Category: Nursing

Integrating Instructions: Physical Examination I Assignment #1

Dear students,

In this assignment, you will engage in another case study, this time related to the assessment of the head, face, neck, and lymphatic system. This exercise will help you integrate your knowledge of physical examination techniques and critical thinking skills. Please follow these instructions carefully:

CASE STUDY

Chapter 14 Head, Face, Neck, Lymph

P.A. is a 72-year-old woman who presents to the family practice with her 40-year-old daughter. The daughter states that her mother has been confused lately and is complaining of a headache, shortness of breath, and a cough. The cough has been persistent for 6 days, and a fever developed 2 days ago. The patient states that she is bringing up yellow-green mucus and has a cough, which gets worse at night. Vital signs are T 100.5, P 88, R 16, and BP 110/55. Lungs are positive bilaterally for wheezing, positive egophony. A chest x-ray examination reveals consolidation indicative of bacterial pneumonia. Labs and culture results are pending for specific antigen. The nurse proceeds with the physical examination of the head, face, neck, and associated lymphatic system.

1. When performing a review of systems, the nurse obtains subjective data concerning the patients headache. What specific questions will assist the nurse in determining the cause of the headache?
2. The nurse proceeds to palpate the lymph nodes. Which lymph nodes are located in the neck?
3. When performing the physical examination, what objective data should the nurse inspect and palpate for the head and neck?
4. How might the physical examination vary given the patients age?

Formatting Requirements:

• Your submission should adhere to APA format guidelines.

Submission:

• Compile your responses into a well-organized document.
• Submit your assignment to your instructor following the provided submission instructions.

Demonstrating Instructions: Physical Examination I Assignment #1

Dear students,

In this assignment, you will engage in a case study related to the assessment of the skin, hair, and nails. This exercise will allow you to apply your knowledge of physical examination techniques and critical thinking skills. Please follow these instructions carefully:

CASE STUDY- Hair, Skin, Nails

J.P. is a 45-year-old man who presents to the outpatient clinic with two swollen toes on his right foot. He does not recall injuring his foot.

Subjective Data

Pain level is a 6/10 location = right foot, throbbing

Works as a truck driver

Objective Data

Vital signs: T 37 P 80 R 14 BP 120/68

+2 edema great toe and second toe, right foot, warm to touch

+ pulses

+2 capillary refill

Questions:

1. What other assessments should be included for this patient?
2. From the readings, what is the most probable cause of the edema?
3. What are two known nursing diagnoses?
4. What would be included in the nursing care plan?
5. What interventions might be included in the plan of care for this

patient?

Formatting Requirements:

• Your submission should adhere to APA format guidelines.

Submission:

• Once you have completed the assignment, compile your responses into a well-organized document.
• Submit your assignment to your instructor according to the provided submission instructions.

Assignment #1: Pain Assessment and Management

Part 1a: Pain Assessment Scales

• Begin by researching and reviewing various pain assessment scales used for both children and adults. Look into tools like the Wong-Baker FACES Pain Rating Scale, Visual Analog Scale (VAS), Numeric Rating Scale (NRS), and others.
• Explain why these tools are essential in nursing care. Discuss how they aid in assessing and documenting pain levels accurately.
• Provide examples of scenarios where specific pain assessment scales might be more suitable than others.

Part 1b: Types of Pain

• Explore and define the differences between acute, persistent (chronic), and breakthrough pain. Discuss the characteristics and duration associated with each type.
• Delve into subcategories of pain, including incident pain, malignant pain, and nonmalignant pain. Explain what distinguishes these subcategories from one another.
• Consider the challenges nurses might face when dealing with different types and subcategories of pain.
• Discuss the implications of these various pain types for patient care and management.

General Submission Guidelines:

• Your assignment should be a well-structured, 500-word paper in APA format.
• Ensure that you provide proper citations and references if you use external sources.
• Use clear, concise language and present your ideas logically.

In this assignment, you will work on a case study involving a patient with diabetes. Please complete the following steps:

Case Study Information:

• Case Study Evidence Based Practice

1. G. is a 62-year-old man with diabetes, diagnosed 3 years ago, who presents to the outpatient diabetes clinic for a routine preventive checkup.

• Subjective Data
• Complains of occasional dizziness when rising in morning
• Follows 1600-calorie diabetic diet
• Married with two grown children
• Retired construction worker
• Goes to the gym three times a week
• Objective Data
• Vital signs: T 37 P 118 R 18 BP 120/68
• Glucose reading: 96
• Weight: 165
• Height: 5 feet, 8 inches
• Questions:

1. What type of assessment should the nurse perform on this patient?
2. What prevention level is this visit?
3. What other prevention levels should be included in this patients care?
4. What step-by-step approach should the nurse take to identify and resolve this patients

• problem?

1. What interventions might be included in the plan of care for this patient?

Submission:

• Prepare your responses to these questions.
• Compile your answers into a document, ensuring it is well-organized and clearly presented.
• Upload your document to your instructor for evaluation.

