Unit 4 Discussion 1Critical Thinking and Diagnostic ReasoningPle.docx

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This document provides two case studies for a nursing assignment on critical thinking and diagnostic reasoning. The first case involves a 35-year-old pregnant African American woman presenting with neck swelling, nervousness, tiredness, and issues with heat and sweating. The second case involves a 55-year-old Caucasian woman who had a stroke a week prior and is experiencing frustration, anxiety, fear, and slurred speech. For each case, students are asked to complete a chart assessing the person's subjective experience, objective findings, potential diagnoses, and relevant considerations regarding their development, socioeconomics, culture, and ethics. Additional information that may be needed for an actual diagnosis is also to be discussed.

Education

Unit 4 Discussion 1
Critical Thinking and Diagnostic Reasoning
Please select one of the following case studies and complete the
chart. Please review audio-videos, PowerPoint presentations,
and assigned chapters to assist with this Assignment. You are
expected to role play the selected scenario with a family
member to gather necessary data to complete the chart. For each
person described in the following situations, discuss the
developmental/age, socioeconomic, ethical considerations, and
cross-cultural considerations that should be considered during
the gathering of subjective and objective data, and the provision
of health care. Discuss any additional information that might be
needed before a judgment or diagnosis can be made. Submit the
completed chart to the Discussion Board by Friday at 11:59 p.m.
1.
A. E. is a 35-year-old African American female, and is 5 months
pregnant presenting to the office today for a routine prenatal
visit. She complains that her neck feels swollen and that she has
been feeling nervous and tired. She also complains about the
heat, excessive sweating, and how she “can’t seem to get cool
during these summer months.” She attributes all these
complaints to her pregnancy.
2.
J. L. is a 55-year-old Caucasian female who had a CVA within
the past week. J. L. is easily frustrated, anxious, fearful, and her
speech is slurred. She needs verbal cuing for any task she is
asked to carry out. She eats only food on the left side of the tray
and responds only when approached from the left side.
Components of
assessment

Subjective
Diagnostic Reasoning
(list key questions —
use PQRSTU pneumonic)
Objective
Normal vs.
abnormal findings
(must note pertinent body systems to be examined)
Differential
diagnoses
(list 3)
Nurses diagnosis (list 1)
List relevant labs and
diagnostic studies (if any)
Normal
Differential

Developmental/age considerations:
Socioeconomic considerations:
Cross-cultural considerations:
Ethical considerations:
Additional info needed to formulate actual diagnosis:

This document discusses three case studies of patients from diverse backgrounds presenting for physical exams. It prompts the reader to reflect on one case study and the cultural factors relevant to that patient's health. These include socioeconomic status, spirituality, lifestyle, and culture. The reader is asked to consider sensitive questions to build the patient's health history while being aware of their background. The goal is for healthcare providers to properly assess patients from a variety of populations.

Chief compliant(CC) Joshuas hyperactive and attentional difficult

JinElias52

Chief compliant(CC) Joshua's hyperactive and attentional difficulties have been exhibited both at school and at home. HISTORY: Joshua is a Hispanic or Latino 10-year-old boy. This evaluation was requested because mother is worried about patient's aggressive behavior toward his younger brother and ADHD symptoms. Mother report that patient was diagnosed at age 6 by pediatrician with ADHD, medication was started at that time (mother unable to remember name) until age 9. Mother stopped administering medication because it caused decrease appetite, insomnia and weight loss. Patient is not currently taking any medication at this time. Behavior Described In: Symptoms/ behavior Joshua exhibits symptoms of inattention. He reports difficulty sustaining attention. His mind wanders or he forgets. He does not seem to listen when spoken to directly. He often needs directions repeated. Joshua is easily distracted by noises. by the radio. by other people. Joshua needs supervision or frequent redirection. He has a short attention span. Joshua exhibits signs of hyperactivity. He exhibits restlessness or fidgety behavior. This behavior is evident during school hours. He tends to frequently leave his seat. He is easily bored and changes activities frequently. Joshua 's excessive movement has been noted. He is fidgety or squirms when required to sit still for a period of time. He frequently jumps or climbs. Joshua exhibits signs of impulsive behavior. He frequently interrupts others. He often acts in a reckless manner. He has difficulty accepting limits. Joshua has other exhibited symptoms. He exhibits stubborn or willful behavior. EXAM: Joshua appears flat, inattentive, distracted, normal weight, He exhibits speech that is normal in rate, volume, and articulation and is coherent and spontaneous. Language skills are intact. Affect is appropriate, full range, and congruent with mood. Associations are intact and logical. There are no apparent signs of hallucinations, delusions, bizarre behaviors, or other indicators of psychotic process. Associations are intact, thinking is logical, and thought content appears appropriate. Suicidal ideas or intentions are denied. Homicidal ideas or intentions are denied. There are signs of anxiety. A short attention span is evident. Judgment appears to be poor. Insight into problems appears to be poor. He is easily distracted. Joshua is restless. Joshua is fidgety. There is physical hyperactivity. Joshua displayed defiant behavior during the examination. Joshua made poor eye contact during the examination. Vocabulary and fund of knowledge indicate cognitive functioning in the normal range. Cognitive functioning and fund of knowledge are intact and age appropriate. Short- and long-term memory are intact, as is ability to abstract and do Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences ...

