N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

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Discussion 6

This week you have studied mental health (psychological); urinary and reproductive systems of the male and female in advanced physical assessment. While this is a diverse set of advanced physical assessment skills where do you place your greatest level of confidence and what areas need more development. Of these areas of advanced physical assessment where to you struggle in your nursing practice most when providing patient-centered education?

Please cite sources for additional knowledge, skill development, or professional development related to reproductive health and provide additional “clinical pearls” learned this week. In other words, please include primary sources and/or reliable electronic sources to support your arguments. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

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

Sample Discussion 6 Approach

This week’s readings cannot be more dissimilar. While I cannot say that I am an expert on either topic, I do sit on my facility’s mental health environment of care checklist (MHEOCC) committee. This committee’s primary goal is to assess the inpatient mental health unit’s environment to identify ligature and suicide prevention safety issues (U.S. Department of Veteran Affairs, 2018). Essentially the team puts themselves in the suicidal Veteran’s mindset to identify hazards that could cause them and staff harm. This process has reduced the suicide rate by 2.64 per 100,000 to 0.87 per 100,000 admissions (U.S. Department of Veteran Affairs, 2018). I encourage you to utilize this checklist in your facilities.

In addition to these concepts, I have learned about the use of the Columbia-suicide severity risk scale (C-SSRS) (Substance Abuse and Mental Health Services Administration [SAMHSA], 2014). Suicide is the second leading cause of death for those 10 to 25 years old (Erbacher & Singer, 2018). The use of a validated tool such as the C-SSRS provides a standard practice to assess a patient’s intent to commit suicide (Erbacher & Singer, 2018). Warning signs for risk include ideation, purpose, and a plan (Erbacher & Singer, 2018). At my facility, we use this tool to trigger further intervention and implement a patient focus safety plan.

In medical practice, screening questions include depression, anxiety, substance abuse and personality disorders (Bickley & Szilagyi, 2017a). While knowledge of assessment processes for suicide and the mental health environment is essential; I would not rank myself as adept at mental health patient-centered education.

A female patient’s health history includes menarche, menstruation, and menopause (Bickley & Szilagyi, 2017b). Information about pregnancy, vulvovaginal symptoms, sexual health, pelvic pain, and sexually transmitted diseases continue to be essential for assessing female well-ing (Bickley & Szilagyi, 2017b). Necessary to determine patients ages 20 to 24 years for sexually transmitted infections such as chlamydia (Bickley & Szilagyi, 2017b). Monitoring for depression in women of reproductive age key after childbirth and neonatal loss (Centers for Disease Control and Prevention [CDC], 2020). Clinical factors, including a family history of inherited medical conditions and gene disorders, are critical components of assessing female reproductive health (American College of Obstetricians and Gynecologists [ACOG], 2020).

References

American College of Obstetricians and Gynecologists. (2020). Family history as a risk assessment tool. ACOG The American College of Obstetricians and Gynecologists. Retrieved October 26, 2020, from https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2011/03/family-history-as-a-risk-assessment-tool

Bickley, L. S., & Szilagyi, P. G. (2017a). Behavior and mental health status. In R. M. Hoffman (Ed.), Bates’ guide to physical examination and history taking (12th ed., pp. 147–171). Wolters Kluwer. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

Bickley, L. S., & Szilagyi, P. G. (2017b). Female Genitalia. In R. M. Hoffman (Ed.), Bates’ guide to physical examination and history taking (12th ed., pp. 565–606). Wolters Kluwer.

Centers for Disease Control and Prevention. (2020, April 25). Reproductive health: Women’s reproductive health. CDC Centers for Disease Control and Prevention. https://www.cdc.gov/reproductivehealth/womensrh/index.htm

Erbacher, T. A., & Singer, J. B. (2018). Suicide risk monitoring: The missing piece in suicide risk assessment. Contemporary School Psychology, 22(2), 186–194. https://doi.org/10.1007/s40688-017-0164-8

Substance Abuse and Mental Health Services Administration. (2014). National suicide prevention lifeline: Columbia-suicide severity rating scale (C-SSRS). National Suicide Prevention of Lifeline. Retrieved October 26, 2020, from https://suicidepreventionlifeline.org/wp-content/uploads/2016/09/Suicide-Risk-Assessment-C-SSRS-Lifeline-Version-2014.pdf

The U.S. Department of Veteran Affairs. (2018, November 15). Mental health environment of care checklist (MHEOC). VA National Center for Patient Safety. Retrieved October 26, 2020, from https://www.patientsafety.va.gov/professionals/onthejob/mentalhealth.asp

Assignment 4

Assignment 4

Assignment Instructions:

For this 4-5 pages 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 Esther, an elderly patient who is complaining of abdominal discomfort. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment.

Submission Parameters:

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

Introduction (including purpose statement)
Focus of the assessment
1. Describe the focus of this particular assessment on the patient complaining of abdominal discomfort.
Subjective Component
1. Describe the ROS, PMH, and other relevant data in this section.
Objective Component
1. Describe the physical examination findings including techniques of examination
Documented evidence to support clinical reasoning
1. Describe the list of differential diagnoses
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.
Conclusion
References (use primary and/or reliable electronic sources)

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

Include a cover page and running head (this is not part of the 4-5 pages limit)
Include transitions in your paper (i.e. headings or subheadings)
Use in-text references throughout the paper
Use double space, 12 point Times New Roman fonta
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 Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

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. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4	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.	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 errors. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4	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

N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4