Note: This assignment is designed to test your understanding of evidence-based practice and your ability to apply it to a real patient scenario. Be thorough and thoughtful in your responses.

1.Please speak to your interest to become a Registered Nurse and subsequent Advanced Practice Nurse (i.e., Family Nurse Practitioner or Case Manager). (500 words maximum)

2.SMU is committed to training students in the importance of social determinants of health and how to care for patients from diverse backgrounds with integrity and compassion. In your own words, please define diversity and explain the different ways that have you demonstrated a commitment to multiculturalism in your own life? (500 words maximum)

3.What experiences have you had that contribute to your interest in nursing (for example, paid or volunteer healthcare experience, community involvements or life experiences)? (250 words maximum)

4.Describe at least one specific example of an experience in which you used your leadership ability to help others, to resolve disputes, or to contribute to achieving group goals over time. You may include experiences in school as well as in the community. How would these experiences contribute to your career in nursing? (250 words maximum)

To complete this assignment, address the following criteria:

1. Posters should include the following content:

• A Project title. This should be placed towards the top of the poster, including the names of the authors and university affiliation.
• An Introduction section. This should highlight the problem addressed in a brief literature review with citations and your hypothesis or hypotheses.
• The Purpose section: The poster states the objectives of this inquiry relative to the overall evidence-based literature review on this topic.
• The Methods/Search Strategy section. An overview of how you studied your primary source(s): Describe the evidence-based solution. How was it developed? Include the theoretical framework (if applicable). Identify databases searched and inclusion/exclusion criteria. A literature flow diagram must be uploaded to this assignment.
• The Results The poster describes the search, the number of studies included, and the level of evidence.
• The Synthesis of Evidence The poster briefly describes the synthesis of the evidence including major trends and notable gaps.
• The Implications for Practice section. The poster includes recommendations for practice, education, or future research based on the review and synthesis of the evidence.
• A References section. Make sure your references include at least seven references with four primary research articles. Primary articles describe studies in which the authors collected the data themselves. References must be in the current APA format. If you cannot fit seven or more references into your poster, you should provide the references separately as an attached Word document. For assistance with the current APA formatting, please contact BrainFuse Online Tutoring link in Canvas or visit the STU library at

Academic Poster Format

• Present your poster in electronic
• . Use the linked video as a guide for your assignment.
• Students may use PowerPoint Poster template.

Theory Description. Self Efficacy Theory (lenz & shortridge baggett ,2002) Identify and discuss the following: 1. What is the purpose of the theory (describe, explain, predict, prescribe)? 2. What is the scope or level of the theory (grand, middle range, practice/situation specific)? Be sure to identify the criteria the theory meets for the level identified. 3. What are the origins of the theory? 4. What are the major concepts? 5. What are the major theoretical propositions? 6. What are the major assumptions? 7. Is the context for use described?

Address the following Areas:

Project Objectives

• The objectives are something you hope to achieve from doing the project

Strategies

• Strategies are the method you will use to reach the objectives you have set for your project

Background Analysis

• This may also be called a situation analysis. This section you will need to discuss what is happening that made you decided to do your capstone project.
• For example, the nurses at a facility are making a many medication errors. For your capstone project you decide you will try to reduce the number of medication errors from 10 every week to three a week. You will have to analyze why the errors are taking place. Maybe the lighting in the medication room is poor or maybe the nurses are working 70 hours every week.
• You will also need to locate peer review articles that support you analysis.

The purpose of this assignment is to define the scope of practice for allied health professionals and discuss the importance of patient-centered care.

Select two allied health providers and research their roles and scope of practice in your state.

In a PowerPoint presentation of 1215 slides (excluding the title slide and reference), address the following concepts and include detailed speaker notes:

1. Describe the professional responsibilities of both allied health providers you selected and discuss their roles in delivering quality patient care. Include a discussion about the education and skills required in both professional roles and describe the health care settings in which both providers may be found.
2. Define “scope of practice” within an allied health context and describe the scope of practice for both allied health providers you selected in your state.
3. Explain how both allied health providers can provide patient-centered care and how their background, education, skills, and health care experience contribute to delivering quality patient outcomes in the community.

Speaker notes must be included for every slide (excluding the title and reference slides). Notes should provide a clear, detailed explanation of slide content as if the learner were delivering the presentation to a live audience. Each note section should include the following:

1. Key talking points and elaboration on slide content
2. Integration of scholarly evidence (with in-text citations where appropriate)
3. Transitions between ideas or slides
4. Reflection on implications, examples, or applications related to the topic

A minimum of three peer-reviewed articles or professional academic sources are required.

template for concept maps is provided . Rubric is provided . Reference should be formatted apa 7 . This is textbook for course and you can add your own books.

Reference

Giddens, J. F. ([Insert Year of Publication]). Concepts for Nursing Practice (4th ed.). Elsevier – Evolve. https://online.vitalsource.com/books/9780323812085

Harding, M. M., & Snyder, J. S. (2023). Clinical Reasoning Cases in Nursing (8th ed.). Elsevier Limited (UK). https://online.vitalsource.com/books/9780323831741