NURS 6512 Advanced Health Assessment and Diagnostic Reasoning.docx

stirlingvwriters

This document discusses an advanced health assessment course that focuses on building health histories, assessing risks, and using diagnostic tools and tests. It provides several case studies of patients from diverse backgrounds and asks students to consider how they would tailor their communication and questions to take into account each patient's demographic factors and effectively evaluate their health risks. Students are asked to select a case study patient and propose targeted questions and the most appropriate risk assessment tools to evaluate that patient.

Unit 4 Discussion 1Critical Thinking and Diagnostic ReasoningP.docx

marilucorr

Unit 4 Discussion 1 Critical Thinking and Diagnostic Reasoning Please select one of the following case studies and complete the chart. Please review audio-videos, PowerPoint presentations, and assigned chapters to assist with this Assignment. You are expected to role play the selected scenario with a family member to gather necessary data to complete the chart. For each person described in the following situations, discuss the developmental/age, socioeconomic, ethical considerations, and cross-cultural considerations that should be considered during the gathering of subjective and objective data, and the provision of health care. Discuss any additional information that might be needed before a judgment or diagnosis can be made. Submit the completed chart to the Discussion Board by Friday at 11:59 p.m. 1. A. E. is a 35-year-old African American female, and is 5 months pregnant presenting to the office today for a routine prenatal visit. She complains that her neck feels swollen and that she has been feeling nervous and tired. She also complains about the heat, excessive sweating, and how she “can’t seem to get cool during these summer months.” She attributes all these complaints to her pregnancy. 2. J. L. is a 55-year-old Caucasian female who had a CVA within the past week. J. L. is easily frustrated, anxious, fearful, and her speech is slurred. She needs verbal cuing for any task she is asked to carry out. She eats only food on the left side of the tray and responds only when approached from the left side. Components of assessment Subjective Diagnostic Reasoning (list key questions — use PQRSTU pneumonic) Objective Normal vs. abnormal findings (must note pertinent body systems to be examined) Differential diagnoses (list 3) Nurses diagnosis (list 1) List relevant labs and diagnostic studies (if any) Normal Differential Abnormal Findings Nurses Diagnosis Developmental/age considerations: Socioeconomic considerations: Cross-cultural considerations: Ethical considerations: Additional info needed to formulate actual diagnosis: MN552 Advanced Health Assessment Unit 3 SOAP Note Section II and III Written Guide 1. Document appropriate data in the relevant body system. a. Do not state “Negative, NA or Unremarkable” for any systems because the reader will not know which questions were actually asked by the provider. 2. This is a comprehensive health history and should not contain physical exam findings. The focused history data is relevant to the chief complaint and identified by pertinent positive data documented during the health history. 3. Address each component of the SOAP note as noted in the written guide with relevant data. 4. You may continue with the same volunteer to complete each section of the SOAP note. II. Life style patterns 0. Immigrant status: Born in San Diego, California. U.S. Citizen 0. Spiritual resources/religion: ...

Case Studies Assignment Discussion Paper.docx

4934bk

This document contains subjective and objective data from an annual wellness exam of a 29-year-old female patient. The subjective data includes the patient's chief complaint of an annual wellness visit with no current issues. Her past medical, social, and family histories are documented. The objective exam findings are thoroughly documented and include vital signs, general appearance, examinations of various body systems, and normal lab test results.

