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NR304 HEAD TO TOE RETURN DEMONSTRATION CHAMBERLAIN COLLEGE of NURSING

Essay Instructions:

i am attaching a paper that you send me last time. you need to use the same paper and
this time you need to attach 2 patient teaching things using 2 different articles to the same paper and ensure that we need to add the part nr304 from the document i am uploading ie neurological system, gastro system, musculoskeletal and peripheral vascular system

 

NR304 HEAD TO TOE RETURN DEMONSTRATION
CHAMBERLAIN COLLEGE of NURSING
PURPOSE
The purpose of this assignment is to validate the student’s skills when completing a physical assessment from head to toe. The student should communicate anddemonstrate understanding of the purpose for each assessment technique and the findings in a professional manner using the appropriate terminology.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
• CO3 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning (PO1).• CO4 Utilize effective communication when performing a health assessment (PO3).• CO5 Demonstrate beginning skill in performing a complete physical examination, using the techniques of inspection, palpation, percussion,and auscultation (PO2).DUE DATE: By Week 8 (Refer to Lab Schedule)GRADE POSSIBLE: Satisfactory/UnsatisfactoryREQUIREMENTS:• Students must complete a thorough physical assessment skills return demonstration on a human volunteer or mannequin as directed by the lab instructor.• Students must verbalize their findings throughout the assessment.• Students must complete the assessment within 20 minutes. Documentation is not included within this timeframe.• Students are not allowed to use notes or cheat sheets during the assessment.This return demonstration is Satisfactory/Unsatisfactory with a maximum of 2 attempts allowed. The demonstration is assessed based on the attached checklist.DOCUMENTATION:After performing the head to toe physical assessment, students will document their findings. Documentation is required to be completed immediatelyfollowing the completion of the head to toe return demonstration and is required to be submitted within 24 hours of completing the return demonstration.Faculty will grade the documentation as complete or incomplete. If the student documentation is incomplete, resubmission of documentation is required within 24business hours. A maximum of 2 attempts is allowed for “Complete” documentation.EVALUATION & REMEDIATION:If students do not successfully complete the first attempt, suggestions for remediation will be provided prior to the second attempt.To obtain a Satisfactory on this assessment the student must:1. Complete assessment in 20 minutes2. Achieve “Complete”on documentation3. Achieve 76% overall score (which equals 66 or more out of the 87 boxes correct)NR304 HEAD TO TOE RETURN DEMONSTRATIONCHAMBERLAIN COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.HEAD TO TOE ASSESSMENTIntroductions (AIDET)® - Examiner comments: /5 boxesc Perform hand hygienec AIDET®c Acknowledge your presencec Introduce yourselfc Duration of the assessmentc Explain the reason for assessmentc Please see below in closurec Verify patient identification with 2 identifiersc Determine allergiesc Assess pain levelGeneral Appearance- Examiner comments: /4 boxesc Physical Appearance (age, skin color, facial features, signs of acute distress, visible devices and equipment)c Body Structure (stature, nutrition, symmetry, posture, position, body build and contour, obvious physical deformities)c Level of Consciousness (LOC-alert and oriented to person, place, and time and situation)c Behavior (facial expression, mood and affect, speech, dress, personal hygiene)Vital Signs - Examiner comments: /5 boxesc Temperaturec Pulsec Respirationc Blood Pressurec Pulse OximetrySkin & Nails- Examiner comments: /4 boxesc Inspect skin condition (assess for color, lesions, incisions, wounds, rashes, and tattoos)c Inspect nails (assess color, shape, and contour)c Assess capillary refill (verbalize rating)c Palpate skin for temperature and turgorHead and Face- Examiner comments: /3 boxesc Inspect and palpate scalp, hair and skull (normocephalic, no lesions, or infestation)c Inspect the face (assess expression, symmetry, facial structures, skin, tattoos, and piercings)c Palpate lymph nodes (verbalize location {preauricular, posteriorauricular, occipital, submental, submandibular, jugulodigastric}assess for lymphadenopathy)NR304 HEAD TO TOE RETURN DEMONSTRATIONCHAMBERLAIN COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.Neck - Examiner comments: /3 boxesc Inspect the neck (inspect symmetry, ROM, head position midline, pulsations, and masses)c Palpate cervical lymph nodes (verbalize location {superficial, posterior, deep} assess for lymphadenopathy)c Palpate supraclavicular lymph nodes (assess for lymphadenopathy)Eyes - Examiner comments: /3 boxesc Inspect external ocular structures (assess symmetry, lesions, discharge, and infestation of: eyebrows, eyelids, and eyelashes)c Inspect Conjunctiva and Sclera (assess color change, swelling, or lesions; conjunctiva: pink and sclera: white)c Test PERRLA (Pupils Equal, Round, Reactive to Light, and Accommodation)Ears - Examiner comments: /5 boxesc Inspect external ear (assess symmetry, position, alignment, lesions, and piercings)c Inspect external auditory meatus (no swelling, redness, or discharge)c Assess for hearing loss, hearing aid use, any exposure to environmental noise, and method of cleaningc Assess for skin breakdown behind the ear (assess tenderness)c Palpate Tragus (assess tenderness)Nose - Examiner comments: /4 boxesc Inspect external structure (assess symmetry, midline position, proportional to other facial features, and lesions)c Inspect internal structures (assess for foreign bodies and deviated septum)c Assess bilateral patencyc Assess for drainageMouth and Throat- Examiner comments: /3 boxesc Inspect the lips, teeth and gums (assess color, moisture, cracking, lesions, and alignment)c Inspect the oral mucosa (tongue, buccal mucosa, palate: assess odor, color, moisture, and lesions)c Inspect posterior pharyngeal and uvulaRespiratory System-Posterior Chest - Examiner comments: /3 boxesc Inspect the posterior chest (note shape and configuration: scoliosis, kyphosis, lordosis; skin; AP diameter < transverse diameter; position)c Palpate posterior chest (symmetrical expansion, tactile fremitus, masses, tenderness, temperature)c Auscultate posterior lung fields (6-9 positions, verbalizes lobe at each location and sounds heard at each location)NR304 HEAD TO TOE RETURN DEMONSTRATIONCHAMBERLAIN COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.Respiratory System-Anterior Chest- Examiner comments: /3 boxesc Inspect the anterior chest (respirations and accessory muscle use)c Palpate anterior chest (masses and tenderness)c Auscultate anterior lung fields (6-8 positions, verbalizes lobe at each location and sounds heard at each location)Cardiovascular System - Examiner comments: /7 boxesc Inspect Jugular Venous pulsec Inspect Carotid pulsec Palpate each carotid pulse (may verbalize to first auscultate for bruit if older than middle age or signs and symptoms of cardiovascular disease)c Inspect the anterior chest (symmetry and apical impulse if visible)c Auscultate apical impulse (verbalize location: fourth or fifth intercostal space, left midclavicular line)c Auscultate 5 cardiac areas with diaphragm and bell (verbalize areas and location)c Palpate radial pulse (verbalize findings)Gastrointestinal System - Examiner comments: /4 boxesc Inspect abdomen (color, contour, symmetry, skin, and pulsations)c Assess abdominal aorta, listen for bruitsc Auscultate bowel sounds in all 4 quadrantsc Light palpation of all quadrants (assess for muscle guarding, rigidity, large masses, tenderness)Musculoskeletal System (For each joint to be examined) - Examiner comments: /6 boxesc Test Range of Motion (ROM)c Insect size and contourc Inspect skin color and characteristicsc Palpatec Test muscle strength of upper and lowerextremitiesc Palpate dorsalis pedis pulses (verbalizefinding)NR304 HEAD TO TOE RETURN DEMONSTRATIONCHAMBERLAIN COLLEGE of NURSINGNational Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 | chamberlain.eduPlease visit chamberlain.edu/locations for location specific address, phone and fax information.Neurological System- Examiner comments: /20 boxesc Assess mental statusAssess Cranial Nervesc Assess Sensory (have patient close eyes, randomly touch forehead, cheek, chin, upper and lower extremities, and assess sensation)c Assess Motor (assess gait and balance {Romberg test} and rapid alternating movements {2-point discrimination})Assess Deep Tendon Reflexesc Bicepsc Tricepsc Brachioradialisc Patellarc AchillesClosure - Examiner comments: /5 boxesc Reassess painc Offer comfort measuresc Ask patient if there is anything else you can do for themc Thank patientc Perform hand hygiene

