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  • NSG5000 role paper

    NSG5000 role paper

    Based on your selected MSN program, write your first section of your ROLE paper using the following criteria:

    For this assignment, you will research an advanced nursing practice role and summarize your findings in a 3- to 5-page paper (excluding the title page and references):

    Focusing on the specialty for which you were admitted to South University, select an advanced nursing role to research. (It must be one offered by South University.)

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    Distinguish the role as clinical or non-clinical and how it promotes patient outcomes, ie safety, access to health care or health information relative to the ANP level

    NSG5000 role paper Apply an Advance Nursing Practice Concept to your chosen role

    Develop a minimum of ten questions that you would like to ask the advance practice clinician or non-clinician that you have chosen to interview NSG5000 role paper. Identify in the paper the individual by name, credentials, position and your planned date for the interview (Interview is due Week 3)

    Support your findings with at least two research articles (study, design, sample and results must be discussed). Other peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; ieAmerican Association of College of Nursing. (2010)).

    Format your paper, citations, and references using correct APA Style. NSG5000 role paper.

  • NUR2488 Mental Health Nursing Discussion Essay

    NUR2488 Mental Health Nursing Discussion Essay

    Module 2 Discussion

    The Nurse-Client Relationship

    In this discussion, we’ll talk about the nurse-client relationship and the use of therapeutic communication as an important part of that relationship. Please answer the following questions:

    What are your concerns or fears about mental health nursing in general? Are you interested in mental health nursing, or do you approach the topic with some anxiety?

    What do you feel are essential aspects of a good nurse-client relationship?

    Please include an example of how you established good rapport and a good professional relationship with a patient in the work or clinical setting. What nonverbal and verbal techniques did you use in this relationship?

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    NUR2488 Mental Health Nursing

    Module 2 Discussion

    The Nurse-Client Relationship

    In this discussion, we’ll talk about the nurse-client relationship and the use of therapeutic communication as an important part of that relationship. NUR2488 Mental Health Nursing Discussion Essay Please answer the following questions:

    What are your concerns or fears about mental health nursing in general? Are you interested in mental health nursing, or do you approach the topic with some anxiety?

    What do you feel are essential aspects of a good nurse-client relationship?

    Please include an example of how you established good rapport and a good professional relationship with a patient in the work or clinical setting. What nonverbal and verbal techniques did you use in this relationship? NUR2488 Mental Health Nursing Discussion Essay.

  • Midterm exam NU500-7A Theoretical Foundation for Nursing

    Midterm exam NU500-7A Theoretical Foundation for Nursing

    From the Chinn and Kramer reading, define emancipatory knowing, emancipatory knowledge and praxis. How does each of these elements relate to and build upon the other? Provide an example of praxis in the patient care environment.

    According to Chinn and Kramer, emancipatory knowledge is- “what they designate as the “praxis of nursing.” In their view, emancipatory knowing refers to human’s ability to critically examine the current status quo and to determine why it currently exists. This, in turn, supports identification of inequities in social and political institutions and clarification of cultural values and beliefs to improve conditions for all”. Caring is the foundation that provides a framework for nursing praxis. When I think of praxis of nursing I think of the care I provide to my liver patient when they come into the hospital. Midterm exam NU500-7A Theoretical Foundation for Nursing. I work on a Hepatology PCU floor and my liver patients that  come in are very sickly. They are fatigued, confusion can set in, they have no appetite, they are jaundiced, some are very itchy, edematous, and in pain. My heart hurts for these patient, so I try my best to comfort, I listen, I administer their medication, I provide as must information and teaching that is needed to easy the mind.

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    McEwen and Wills discuss the difference between science and philosophy. Identify three characteristics of science, and three characteristics of philosophy. How do science and philosophy complement each other in nursing theory?

    The three characteristics in science that has been discussed by McEwen and Wills is  observation, verifiability, and experience. And the three characteristics of philosophy is human life, the nature of being, and reality. And although there has been plenty of discussion about the two topics at the end of the day science and philosophy together has one common goal, and that is for the receiver to increasing there knowledge base. Midterm exam NU500-7A Theoretical Foundation for Nursing.

     

    Match the following terms to the correct definitions: construct, concept, ontology, taxonomy

    The most complex type of concept. Comprised of more than one concept and built to fit a purpose

    Elements or components of a phenomenon necessary to understand the phenomenon. They are abstract and derived from impression the human mind receives from sensing the environment.

    A classification scheme for defining or gathering various phenomena. Range in complexity from simple dichotomies to complicated hierarchical structures

    The study of existence and the nature of reality

     

    Based on McEwen and Wills, what are the four requirements for a metaparadigm.

    The four Metaparadigms in nursing as defined by Patricia Benner are:

    Nursing- which in according to Patricia Benner is described as an enabling condition of connection and concern which display a high level of emotional involvement in the nurse –client relationship.

    Person – where as a person does not come into the world predefined but is defined as they go through the course of their life. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Health- Patricia Benner focused on the lived experience of being healthy and ill

    Environment- instead of using the term environment, Benner used the term “situation” because it suggests a social environment with social definition and meaning.