Diversity and Health AssessmentsCase 1Subjective Dat.docx

emersonpearline

Diversity and Health Assessments Case 1 Subjective Data CC: "Annual physical exam" History of Present Illness (HPI): 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. Drug Hx: Current medication - denied Allergies: no allergies to food or medications. Family history: is very positive for diabetes, hypertension, and alcoholism. Review of Systems (ROS) General: no recent weight gains of losses, fatigue, fever or chills. Head, eyes, ears, nose & throat (HEENT): Neck: Respiratory: CV: no chest discomfort or palpitations GI: GU: Integument: history of eczema – not active MS/Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements Psych: Objective Data PE: B/P 158/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6 General: 23 year old male appears well developed and well nourished. He is anxious – pacing in the room and fidgeting, but in no acute distress. HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, ornasopharynx clear, poor dentition – multiple carries. Lungs: CTA AP&L Cor: S1S2, +II/VI holosystolic murmur; without rub or gallop Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin. Ext: no cyanosis, clubbing or edema Integument: intact without lesions masses or rashes. Neuro: No obvious deficits and CN grossly intact II-XII To prepare: •Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments. •Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected. •Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. •Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? Post 1 page on : an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient above . Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history a.

Health history and care plans.docx

4934bk

This document contains sections for collecting a 65-year-old African American woman's health history, including biographical data, living arrangements, present health issues, vital signs, health beliefs and practices, medications, activities of daily living, past medical history, allergies, immunizations, surgical history, sexual history, family history, psychosocial history, review of body systems, and safety concerns. The interviewer is asked to submit the health history and narrative summary as one document and the genogram as a separate attachment.

Psy 104 entire course

PSY104

This document provides an overview of the course materials and assignments for PSY 104 Entire Course: Ashford University. It includes descriptions of discussion board prompts and written assignments that will be completed each week of the course. The prompts and assignments cover topics related to child development such as pervasive issues in development, developmental domains, developmental milestones, the role of genetics, nutrition and health, learning disabilities, parenting styles, and adolescent development. Students will be expected to integrate research findings, theories of development, and apply knowledge to case examples in their discussions and papers. The final assignment is an outline and annotated bibliography for a paper comparing three developmental theories.

Assignment: Assessing and Treating Patients With ADHD Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. Different people may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for patients across the life span. For this Assignment, you consider how you might assess and treat patients presenting with ADHD. To prepare for this Assignment: Review this week’s Learning Resources, including the Medication Resources indicated for this week. Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with ADHD. The Assignment: 5 pages Examine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Introduction to the case (1 page) Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Decision #1 (1 page) Which decision did you select? Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature). Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Decision #2 (1 page) Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. What were you hoping to achieve by making this decision? Support your response with evidence and referenc.

Bacterial Vaginosis Zahavah is a 16 years Gender Female Race .docx

robert345678

Bacterial Vaginosis Zahavah is a 16 years Gender: Female Race: non-Hispanic White Diagnosis: bacterial vaginosis Subjective Data: HJ is a 16-year-old Hispanic female patient who presented to the office with her mother with a two week history of severe irritation and soreness of her vulva. The patient reported of having a two-week history of burning sensation on passing urine without increased urinary frequency. In addition, the patient complained of having a thick, creamy-white vaginal discharge. She had normal and regular menstrual periods. She agreed to having multiple sexual partners for the last one year since breaking up with her high school boyfriend. She denied taking medications in the management of the issue of concern. Objective Data: Vital signs; BP 110/76, HR 78, RR 26, temperature 98, and an oxygen saturation of 99 percent on room air. In general, HJ was a healthy lad who was well oriented to place, time, and person, without obvious distress. HEENT without issues of concern. On respiratory assessment, the patient had a clear and normal lung sounds bilaterally without crackles and wheezes. Cardiovascular assessment showing normal heart sound without murmurs and gallops. Normal bowel sounds on all quadrants on gastrointestinal examination. Patient denied to have a physical examination on the perineal area. Assessment: History of presenting illness indicating a possible bacterial vaginosis. Positive Whiff test indicating bacterial vaginosis. Plan of care: Clindamycin 300 mg orally twice daily for 7 days was prescribed to help in the management of the issues. Patient educated on the need to avoid multiple sexual partners to avoid reoccurrence of the issue as well as possible sexually transmitted diseases. Answer below QUESTION · Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent as well as possible reasons for these discrepancies. · Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues. · Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 code for the diagnosis. What was your primary diagnosis and why? · Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. · Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation? Note: Your Focused Note Assignment must be signed by Day 7 of Week 3. PRAC 6541: .

