Order Now

N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2

N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2

N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2

Permalink: https://nursingpapermills.com/n522pe-cardiovas…ent-assignment-2/

Assignment 2

Assignment Instructions:

For this 4-5 page assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Danny, a child who is complaining of a cough. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment. N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2

Submission Parameters:

For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s).

  1. Introduction (including purpose statement)
  2. Focus of the assessment
    1. Describe the focus of this particular assessment on the patient complaining of a cough
  3. Subjective Component
    1. Describe the ROS, PMH, and other relevant data in this section.
  4. Objective Component
    1. Describe the physical examination findings including techniques of examination
  5. Documented evidence to support clinical reasoning
    1. Describe the list of differential diagnoses
  6. Plan of care
    1. Describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for each focused area of assessment.
  7. Conclusion
  8. References (use primary and/or reliable electronic sources)

 

In regards to APA format, please use the following as a guide:

  • Include a cover page and running head (this is not part of the 4-5 pages limit)
  • Include transitions in your paper (i.e. headings or subheadings)
  • Use in-text references throughout the paper
  • Use double space, 12 point Times New Roman font
  • Apply appropriate spelling, grammar, and organization
  • Include a reference list (this is not part of the 4-5 pages limit)
  • Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)

Rubric – N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2

Competency

20

18

16

0

Points Earned
Focus of the Assessment is identified with Special Considerations including Documented Focused Health History Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. /20
20 18 16 0  
Documented Physical Examination Findings including Techniques of Examination Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. /20
20 18 16 0  
Documented Evidence to Support Clinical Reasoning with External Course Resources Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. No evidence that that student has read or studied the topic.
Discourse lacks depth. May be presented in a rambling manner.
Content is inaccurate &/or is unclear.		 /20
20 18 16 0  
Individualized Plan of Care Based Upon Clinical Findings Accurately presents an individualized plan of care based upon clinical findings. Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. Presents a plan of care that is not individualized based upon the clinical findings. A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. /20
5 4 3 0  
Developmentally and Culturally Specific Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. Documents a developmentally and culturally specific assessment and plan of care. Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. /5
5 4 3 0  
Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2 Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. /5
10 9 8 0  
Grammar, Spelling, and Punctuation APA Format APA Format, grammar, punctuation and spelling is accurate with no errors. APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. /10
COMMENTS: TOTAL: /100

Discussion 3

This week you have studied cardiovascular, peripheral vascular, and respiratory advanced physical assessment. What additional resources for these advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week?

Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties.  Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria.

Example Discussion 2 Approach

Assessments of the cardiovascular, peripheral vascular, and respiratory systems are especially important as each system can have a significant impact on the other resulting in acute and chronic health concerns. Updated guidelines in regards to cardiovascular health focus’s more on lifestyle changes of the patient to manage and control health risks instead of simply prescribing medications and other treatments(Lefler et al., 2016).  Resources that I started using over the weekend with thanks to my fellow students sharing in their discussions is “thePoint” which provides an assessment checklist to cover for both physical and questions to ask the patient and is available in the front of the Bates textbook. This also provided the ability to listen to heart and lung sounds along with questions you can answer. The other resource that has been extremely helpful to me is on You-tube and is called RegisteredNurseRN. This site provides a complete breakdown for anatomical locations, normal and abnormal sounds along with the rationale for each part. For those of us who have not been completing many physical assessments in the last few years, it is a great refresher. What I also appreciated was the quizzes that were available to listen to the sounds and then identify what they were. 

Shadow Health is still a work in progress for me in regards to the organization and ensuring that I am asking for a full history. When I completed the assessment on Tina in regards to the wound on her foot, I made the mistake of making it a focused assessment instead of continuing with an overall complete assessment which had a significant negative impact on the questions I asked. But each time I complete an assessment I feel like I am learning and understanding more which will continue to improve my ability. 

I’m curious if anyone is submitting their shadow health assessments? I did not anywhere if we are supposed to submit them or if they are our own practice tools and we only need to submit our practice experience form at the end. I would appreciate anyone’s feedback on this. N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2

References:

412 words

In reply to DP

Re: Discussion 3

by DC – 
Well done. Describe the exam findings in left side congestive heart failure.

12 words

In reply to DC

Re: Discussion 3

by DP – 

Clinical presentation of left-sided heart failure depends on the stage of heart failure the patient is at. A four-stage process is used by the American Heart Association (AHA) and the American College of Cardiology (ACC) and is based on risk, damage to the heart, and clinical symptoms. With the first stage, a patient has risk factors such as hypertension or other cardiovascular diseases. The second stage can progress slowly or quickly depending on if the patient is active in taking their medications and maintaining a healthy lifestyle. Clinical presentation is shortness of breath(SOB) with activities, SOB when lying down, paroxysmal nocturnal wheezing, a cough, and sometimes wheezing (Bickley et al., 2016). Other presentations can be fatigue and weakness along with pedal edema that will increase in the third stage along with clinical findings of crackles with lung auscultation, tachycardia, S3 gallop, and increased jugular venous pressure (Patterson & Felicilda-Reynaldo, 2018). N522PE Cardiovascular, Peripheral Vascular System & Respiratory Assessment Assignment 2

References:
Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2016). Bates guide to physical examination and history taking (Thirteenth, North American ed.). Wolters Kluwer,.

Patterson, K., & Felicilda-Reynaldo, R. (2018). Heart failure medications: From stage A to C. MEDSURG Nursing, 27(6), 383–387. https://web-a-ebscohost-com.americansentinel.idm.oclc.org/ehost/detail/detail?vid=12&sid=ea8bd384-a313-4df9-88e6-262658eb707d%40sessionmgr4008&bdata=JkF1dGhUeXBlPXVybCxjb29raWUsaXAsdWlkJnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=133645965&db=c8h

217 words