     

    As discussed during the module 3 lecture, according to Peplau there are 3 phases to the nurse patient relationship:

    Peplau stated relationships are characterized by “personalities, moods, concerns, needs, personal values and views which a person brings into each interpersonal encounter” (1994). Understanding these elements and addressing them in the nursing process will ensure a greater likelihood of therapeutic interaction. Midterm exam NU500-7A Theoretical Foundation for Nursing. Select one of the phases of Peplau’s theory. Explain how this phase can be supported by evidence based practice. Provide an example of how this element of theory has been researched and applied by nurses, and how you can apply it in your own practice environment.

    Peplau’s theory- final phase is the resolution phase. It is the termination of the professional relationship, “since the patient’s needs have been met through the collaboration of patient and nurse. They must sever their relationship and dissolve any ties between them. This can be difficult for both if psychological dependence still exists. The patient drifts away from the nurse and breaks the bond between them. A healthier emotional balance is achieved and both become mature individuals. This is the evaluation of the
    nursing process
    . The nurse and patient evaluate the situation based on the goals set and whether or not they were met. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    The goal of psychodynamic nursing is to help understand one’s own behavior, help others identify felt difficulties, and apply principles of human relations to the problems that come up at all experience levels. Peplau explains that nursing is therapeutic because it is a healing art, assisting a patient who is sick or in need of health care. It is also an interpersonal process because of the interaction between two or more individuals who have a common goal. The nurse and patient work together so both become mature and knowledgeable in the care process” .

    Discharge Planning is a major theory that is practiced world wide. High-performing hospitals tended to start discharge planning immediately after the patient was admitted to the hospital. Low-performing hospitals tended to conduct discharge planning at the end of the patient’s stay, focusing on complying with guidelines rather than individual patient needs. High-performing hospitals also had strong, multidisciplinary case management services. At these sites, patients were not discharged until a plan was in place. Midterm exam NU500-7A Theoretical Foundation for Nursing. In addition, there was a strong shared responsibility to educate and follow up with patients about their medications and post-hospital care. Education focused on both the patient and their families. Finally, in high-performing hospitals, primary care physicians were contacted within 1 to 2 days after discharge. At lower performing hospitals, the burden of passing discharge information along to the primary care physician was placed on the patient.

    As a stranger, “the nurse receives the patient in the same way the patient meets a stranger in other life situations. The nurse should create an environment that builds trust. As a teacher, the nurse imparts knowledge in reference to the needs or interests of the patient Midterm exam NU500-7A Theoretical Foundation for Nursing. In this way, the nurse is also a resource person, providing specific information needed by the patient that helps the patient understand a problem or situation. The nurse’s role as a counselor helps the patient understand and integrate the meaning of current life situations, as well as provide guidance and encouragement in order to make changes. As a surrogate, the nurse helps the patient clarify the domains of dependence, interdependence, and independence, and acts as an advocate for the patient. As a leader, the nurse helps the patient take on maximum responsibility for meeting his or her treatment goals. Additional roles of a nurse include technical expert, consultant, tutor, socializing and safety agent, environment manager, mediator, administrator, record observer, and researcher”.

    Nursing Theory. (2016). Hildegard Peplau Theory. Retrieved from:

    http://www.nursing-theory.org/theories-and-models/peplau-theory-of-interpersonal-relations.php

    *Essay needs to be 500-750 words and include referenced support.

    Nursing managers are often faced with the challenge of motivating their staff. Consider the following example:

    John is a nurse who has been working on your department for nine months. He is currently half way through a mandatory six month night rotation. Last week you overheard him complaining in the hallway that he was unhappy with night shift, found it boring and had a hard time staying awake. He made one medication error a week ago which he immediately brought to the nursing supervisor’s attention and the patient was not harmed Midterm exam NU500-7A Theoretical Foundation for Nursing. You are concerned that his attitude made bring down the morale of other staff members and possibly affect his ability to provide patient care.

    Select one of the following motivational theories. Explain the theoretical background of the theory and how it relates to nursing management. Explain how you would apply the theory to John Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Achievement-motivation theory

    Expectancy Theory

    Equity Theory

    Expectancy Theory according to research is, “the mental processes involved in making choices. In organizational behavior, expectancy theory embraces Victor Vroom’s definition of
    motivation
    . Vroom proposed that a person decides to behave in a certain way, selecting one behavior over other behaviors, based on the expected result of the selected behavior. For example, people will be willing to work harder if they think the extra effort will be rewarded.

    In essence, the motivation behind chosen behavior is determined by the desirability of the expected outcome. At the theory’s
    core
    is the
    cognitive
    process of how an individual processes the different motivational elements. Processing is done before an individual makes the final choice. The expected result, therefore, is not the sole determining
    factor
    in the decision of how to behave because the person has to predict whether or not the expectation will be fulfilled.

    Expectancy theory can help managers understand how individuals are motivated to choose among various behavioral alternatives. To enhance the connection between performance and outcomes, managers should use systems that tie rewards very closely to performance. Managers also need to ensure that the rewards provided are deserved and wanted by the recipients. To improve the connection between effort and performance, managers should use
    training
    to improve employee capabilities and help employees believe that added effort will in fact lead to better performance” (Boundless, 2016).

