The document discusses the Theory of Unpleasant Symptoms, which is a nursing theory used to evaluate patients' symptoms. The theory focuses on three key elements: the symptoms themselves, factors that influence the symptoms, and how the symptoms impact the patient. Nurses use assessment tools informed by this theory to comprehensively examine a patient's symptoms by considering physiological, developmental, social, and other relevant factors. Properly applying the theory helps nurses select the most appropriate assessment method and treatment approach for each patient.

1. Reply with at least 200 words, and at least 1 reference
Nurses must evaluate a patient's symptoms to practice their
vocation correctly. The primary emphasis of the nurse's duties
in the medical field is the patient's symptoms. The nurses
analyze the patient's symptoms, consider probable reasons why
those symptoms could change, and then develop treatment and
prevention strategies to address those symptoms. The nurses
also help the patients control their symptoms and monitor them
continuously (Blakeman, 2019). The Theory of Unpleasant
Symptoms is one of the essential strategies developed to aid
nurses in analyzing patients' systems. It was one of the first
nursing theories (TOUS). This method identifies vital symptoms
that may lead to nursing exercise and inquiry. The idea may
also include a nurse's concern in symptom evaluation.
In selecting a technique to assess a patient's signs, nurses
take into account several considerations. The patient's self-
reported signs need to be part of the valuation device. The nurse
will identify the consequences of the condition and the course
of cure based on the signs the patient reports having. In
addition, the nurse's assessment technique must be able to
detect the aspects that impact the indications of the pati ent's
intelligence. When exhausting the Theory of Unpleasant
Symptoms to decide the main method for assessing patient
signs, it is vital to consider the major tenets that this notion
emphasizes (Love et al., 2022). The symptoms are the primary
emphasis of the theory at first, and their definitions are derived
from patient accounts. After that, it analyzes the factors that
affect the symptoms, such as those connected to the condition,
age, and gender. The patient may see a shift in how the
symptoms feel due to these factors.
The theory also reflects the external social and physical
circumstances of the patient that have the potential to affect the

2. patient's symptoms. Consequently, the assessment tools need to
consider physiology, situational issues, child development, and
growth, among other things. These specifics are essential for the
nurse to comprehend the state in which the patient is now
found. In the Theory of Unpleasant Symptoms, the nurse's
assessment method should also reflect the aspects that impact
the signs being gone through by the patient (Silva-Rodrigues et
al., 2019). Culture, gender, age, and language are a few
elements that fall under this category. The Theory of
Unpleasant Symptoms may aid a nurse in selecting the most
suitable technique for evaluating a patient's symptoms because
it provides a framework for examining the patient's signals. The
assessment tool has to describe three critical aspects, including
the features of the signs, the presentation result, and the aspects
impacting the symptoms.
References
Blakeman, J. R. (2019). An integrative review of the theory of
unpleasant symptoms. Journal of advanced nursing, 75(5), 946-
961.
Love, L., Anderson, A. M., Von Sadovszky, V., Kusiak, J.,
Ford, J., & Noritz, G. (2022). A study of Reiki therapy on
unpleasant symptoms in children with cerebral
palsy. Complementary Therapies in Clinical Practice, 46,
101529.
Silva-Rodrigues, F. M., Hinds, P. S., & Nascimento, L. C.
(2019). The theory of unpleasant symptoms in pediatric
oncology nursing: a conceptual and empirical fit?. Journal of
Pediatric Oncology Nursing, 36(6), 436-447.
Reply with at least 200 words and at least 1 reference
The theory of unpleasant symptoms focuses on three essential
elements, namely the symptoms, the cause of the symptoms, and

3. the influence of the condition on the patient's performance
(Blakeman, 2019). These three essential elements will inform
my assessment tool evaluation criteria. According to Bea et al.
(2022), it was possible to identify infective endocar ditis among
the elderly and distinguish it from related aging infections such
as colorectal cancer and HCP that are age-related due to the
patients presenting heart murmurs, muscle and joint aches,
fevers and chills, swollen feet, and ulcer nodes among patients.
Therefore, I will focus on the clinical presentations among
patients in the assessment tool evaluation since such help
isolated conditions and give a credible diagnosis.
I would also focus on the causes of the symptoms, as earlier
mentioned, due to the potential it presents in treating the
condition. According to Bea et al. (2022), due to the adverse
age of the patients,
Enterococcus ssp was responsible for the infective
endocarditis among the elderly since it is the most common
among 65-79-year-olds while a further analysis revealed Gram-
positive cocci among the patients informing antibiotic
treatment. Therefore, I would focus on the results from the
analysis of the condition and potential diagnosis in an
assessment tool evaluation as it would inform my decision on
the best intervention for the patients.
In an assessment tool evaluation, I would focus on the
severity of the condition to the psychomotor and physical
performance. As per Lebeaux et al. (2019), due to the
prevalence and the mutation of the
Staphylococcus aureus, aminoglycosides are an
ineffective treatment for infective endocarditis. Therefore, nI
would focus on the performance of the individual in an
assessment tool to help identify the intensity to inform my
decision on the potential treatment; as noted in Lebeaux et al.
(2019) findings, conditions intensity influence the effectiveness
of the medication.

4. References
Bea, C., Vela, S., García-Blas, S., Perez-Rivera, J.-A., Díez-
Villanueva, P., de Gracia, A. I., Fuertes, E., Oltra, M. R.,
Ferrer, A., Belmonte, A., Santas, E., Pellicer, M., Colomina, J.,
Doménech, A., Bodi, V., Forner, M. J., Chorro, F. J., &
Bonanad, C. (2022). Infective Endocarditis in the Elderly:
Challenges and Strategies.
Journal of Cardiovascular Development and Disease,
9(6), 192. https://doi.org/10.3390/jcdd9060192
Blakeman, J. R. (2019). An integrative review of the theory of
unpleasant symptoms.
Journal of Advanced Nursing,
75(5), 946–961. https://doi.org/10.1111/jan.13906
Lebeaux, D., Fernández-Hidalgo, N., Pilmis, B., Tattevin, P., &
Mainardi, J.-L. . (2019). Aminoglycosides for infective
endocarditis: time to say goodbye?
Clinical Microbiology and Infection.
https://doi.org/10.1016/j.cmi.2019.10.017