  •  S1, S2, and S3 audible
  •  S1, S2, and S4 audible
  •  S1, S2, S3, and S4 audible
Extra Heart Sounds (1/2 point)
  •  No extra sounds
  •  Gallops
  •  Murmur
  •  Friction rub
  •  Valve clicks
 Auscultated breath sounds
0.33 of 1 point
Breath Sounds (1/3 point)
  •  Present in all areas
  •  Diminished in some areas
  •  Absent in some areas
Adventitious Sounds (No point)
  •  No adventitious sounds
  •  Wheezing
  •  Fine crackles
  •  Stridor
  •  Rhonchi
  •  Course crackles
Location (No point)
  •  All areas clear
  •  Adventitious sounds in anterior right upper lobe
  •  Adventitious sounds in anterior right middle lobe
  •  Adventitious sounds in anterior right lower lobe
  •  Adventitious sounds in anterior left upper lobe
  •  Adventitious sounds in anterior left lower lobe
  •  Adventitious sounds in posterior right upper lobe
  •  Adventitious sounds in posterior right lower lobe
  •  Adventitious sounds in posterior left upper lobe
  •  Adventitious sounds in posterior left lower lobe
  • Objective Data – Brian foster chest pain shadow health assessment
 Auscultated abdominal aorta
1 of 1 point
Sounds (1/1 point)
  •  No bruit
  •  Bruit
 Auscultated abdominal and lower extremity arteries
1 of 1 point
Right: Renal (1/6 point)
  •  No bruit
  •  Bruit
Left: Renal (1/6 point)
  •  No bruit
  •  Bruit
Right: Iliac (1/6 point)
  •  No bruit
  •  Bruit
Left: Iliac (1/6 point)
  •  No bruit
  •  Bruit
Right: Femoral (1/6 point)
  •  No bruit
  •  Bruit
Left: Femoral (1/6 point)
  •  No bruit
  •  Bruit
 Auscultated bowel sounds
1 of 1 point
Bowel Sounds (1/2 point)
  •  Absent
  •  Hypoactive
  •  Normoactive
  •  Hyperactive
Location Of Non Normoactive Bowel Sounds (1/2 point)
  •  All quadrants normoactive
  •  Right upper quadrant
  •  Right lower quadrant
  •  Left upper quadrant
  •  Left lower quadrant
 Palpated carotid arteries
0.5 of 1 point
Right: Vibration (No point)
  •  No thrill
  •  Thrill
Right: Amplitude (No point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated PMI
1 of 1 point
Location (1/3 point)
  •  Present at midclavicular line and 5th intercostal space
  •  Displaced laterally
Diameter (1/3 point)
  •  Less than 3 cm
  •  Greater than 3 cm
Amplitude (1/3 point)
  •  Brisk and tapping
  •  Increased amplitude (hyperkinetic)
 Palpated brachial arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated radial arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated femoral arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated popliteal arteries
0.5 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (No point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (No point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated tibial arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated dorsalis pedis arteries
1 of 1 point
Right: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Right: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
Left: Vibration (1/4 point)
  •  No thrill
  •  Thrill
Left: Amplitude (1/4 point)
  •  0 Absent
  •  1+ Diminished or barely palpable
  •  2+ Expected
  •  3+ Increased
  •  4+ Bounding pulse
 Palpated abdomen – light
1 of 1 point
Tenderness (1/3 point)
  •  None reported
  •  Tenderness reported
Location Of Tenderness (1/3 point)
  •  No quadrants tender
  •  Right upper quadrant
  •  Right lower quadrant
  •  Left upper quadrant
  •  Left lower quadrant
Observations (1/3 point)
  •  No additional observations
  •  Masses
  •  Guarding
  •  Distension
  •  Muscle resistance
  •  Rigidity
 Palpated abdomen – deep
1 of 1 point
Presence Of Unexpected Mass (1/2 point)
  •  No palpable mass
  •  Palpable mass
Location Of Mass (1/2 point)
  •  No palpable mass
  •  Right upper quadrant
  •  Right lower quadrant
  •  Left upper quadrant
  •  Left lower quadrant
  •  Around umbilicus
 Palpated liver
1 of 1 point
Detection (1/1 point)
  •  Not palpable
  •  Palpable
 Palpated spleen
1 of 1 point
Detection (1/1 point)
  •  Not palpable
  •  Palpable
 Palpated kidneys
1 of 1 point
Right (1/2 point)
  •  Not palpable
  •  Palpable
Left (1/2 point)
  •  Not palpable
  •  Palpable
 Tested skin turgor
1 of 1 point
Observations (1/1 point)
  •  No tenting
  •  Tenting
 Auscultated organs
1 of 1 point
Liver (1/2 point)
  •  No friction rub
  •  Audible friction rub
Spleen (1/2 point)
  •  No friction rub
  •  Audible friction rub
 Percussed abdomen
1 of 1 point
Observations (1/1 point)
  •  All areas generally tympanic
  •  Some areas dull, some tympanic
  •  Some areas resonant
  • Objective Data – Brian foster chest pain shadow health assessment
 Percussed spleen
1 of 1 point
Spleen (1/1 point)
  •  Tympany
  •  Dullness
 Percussed liver
1 of 1 point
Liver Span (1/1 point)
  •  Smaller than 6 cm
  •  Between 6 and 12 cm
  •  Greater than 12 cm
 Performed EKG
1 of 1 point
Sinus Rhythm (1/2 point)
  •  Regular
  •  Irregular
St Changes (1/2 point)
  •  No ST elevation
  •  ST elevation present
  • Objective Data – Brian foster chest pain shadow health assessment

Generating Evidence for Evidence-Based Practice

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Generating Evidence for Evidence-Based Practice

Steps for Successful Grant Writing

The successful steps of grant writing include the Five Ps, starting with passion, progressing through planning, persuasion, then persistence and patience. Those key steps are the foundation for developing a proposal for a grant that can be successful. Generating Evidence for Evidence-Based Practice

ORDER A FREE-PLAGIARISM PAPER HERE

Develop Evidence through Quantitative and Qualitative Inquiry

Research requires appropriate inquiry. It is important to ask the key questions so that the inquiry can produce the relevant evidence from the systematic search. Quantitative and Qualitative inquiry are the means, or method of how you search for data that can be applied in practice. Developing evidence through appropriate inquiry takes the knowledge information- research, and produces knowledge transformation, or evidence-based practice.

Ethical Considerations for Evidence-Based Practice Inquiry and Implementation

There are seven key ethical principles that are applied to research, which starts with the social and scientific value. The scientific validity is then reviewed, followed by checking that fair subject selection, favorable risk-benefit ratio, independent review, respect for subjects, and informed consent are all addressed. These seven key principles guide EBP inquiry.

After completing this unit, you should be able to: 

  • Identify steps for successful grant writing.
  • Develop evidence through quantitative and qualitative inquiry.
  • Describe the ethical considerations that guide evidence-based practice inquiry and implementation.

Generating Evidence for Evidence-Based Practice