    Expectancy theory is a great example in which authentic leadership comes into place. With great leadership, John’s entire attitude could make a three sixty turn for the best. If there’s a manager notified of John’s negative behavior and attitude he could be reprimanded and disciplined accordingly if he isn’t careful of how or who he speaks with about his feelings toward nightshift and all other concerns he’s unhappy with. Midterm exam NU500-7A Theoretical Foundation for Nursing. When management has incentives in place that motivate their staff to do all that he or she can for his or her patients, the work environment is always at an exciting, high energy level which in turn creates a pleasant work place for everyone. When there’s a reward, attitudes and the way things are projected begins to change because of their expectation of whatever reward is set in place.

     

    Boundless. “Expectancy Theory.” Boundless Management. Boundless, 26 May. 2016. Retrieved 02 Oct. 2016 from https://www.boundless.com/management/textbooks/boundless-management-textbook/organizational-behavior-5/process-and-motivation-47/expectancy-theory-242-3951/ Midterm exam NU500-7A Theoretical Foundation for Nursing.

    *Essay needs to be 500-750 words and include referenced support

    Describe 2 strategies for becoming a transformational leader.

    According to Burns (1978), transformational leaders- “include strong commitment to the profession and to the organization, the ability to help their followers look at old problems in new ways, as well as the ability to excite and motivate followers to produce extra effort to achieve group goals. The hallmark of the transformational leader is vision and the ability to communicate that vision to others so that it becomes a shared vision”.  To become a transformational leaders that person must inspire great loyalty and trust in their followers. Midterm exam NU500-7A Theoretical Foundation for Nursing.

     

    How do you envision conceptual knowledge, theory and the practical elements of nursing care interfacing in your practice? List at list at least one theory or theorist that you feel best embodies effective application of theory in practice.

    Watson’s theory of Human Caring is an theory that is effective in practice. Watson believes that “authentic human-to-human caring is core to professional theory-guided, evidenced-based practices, and caring-healing relationships affecting patient/system outcomes. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Care is crucial for human development, and is first and foremost aimed at physical needs. Caring is necessary on the biological level for infants to survive, but also for the patient who is dependent at end of life. Care ethics stem from the idea that care is basic to human existence. Caring weaves people into a network of relationships

     

    Lachman, D. (2000).  Applying the ethic of care to Your Nurisng Practice. Retrieved from:

    http://
    www.nursingworld.org/MainMenuCategories/EthicsStandards/Resources/Applying-the-Ethics-of-Care-to-Your-Nursing-Practice.pdf

    Based on week 3’s supplemental activity link, what are some core components of ANCC’s magnet status program for nursing.

    The ANCC magnet status program for nursing isn’t a prize or an award but instead It’s a performance-driven recognition credential. Magnet hospitals provide high-quality care, a safer environment, and better patient outcomes. Studies show Magnet hospitals have higher percentages of satisfied registered nurses (RNs), lower RN turnover and vacancy, improved clinical outcomes, greater nurse autonomy, and improved patient satisfaction.

    https://www.americannursetoday.com/going-for-the-gold-the-value-of-attaining-magnet-recognition/

    Provide an in-depth explanation the nursing theory you like best. Why is it your favorite?

    Dr. Patricia Benner has been my favorite nurse theorist for many years now because of her simple theory approach that has turned out to be very true over the years since her doctorate in 1982. The foundation of her theory is relevant to the old cliché,”practice makes perfect.” Of course it is a must to have the proper educational background but its even more important to have a multitude of hands on experiences Midterm exam NU500-7A Theoretical Foundation for Nursing. Those experiences are very vital to the growth in knowledge. The more you practice the more skilled you will become over time making you an expert in the field.

    Question 1

    From the Chinn and Kramer reading, define emancipatory knowing, emancipatory knowledge and praxis. How does each of these elements relate to and build upon the other? Provide an example of praxis in the patient care environment.

    Emancipatory knowing
    is defined as human’s ability to critically examine the current status quo and to determine why it currently exists.
    Emancipatory knowledge
    is expressed in actions that are directed toward changing existing social structures and establishing practices that are more equitable and favorable to human health and well-being (McEwen, 2014). Midterm exam NU500-7A Theoretical Foundation for Nursing.
    Praxis
    is the application of a theory to cases encountered in experience. Emancipatory knowing addresses the social and political context of nursing and healthcare. Emancipatory knowing recognizes genuine social obstructions to wellbeing and prosperity while praxis is the process of emancipatory knowing requiring critical reflection and action. It involves the way you usually do your job. An example of praxis in the patient care environment is a very complicated patient in ICU requiring concentration, focus and critical knowledge. Such a patient will be triaged to a praxis nurse who enjoys the thrill of complicated situation. Praxis can also be defined as a synthesis of thoughtful reflection, caring, and action within a theory and research-driven practice (Enzman Hagedorn 2004) Midterm exam NU500-7A Theoretical Foundation for Nursing.

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from
    https://bookshelf.vitalsource.com/#/books/9781469899992/

    Enzman Hagedorn, M. L., RN, PhD, CNS, CPNP, AHNC. (2004). The Art of Caring as a Philosophical Model for Nurse Practitioner Praxis. Retrieved September 29, 2016, from http://www.medscape.com/viewarticle/496372_2

    Question 2

    McEwen and Wills discuss the difference between science and philosophy. Identify three characteristics of science, and three characteristics of philosophy. How do science and philosophy complement each other in nursing theory? Midterm exam NU500-7A Theoretical Foundation for Nursing.

