WEEK1/ANSWER TO PROFESSOR/ DICUSSION

first part is my discussion 

 

Physical Examination

Physical examination is the evaluation of anatomic findings by using observation, percussion, palpation, and auscultation to obtain information about the patient. Many people who visit healthcare providers follow their instructions but wonder what they are doing or what they are looking for. During a physical examination, a healthcare practitioner is gathering cues to be able to diagnose. When a physical examination is thoughtfully integrated with the information that they provide, history, and path physiology, they should yield at least 20% data that is necessary for diagnosis and management of the patient (Sawyer, 2012). An examination of a 12-year-old child to find the likely cause of the symptoms portrayed would assist in diagnosing the child.

You are admitting a 12-year-old child to your unit. The mother states that the child has a history of unexplained blackout episodes, headaches, sleep disturbances, and is presently exhibiting tremors. What is the most likely cause of these symptoms? What actions would you take during the interview process? Explain.

I have chosen the 12 year old patient for this discussion.

When conducting a physical assessment on children it is imperative to start the collaboration relationship process between the patient and their family members and myself, as the nurse with effective communication strategies. I would first introduce myself to the patient and mother of the patient and explain to the both of them the purpose of the assessment being performed and how the information that they provide will be utilize appropriately. One important aspect to explain to both of them is that the information that they provide to me is protected by HIPAA.

I would then use open-ended questions (i.e. what brings you in today) to direct the interview to gain the patient’s history from either the child or from the mother. If more information is needed then I would utilize closed-ended questions or direct statements (i.e. how long has these symptoms been going on) to clarify any additional information.

Next, I would take the patient’s vitals and a complete head-to-toe assessment with an emphasis on the neurological system exam, all while explaining to the patient and the mother the reason for me having to do this. By me explaining step-by-step what I am doing will help me to better build a rapport with them as well as giving the patient and the mother a sense of being aware of what is going on, so that if they have any questions I will be able to answer these for them.

It would be pretty apparent that with the symptoms that the patient is experiencing may be due to some type of neurological condition. Patient would then need to be referred to a neurologist for further testing to confirm a proper diagnosis.

                                                           Reference:

Assessment Technologies Institute. (n.d.). Physical assessment (child). Retrieved fromhttp://www.atitesting.com/ati_next_gen/skillsmodules/content/physical-assessment-child/viewing/Neurological-a.html

Sawyer, S. (2012). Pediatric physical examination & health assessment. Sudbury, MA: Jones & Bartlett Learning.

Professor question/ needs to be answer.

 Strong work.  When we thinking about our 1st pt-
Considering all aspects of the patient medical history, including the history of close family members, is important to ensure the complete clinical picture is evident. Asking if family members have a history of depression is an important point we must raise during a history assessment of our first patient. Would you agree? 

 

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week 2/ discussion forum/student posted

        

     Exploring the rate of seasonal-pattern depression in an Inuit Community

Methodology:  Quantitative 

Design:  Ethnography

Rationale:  To assess the rate of seasonal-depression in an Inuit community above 70 degrees N.

2. Democracy in America

Methodology:  Qualitative

Design:  Grounded theory

Rationale:  To review “Democracy in America” by Alexis de Tocqueville and translated and edited by Harvey C. Mansfield and Delba Winthrop.

3. The relationship between compassion fatigue and burnout among critical care nurses

Methodology:  Qualitative

Design:  Correlation

Rationale:  To evaluate the literature related to emotional distress among healthcare professionals in the Intensive Care Unit, while emphasizing the prevalence of compassion fatigue and burnout.

4. Two drugs for Alzheimer’s show promise

Methodology:  Quantitative

Design:  Quasi-experimental design

Rationale:  The combination of two approved drugs for Alzheimer’s, acamprosate and baclofen, together open up the possibility for a therapeutic approach for the disease.

5. Evaluating technology with student success

Methodology:  Quantitative

Design: Case Study

Rationale:  To show measurements used to monitor student success and describe strategies used to promote online discussion as a key component of effective online courses.

6. Factors that influence weight control among women

Methodology:  Qualitative

Design:  Survey

Rationale:  To investigate the influence of work hours and employment on weight gain and weight loss with middle-aged women.

7. The meaning of living with brain injury and stroke 10 years after the injury

Methodology:  Quantitative

Design:  Survey

Rationale:  To indicate that rehabilitation following an ABI should consider if clients’ use everyday technology influences their activity and participation and adopt appropriate interventions.

8. Exploring the beliefs of healing among Aborigines

Methodology:  Qualitative

Design: Observational

Rationale:  To give insight on the beliefs of the Aborigines.

References

Account Respecting Beliefs of Australian Aborigines. (1896). The Journal of American Folklore, 9(34), 199-203. doi:1. Retrieved from http://www.jstor.org/stable/533404 doi:1

Au, N., Hauck, K., & Hollingsworth, B. (2013). Employment, work hours and weight gain among middle-aged women. International Journal of Obesity, 37(5), 718-24. doi:http://dx.doi.org/10.1038/ijo.2012.92

Chumakov, I., Nabirotchkin, S., Cholet, N., Milet, A., Boucard, A., Toulorge, D., Cohen, D. (2015). Combining two repurposed drugs as a promising approach for alzheimer’s disease therapy. Scientific Reports, 5, 7608. doi:10.1038/srep07608

Drescher, S. (2001). Democracy in America. The Journal of American History, 88(2), 612-614. Retrieved from http://search.proquest.com/docview/224908446?accountid=87314

Fasse, R., Humbert, J., & Rappold, R. (2009). Rochester institute of technology: Analyzing student success. Journal of Asynchronous Learning Networks, 13(3), 37.

Haggarty, J. M., Cernovsky, Z., Husni, M., Minor, K., Kermeen, P., & Merskey, H. (2002). Seasonal affective disorder in an arctic community. Acta Psychiatrica Scandinavica, 105(5), 378-384. doi:10.1034/j.1600-0447.2002.1o185.x

Lindén, A., Lexell, J., Lund, M. L., Arbetsterapi, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, & Umeå universitet. (2010). Perceived difficulties using everyday technology after acquired brain injury: Influence on activity and participation. Scandinavian Journal of Occupational Therapy, 17(4), 267-275. doi:10.3109/11038120903265022

 

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Causes, Symptoms, and Treatments

Using the South University Online Library or the Internet, research the causes, symptoms, recommended tests, possible treatments, and expectations for the following:

· Head and neck

· Oropharynx

· Eye and the visual system

Based on your research and understanding, read and respond to the following scenarios:

While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college.

· What do you suspect? What kind of client teaching is appropriate in this situation?

· Discuss appropriate educational materials for health promotion and disease prevention

· When would slanting palpebral fissures be normal?

· While performing a retinal examination on this patient, you discover that the margins of the optic disc become blurred and indistinct. What further testing would be required? Why?

What is the foremost cause of this clinical finding?
Citations should conform to APA guidelines.

 

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All instructions and documents needed are attached. 

 

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