Essay Sample Content Preview:

Health Assessment 1
Student’s Name:
Student’s Number:
Institution:
1 Introduction
All nursing strategies of primary care and intervention are always assessed via the accumulation of both subjective and objective data before their evaluation and implementation. The forms of data collected in the process are then used to create and determine areas or situations that require attention and addressed by the proposed care plan. There are numerous kinds of subjective data, including physiological, psychosocial, and cultural and developmental, that ought to be discussed in the process of advancing a nursing care strategy. This paper seeks to present a report on the collection of subjective data through an interview and questionnaire administration on an individual X, the ultimate synthesis of the data, and the application of the health care intervention based on the findings.
2 Health History Assessment
* Demographics
The demographic data collected on the general interview of individuals living in different households before the particular recorded interview shows that there has been a regular repetition and commonality o cancer and diabetes. Various households reported deaths of their paternal grandparents caused by disease and diabetes. In the specific home where the record of information was credited, both the paternal and the maternal grandmothers have diabetes at the age of 87 and 65, respectively.
* Perception of Health
The general understanding and subjective rating of an individual's health care status, as reviewed by them, showed that there is a difference in opinion. For instance, according to the analysis of the specific household, the evident knowledge was that people would decide to hide their conditions and reject the fact that they are ill despite being on the later and chronic stages of the disease. An example of this is the family's maternal grandfather, who never mentioned nor admitted to his renal problem until he was at the age of 70 and in the latest phase of the condition. As for the individual under review, her perception of health is that she is healthy.
* Past Medical History
The individual under assessment is a 25-year-old female of Asian nationality.
Immunizations: She was immunized with tetanus, hepatitis, pneumonia, influenza, chickenpox, and mumps, measles, and rubella.
Hospitalizations: She was hospitalized in 2017 for the surgery of her wisdom tooth.
Current Medications: 500 MG of Vitamin D once every week.
Allergies: She is not allergic to any drug or food.
Mental Health: Stress is a significant problem for the individual. However, the level of her stress is not accompanied by certain opportunistic conditions such as depression, loss of appetite, attempted suicide, and insomnia as well as crying, among others.
* Family Medical History
The father of the person interviewee is 53 years old while her mother is 45. She has a pre-diabetic male sibling. Her maternal grandmother is 65 years old and suffering from diabetes. Her maternal grandmother has a renal failure at the age of 75, whereas her paternal grandmother has diabetes at the age of 87.
* Review of Systems and Physical Examination
General assessment: The person looks healthy.
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