    3 characteristics of science:

    Science must show a certain coherence.

    Science is concerned with definite fields of knowledge.

    Science is preferably expressed in universal statements.

                               3
    characteristics of philosophy

    Establishes the meaning of science through an understanding and examination of nursing concepts, theories, laws, and aims as they relate to nursing practice.

    It seeks to understand truth; to describe nursing; to examine prediction and causality; to critically relate theories,

    It seeks to understand models, and scientific systems; and to explore determinism and free will Midterm exam NU500-7A Theoretical Foundation for Nursing

    Science and philosophy complement each other in nursing theory because they directly affect each other. Philosophy cannot be developed without the support of science and science cannot work without philosophy.

    Question 3

    Match the following terms to the correct definitions

    Construct The most complex type of concept. Comprised of more than one concept and built to fit a purpose

    Midterm exam NU500-7A Theoretical Foundation for Nursing

     

    Concept

    C.

    Elements or components of a phenomenon necessary to understand the phenomenon. They are abstract and derived from impression the human mind receives from sensing the environment.

     

    Ontology

    A.

    The study of existence and the nature of reality

    Taxonomy

    D.

    A classification scheme for defining or gathering various phenomena. Range in complexity from simple dichotomies to complicated hierarchical structures

     

     

    Question 4

    Based on McEwen and Wills, what are the four requirements for a metaparadigm.

    A metaparadigm must identify a domain that is distinctive from the domains of other disciplines … the concepts and propositions represent a unique perspective for inquiry and practice. Midterm exam NU500-7A Theoretical Foundation for Nursing

    A metaparadigm must encompass all phenomena of interest to the discipline in a parsimonious manner … the concepts and propositions are global and there are no redundancies.

    A metaparadigm must be perspective-neutral … the concepts and propositions do not represent a specific perspective (i.e., a specific paradigm or conceptual model or combination of perspectives) Midterm exam NU500-7A Theoretical Foundation for Nursing.

    A metaparadigm must be global in scope and substance … the concepts and propositions do not reflect particular national, cultural, or ethnic beliefs and values.

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781469899992/

    Question 5

    As discussed during the module 3 lecture, according to Peplau there are 3 phases to the nurse patient relationship:

    Peplau stated that relationships are characterized by “personalities, moods, concerns, needs, personal values and views which a person brings into each interpersonal encounter” (Peplau, 1994). Understanding these elements and addressing them in the nursing process will ensure a greater likelihood of therapeutic interaction. Midterm exam NU500-7A Theoretical Foundation for Nursing. For Peplau’s theory of interpersonal communication to work, the nurse must engage in all three phases of interaction. During the orientation phase, the nurse must first recognize the problem. After determining what the issue is, the nurse must then identify the type of services the patient or client requires. During the orientation phase, the nurse assesses the patient needs, health and current situation. During this phase, the patient also builds a rapport with the nurse, explains to the nurse what the needs are and then proceeds to ask questions Midterm exam NU500-7A Theoretical Foundation for Nursing.

    During the working phase, the patient feels like an integral part of the care team. Here, the patient can voice out opinions and ideas that will aid in his or her recovery and well-being. During the working phase, the patient is more open to patient education and skill acquisition. This is the time the nurse can impact her knowledge, and the patient will be receptive to the information.

    The last phase deals with the termination of the relationship between the nurse and patient. Before the termination phase, the goals of the patient should have been addressed, evaluated and met. An article titled “The Impact of Peplau’s Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass” reinforced the active role of therapeutic communication had in reducing anxiety and depression of the patients. This clinical trial had 74 patients and divided into 2 groups; one group consisted of the intervention group and the other was the control group. Anxiety and depression levels were assessed before, and two and four months after intervention using the Hospital Anxiety and Depression Scale (HADS). All 74 patient had seven therapeutic sessions over four stages. Results concluded that the average anxiety and depression levels decreased in the intervention group after the therapeutic communication versus the control group. Conclusively, therapeutic communication in patient care is evidence-based and recommended as a simple, cost-effective and efficient method for reducing depression and anxiety. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Therapeutic communication is a vital and fundamental instrument tool that ought to be utilized in all events when caring for a patient in any clinical setting. An ideal approach to see precisely what a therapeutic nurse-patient relationship is to investigate the qualities of the relationship. As already expressed, the therapeutic relationship concentrates on the patient and their objectives or goals. In my practice, I will ensure that therapeutic relationship focuses on the client and their goals, maintain the defined parameters of the working relationship, and finally assess my patient in the termination phase for goals attained. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Reference

    Zarea, K., Maghsoudi, S., Dashtebozorgi, B., Hghighizadeh, M. H., & Javadi, M. (2014). The Impact of Peplau’s Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass.
    Clinical Practice and Epidemiology in Mental Health : CP & EMH
    ,
    10
    , 159–165. http://doi.org/10.2174/1745017901410010159

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781469899992/ Midterm exam NU500-7A Theoretical Foundation for Nursing

    Question 6

    Nursing managers are often faced with the challenge of motivating their staff. Consider the following example:

    John is a nurse who has been working on your department for nine months. He is currently half way through a mandatory six month night rotation. Last week you overheard him complaining in the hallway that he was unhappy with night shift, found it boring and had a hard time staying awake. He made one medication error a week ago which he immediately brought to the nursing supervisor’s attention and the patient was not harmed. You are concerned that his attitude made bring down the morale of other staff members and possibly affect his ability to provide patient care.