family conference.pptx

ssuser097ce8

Who path 2005, p. 121-123

Víctor Barragán

The document discusses tools for collecting quantitative data, specifically the development of questionnaires. It provides two examples of developing questionnaires for studies on violence against women. The WHO multi-country study questionnaire was developed over many years through an extensive process of literature review, expert consultation, translation, pilot testing and revision to improve cross-cultural comparability. It includes questions on health outcomes, consequences of violence, and women's responses to violence. The South Africa study similarly involved focus groups, pilot testing and incorporating local expressions of mental distress to develop a culturally appropriate questionnaire.

Im asking for hypothetical data based on health by raceethnicity .pdf

jibinsh

I\'m asking for hypothetical data based on health by race/ethnicity and self-report race and depression during pregnancy please: Could you please fill this out for Postpartum depression: Directions Write a research proposal using your clinical question formulated earlier in the course that was approved by your instructor. This may be either a qualitative or quantitative research proposal. Your proposal must include APA formatting. The proposal should be a 6–10 in length plus appendices cover page, and reference page. The appendices should include your survey instrument created in week 6. (week 7) As you are writing your paper, use the below as your guideline. Make sure you use APA format for all aspects of the paper. Introduction • Clearly stated problem and purpose of the study • Independent and dependent variables • Definition of terms • Assumptions, hypothesis, or questions (depending on research type) Theoretical Framework • Description of the theoretical framework to be utilized • Identification of the concepts to be explored • Rationale for choosing framework Review of the literature • At least 4 scholarly sources included • Appropriateness of the review and the proposal focus • Inclusion of primary or secondary sources Methodology • Description of study type (quantitative or qualitative) • Description of study design • Rationale for the use of the selected design • Inclusion of sample size, type, sampling method, inclusion/exclusion criteria, setting, data collection method (instrument), and data collection process • Method for Protection of Human Subjects (consent) • Questionnaire and consent forms must be included as appendices Data Analysis • Data analysis method is appropriate for study design. • Method of data analysis is clearly stated. • Method for displaying findings is stated. Applicability to Nursing • Research focuses on a problem significant to nursing. • Research would contribute to nursing knowledge. • Proposal is complete so that another researcher could replicate the study. • Statement about areas of nursing that would benefit from this study. Research Proposal: Does the mother\'s cultural background impact potential postpartum depression? (A Retrospective of LA County) Figure 1 Self-Reported Race and Depression During Pregnancy 50% 46% 44% 40% 28% 30% 23% 20% 10% 0% White Latino African American Asians Source: 2005 LA. County Department of Public Health Maternal, Child and Adolescent Health Programs. Los Angeles Mommy and Baby Project Solution INTRODUCTION-- Problem and purpose of study--The study of depression,anxiety after pregnanacy in self-declared races after facing cultural values bias,prevalence of congenital disorders in children and side effects of antidepressive drugs during pregnancy in various races like white, american-african ,asian and latino. Independent and dependent variables-- Independent variables--these include age, education status, partner status, and medical aid facilities provided to children a.

Assignment 1 Creating a Single-System (Subject) Design StudyThe.docx

carlibradley31429

The document outlines a case study involving a social worker developing a single-subject research study proposal to evaluate their intervention with a client, Paula Cortez. It provides background on Paula's medical and psychiatric issues, including recent stressors of an unwanted pregnancy and threats from the father. It also includes a dialogue between Paula's treatment team discussing concerns about her ability to care for the pregnancy given her non-compliance with medications and mental health issues. The assignment is to submit a 5-page research proposal identifying the problem being addressed, proposed intervention and evaluation plan using valid measures to determine effectiveness.

What is the Psychological Impact on Women who had an Abortion

Sandra Persaud Tellini

This document summarizes the psychological impact of abortion on women. It discusses common psychological reactions women experience after an abortion such as guilt, emotional numbing, dreams/nightmares, changes in relationships, and feelings of inferiority. The document also identifies risk factors for negative psychological outcomes such as feeling pressured into the decision, a lack of social support, prior mental health issues, and ambivalence about the decision. Finally, it provides statistics on women who have had abortions in the US and results from a survey of 20 post-abortion women, finding many experienced guilt, anxiety, depression, and difficulty with intimacy after their procedure.

Adrenal fatigue, bioidentical hormones, and health literacy

djtoft

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