    Select one of the following motivational theories. Explain the theoretical background of the theory and how it relates to nursing management. Explain how you would apply the theory to John. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Achievement-motivation theory: Achievement Motivation is characterized as practices devoted to creating and showing higher capacities. According to McEwen and Wills, individuals with a high need for achievement (n-Ach) are not as concerned with the rewards of achievement as they are with the actual achievement. Midterm exam NU500-7A Theoretical Foundation for Nursing. These individuals seek out characteristic situations in which the probability of success is neither too high nor too low, in which success can be achieved through one’s own efforts, and in which personal credit can be received for a good or successful outcome. The individuals who are persuaded by accomplishment have a tendency to have a specific set of features. The first is that they pick their fights admirably. They are not gamblers with regards to setting objectives and won’t set one that is unimaginable Midterm exam NU500-7A Theoretical Foundation for Nursing.

    In fields such as health care in which human health and safety are a top priority, it is important to be aware of research across the disciplines in order to understand the biological, emotional, and motivational processes that influence an individual’s skill and behavioral capacity to engage in astute cognitive decision-making at any given point in time. In regards to john’s situation, it appears that john is getting burnout and lacks any motivation to continue this rotation. When high achievers such as John are placed in an environment that is not stimulating, they tend to fail at everything irrespective of the environment, timing or situation was different. The only option that can yield a positive outcome is John should consult with his manager and voice out his concern in order to avoid detrimental error that can lead to his dismissal. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781469899992/

     

    Question 7

    Describe 2 strategies for becoming a transformational leader.

    Strategies for becoming a transformational leader are as follows 1) strong commitment to the profession and to the organization 2) the ability to help their followers look at old problems in new ways, as well as the ability to excite and motivate followers to produce extra effort to achieve group goals Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Question 8

    How do you envision conceptual knowledge, theory and the practical elements of nursing care interfacing in your practice? List at list at least one theory or theorist that you feel best embodies effective application of theory in practice.

    In conceptual knowledge, concepts are drafted and relational statements are formulated. Propositional statements are supported by empirical or anecdotal evidence or defended by logical reasoning. Midterm exam NU500-7A Theoretical Foundation for Nursing. Conceptual knowledge uses knowledge from nursing and other disciplines. It incorporates curiosity, imagination, persistence, and commitment in the accumulation of facts and reliable generalizations that pertain to the discipline of nursing. One theorist that utilizes conceptual knowledge in her work is Dorothea E. Orem . Her Self-care deficit theory embodies the idea that patients will recover more quickly and holistically by performing their own self-care within their able capacity Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Question 9

    Based on week 3’s supplemental activity link, what are some core components of ANCC’s magnet status program for nursing.

    Attract and retain top talent

    Improve patient care, safety and satisfaction

    Midterm exam NU500-7A Theoretical Foundation for Nursing

    Foster a collaborative culture

    Advance nursing standards and practice

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    Reference

    ANCC. (2016). Magnet Recognition Program® Overview. Retrieved September 29, 2016, from http://www.nursecredentialing.org/Magnet/ProgramOverview.aspx

     

    Question 10

    Provide an in-depth explanation the nursing theory you like best. Why is it your favorite?

    As a psychiatric nurse, I find Hildgard Peplau’s Interpersonal Theory to be the one I use daily at work. It works effectively due to the type of clientele in my facility.  The first couple hours after my shift begins we begin the orientation phase. I walk in and introduce myself as the nurse. During my three day work week at the facility, I am able to engage all the phases of the interpersonal relationship. It is my favorite because it maintains the relationship within the context of goals. By my third day, the patient and I evaluate the situation based on the goals set and whether or not they were met. If goal were not met, then I am able to refer the patient for a higher level of care. Midterm exam NU500-7A Theoretical Foundation for Nursing.

  • Nursing 211 midterm exam

    Midterm exam NU500-7A Theoretical Foundation for Nursing

    Question 1

    From the Chinn and Kramer reading, define emancipatory knowing, emancipatory knowledge and praxis. How does each of these elements relate to and build upon the other? Provide an example of praxis in the patient care environment.

    Emancipatory knowing
    is defined as human’s ability to critically examine the current status quo and to determine why it currently exists.
    Emancipatory knowledge
    is expressed in actions that are directed toward changing existing social structures and establishing practices that are more equitable and favorable to human health and well-being (McEwen, 2014).
    Praxis
    is the application of a theory to cases encountered in experience. Emancipatory knowing addresses the social and political context of nursing and healthcare. Midterm exam NU500-7A Theoretical Foundation for Nursing. Emancipatory knowing recognizes genuine social obstructions to wellbeing and prosperity while praxis is the process of emancipatory knowing requiring critical reflection and action. It involves the way you usually do your job. An example of praxis in the patient care environment is a very complicated patient in ICU requiring concentration, focus and critical knowledge. Such a patient will be triaged to a praxis nurse who enjoys the thrill of complicated situation. Praxis can also be defined as a synthesis of thoughtful reflection, caring, and action within a theory and research-driven practice (Enzman Hagedorn 2004) Midterm exam NU500-7A Theoretical Foundation for Nursing.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from
    https://bookshelf.vitalsource.com/#/books/9781469899992/

    Enzman Hagedorn, M. L., RN, PhD, CNS, CPNP, AHNC. (2004). The Art of Caring as a Philosophical Model for Nurse Practitioner Praxis. Retrieved September 29, 2016, from http://www.medscape.com/viewarticle/496372_2

    Question 2

    McEwen and Wills discuss the difference between science and philosophy. Identify three characteristics of science, and three characteristics of philosophy. How do science and philosophy complement each other in nursing theory?

    3 characteristics of science:

    Science must show a certain coherence.

    Science is concerned with definite fields of knowledge.

    Science is preferably expressed in universal statements.

    Midterm exam NU500-7A Theoretical Foundation for Nursing

                               3
    characteristics of philosophy

    Establishes the meaning of science through an understanding and examination of nursing concepts, theories, laws, and aims as they relate to nursing practice.

    It seeks to understand truth; to describe nursing; to examine prediction and causality; to critically relate theories,

    It seeks to understand models, and scientific systems; and to explore determinism and free will

    Science and philosophy complement each other in nursing theory because they directly affect each other. Philosophy cannot be developed without the support of science and science cannot work without philosophy. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Question 3

    Match the following terms to the correct definitions

    Construct The most complex type of concept. Comprised of more than one concept and built to fit a purpose

     

    Concept

    C.

    Elements or components of a phenomenon necessary to understand the phenomenon. They are abstract and derived from impression the human mind receives from sensing the environment. Midterm exam NU500-7A Theoretical Foundation for Nursing.

     

    Ontology

    A.

    The study of existence and the nature of reality

    Taxonomy

    D.

    A classification scheme for defining or gathering various phenomena. Range in complexity from simple dichotomies to complicated hierarchical structures

     

     

    Question 4

    Based on McEwen and Wills, what are the four requirements for a metaparadigm.

    A metaparadigm must identify a domain that is distinctive from the domains of other disciplines … the concepts and propositions represent a unique perspective for inquiry and practice.

    A metaparadigm must encompass all phenomena of interest to the discipline in a parsimonious manner … the concepts and propositions are global and there are no redundancies.

    A metaparadigm must be perspective-neutral … the concepts and propositions do not represent a specific perspective (i.e., a specific paradigm or conceptual model or combination of perspectives).

    A metaparadigm must be global in scope and substance … the concepts and propositions do not reflect particular national, cultural, or ethnic beliefs and values.

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781469899992/

    Question 5

    As discussed during the module 3 lecture, according to Peplau there are 3 phases to the nurse patient relationship:

    Peplau stated that relationships are characterized by “personalities, moods, concerns, needs, personal values and views which a person brings into each interpersonal encounter” (Peplau, 1994). Understanding these elements and addressing them in the nursing process will ensure a greater likelihood of therapeutic interaction. For Peplau’s theory of interpersonal communication to work, the nurse must engage in all three phases of interaction. During the orientation phase, the nurse must first recognize the problem. Midterm exam NU500-7A Theoretical Foundation for Nursing. After determining what the issue is, the nurse must then identify the type of services the patient or client requires. During the orientation phase, the nurse assesses the patient needs, health and current situation. During this phase, the patient also builds a rapport with the nurse, explains to the nurse what the needs are and then proceeds to ask questions.

    During the working phase, the patient feels like an integral part of the care team. Here, the patient can voice out opinions and ideas that will aid in his or her recovery and well-being. During the working phase, the patient is more open to patient education and skill acquisition. This is the time the nurse can impact her knowledge, and the patient will be receptive to the information Midterm exam NU500-7A Theoretical Foundation for Nursing.

    The last phase deals with the termination of the relationship between the nurse and patient. Before the termination phase, the goals of the patient should have been addressed, evaluated and met. An article titled “The Impact of Peplau’s Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass” reinforced the active role of therapeutic communication had in reducing anxiety and depression of the patients. This clinical trial had 74 patients and divided into 2 groups; one group consisted of the intervention group and the other was the control group Midterm exam NU500-7A Theoretical Foundation for Nursing. Anxiety and depression levels were assessed before, and two and four months after intervention using the Hospital Anxiety and Depression Scale (HADS). All 74 patient had seven therapeutic sessions over four stages. Results concluded that the average anxiety and depression levels decreased in the intervention group after the therapeutic communication versus the control group. Conclusively, therapeutic communication in patient care is evidence-based and recommended as a simple, cost-effective and efficient method for reducing depression and anxiety.

    Therapeutic communication is a vital and fundamental instrument tool that ought to be utilized in all events when caring for a patient in any clinical setting. An ideal approach to see precisely what a therapeutic nurse-patient relationship is to investigate the qualities of the relationship. As already expressed, the therapeutic relationship concentrates on the patient and their objectives or goals. In my practice, I will ensure that therapeutic relationship focuses on the client and their goals, maintain the defined parameters of the working relationship, and finally assess my patient in the termination phase for goals attained. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    References

    Zarea, K., Maghsoudi, S., Dashtebozorgi, B., Hghighizadeh, M. H., & Javadi, M. (2014). The Impact of Peplau’s Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass.
    Clinical Practice and Epidemiology in Mental Health : CP & EMH
    ,
    10
    , 159–165. http://doi.org/10.2174/1745017901410010159

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781469899992/

     

    Question 6

    Nursing managers are often faced with the challenge of motivating their staff. Consider the following example: Midterm exam NU500-7A Theoretical Foundation for Nursing.

    John is a nurse who has been working on your department for nine months. He is currently half way through a mandatory six month night rotation. Midterm exam NU500-7A Theoretical Foundation for Nursing. Last week you overheard him complaining in the hallway that he was unhappy with night shift, found it boring and had a hard time staying awake. He made one medication error a week ago which he immediately brought to the nursing supervisor’s attention and the patient was not harmed. You are concerned that his attitude made bring down the morale of other staff members and possibly affect his ability to provide patient care Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Select one of the following motivational theories. Explain the theoretical background of the theory and how it relates to nursing management. Explain how you would apply the theory to John.

    Achievement-motivation theory: Achievement Motivation is characterized as practices devoted to creating and showing higher capacities. According to McEwen and Wills, individuals with a high need for achievement (n-Ach) are not as concerned with the rewards of achievement as they are with the actual achievement. These individuals seek out characteristic situations in which the probability of success is neither too high nor too low, in which success can be achieved through one’s own efforts, and in which personal credit can be received for a good or successful outcome. The individuals who are persuaded by accomplishment have a tendency to have a specific set of features. The first is that they pick their fights admirably. They are not gamblers with regards to setting objectives and won’t set one that is unimaginable.

    In fields such as health care in which human health and safety are a top priority, it is important to be aware of research across the disciplines in order to understand the biological, emotional, and motivational processes that influence an individual’s skill and behavioral capacity to engage in astute cognitive decision-making at any given point in time. Midterm exam NU500-7A Theoretical Foundation for Nursing. In regards to john’s situation, it appears that john is getting burnout and lacks any motivation to continue this rotation. When high achievers such as John are placed in an environment that is not stimulating, they tend to fail at everything irrespective of the environment, timing or situation was different. The only option that can yield a positive outcome is John should consult with his manager and voice out his concern in order to avoid detrimental error that can lead to his dismissal.

    McEwen, M. (01/2014). Theoretical Basis for Nursing, 4th Edition. [VitalSource Bookshelf Online]. Retrieved from https://bookshelf.vitalsource.com/#/books/9781469899992/ Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Question 7

    Describe 2 strategies for becoming a transformational leader.

    Strategies for becoming a transformational leader are as follows 1) strong commitment to the profession and to the organization 2) the ability to help their followers look at old problems in new ways, as well as the ability to excite and motivate followers to produce extra effort to achieve group goals.

    Question 8

    How do you envision conceptual knowledge, theory and the practical elements of nursing care interfacing in your practice? List at list at least one theory or theorist that you feel best embodies effective application of theory in practice Midterm exam NU500-7A Theoretical Foundation for Nursing..

    In conceptual knowledge, concepts are drafted and relational statements are formulated. Propositional statements are supported by empirical or anecdotal evidence or defended by logical reasoning. Midterm exam NU500-7A Theoretical Foundation for Nursing. Conceptual knowledge uses knowledge from nursing and other disciplines. It incorporates curiosity, imagination, persistence, and commitment in the accumulation of facts and reliable generalizations that pertain to the discipline of nursing. One theorist that utilizes conceptual knowledge in her work is Dorothea E. Orem . Her Self-care deficit theory embodies the idea that patients will recover more quickly and holistically by performing their own self-care within their able capacity. Midterm exam NU500-7A Theoretical Foundation for Nursing.

    Question 9

    Based on week 3’s supplemental activity link, what are some core components of ANCC’s magnet status program for nursing.

    Attract and retain top talent

    Improve patient care, safety and satisfaction

    Foster a collaborative culture

    Advance nursing standards and practice

    Reference

    ANCC. (2016). Magnet Recognition Program® Overview. Retrieved September 29, 2016, from http://www.nursecredentialing.org/Magnet/ProgramOverview.aspx

    Question 10

    Provide an in-depth explanation the nursing theory you like best. Why is it your favorite?

    As a psychiatric nurse, I find Hildgard Peplau’s
    Interpersonal Theory to be the one I use daily at work. It works effectively due to the type of clientele in my facility.  The first couple hours after my shift begins we begin the orientation phase. I walk in and introduce myself as the nurse. During my three day work week at the facility, I am able to engage all the phases of the
    interpersonal relationship. It is my favorite because it maintains the relationship within the context of goals. By my third day, the patient and I evaluate the situation based on the goals set and whether or not they were met. If goal were not met, then I am able to refer the patient for a higher level of care. Midterm exam NU500-7A Theoretical Foundation for Nursing.

  • DeVry nr501 Weekly Essay assignment discussions

    DeVry nr501 Weekly Essay assignment discussions

    Week 1 discussion

    Importance of Theory in Nursing

    For many students enrolled in NR501, this is an initial course for nursing theory. So, let’s have a debate!!! Is nursing theory important to the nursing profession? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession? Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion.

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    Week 2 discussion

    Significance of Nursing Concepts within the Profession

    This discussion considers the metaparadigm of nursing and the four concepts of the nursing profession—person, environment, health and nursing profession. Select a practice area of the nursing profession (i.e. education, executive, informatics, healthcare policy, and advanced clinical practice) and apply EACH of the four concepts to the selected area. Be sure to apply EACH of the four concepts and include an example that demonstrates the application to the practice area. Don’t forget to support your initial posting with scholarly references.

    Week 3 discussion

    Steps of Concept Analysis

    At the end of Week 4 your concept analysis is due. This discussion provides an opportunity to start this assignment.

    Select a nursing concept (be sure to use a nursing theory) and then provide a response to each one of the steps included in a concept analysis regarding your selected concept. This information does not have to be comprehensive but provides a foundation to the upcoming assignment. Be sure to include a scholarly reference.

    Week 4 discussion

    Connection Between Theory and Advanced Clinical Practice

    While the focus of this course is nursing theory, some nurses say that theory has no role in clinical practice. What are your thoughts? Does nursing theory have a role in clinical practice? How would you use nursing theory to improve or evaluate the quality of clinical practice? Be sure to include an example that demonstrates your thoughts. Don’t forget to include a scholarly reference DeVry nr501 Weekly Essay assignment discussions!

    Week 5 discussion

    Borrowed (non-nursing) Theories Applied to the Nursing Profession

    While the focus of this course is nursing theory, frequently the use of non-nursing or borrowed theories occurs. Select a nursing practice area (i.e. education, executive, advance clinical practice, informatics, and health care policy); then identify a non-nursing (borrowed) theory; and apply it to the area you have selected. DeVry nr501 Weekly Essay assignment discussions. Be sure to provide an example of how the non-nursing theory can be used to enhance the selected practice area. Don’t forget to include scholarly reference(s) to support your information.

    Week 6 discussion

    Impact of Nursing Theory Upon Healthcare Organization

    Discuss how a specific middle-range nursing theory has been or could be applied by nurse leaders or nurse managers to effectively deal with an administrative issue (i.e., staffing, use of supplies, staff performance issues). Include an example from the literature or your own experience to illustrate your points. DeVry nr501 Weekly Essay assignment discussions.

    Week 7 discussion

    Nursing Theory Applied to Research

    In NR 500, you developed a PICOT question. Select a nursing theory that you find useful in nursing practice. Discuss each of the following selected elements of the PICOT format by applying your selected nursing theory to the element. Be sure to include a scholarly reference.

    Population/ Patient Problem: Consider how your selected nursing theory may guide you in selecting the population and/or patient problem

    Intervention: Does your selected nursing theory identify a possible intervention? If not, how is your selected intervention consist with your selected nursing theory? DeVry nr501 Weekly Essay assignment discussions.

    Outcome: How would the outcome of your PICOT study contribute to your selected nursing theory? Would it add new information? Would it confirm some part of the theory?

    Week 8 discussion

    Course Reflection and Future Application

    Throughout the discussions occurring within NR501, a common element has been application of theory. In this our last discussion regarding theory, it is time to focus on you and your capstone experience (yes, it is never too early consider this major project!). While it is too early to identify your project, let’s consider on your future practice area as this is the setting your project will occur in.

    Based upon your self-reflection and use of nursing theory within the discussions and assignments, select ONE nursing theory that you prefer and answer the following questions:

    1. Why do you prefer the nursing theory you selected DeVry nr501 Weekly Essay assignment discussions?

    2. How can this theory be used in your current practice area (education, executive, advanced clinical practice, informatics, or healthcare policy)?

    3. How can this theory be used in your future practice area (education, executive advanced clinical practice, informatics or healthcare policy)? DeVry nr501 Weekly Essay assignment discussions.

  • NR390 – History of nursing essay discussions

    NR390 – History of nursing essay discussions

    Week 1: Making Nursing History Today

    106106 unread replies.116116 replies.

    Nursing history is not just about the past and famous people, but is being made by nurses every day. Who do you know that is making nursing history today? Describe the contributions that one specific nurse is making to nursing history today. NR390 – History of nursing essay discussions.

    NR390 Week 2 Discussion Latest 2017 November

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    Week 2: Practices from the Past

    115115 unread replies.122122 replies.

    Catherine McAuley’s philosophy of careful nursing was applicable in pre-Nightingale times and is applicable today NR390 – History of nursing essay discussions. Select one of the 10 key concepts of the philosophy of careful nursing and describe how it might have been applied in McAuley’s time and how it might be applied in your professional nursing practice today.

    NR390 Week 3 Discussion Latest 2017 November

    Week 3: Nightingale Information New to You

    106106 unread replies.120120 replies.

    The basic story of Florence Nightingale is familiar to most nurses. This week we learned more about Nightingale’s life and work. Select at least one piece of the Nightingale legacy that was new to you and tell us how this changed your understanding of this great woman and her contributions to nursing.

    NR390 Week 4 Discussion Latest 2017 November

    Week 4: Impact of 19th-Century Nurses

    8989 unread replies.113113 replies.

    Important nurses of the 19th century are often overshadowed by Nightingale’s prominence. Select one 19th-century nurse other than Nightingale and describe this person’s contributions to the profession NR390 – History of nursing essay discussions. Although some duplication is expected, please try to select a nurse who has not already been presented by a classmate.

    NR390 Week 5 Discussion Latest 2017 November

    Week 5: Progress in Nursing in the Early-to-Mid 20th Century

    8888 unread replies.106106 replies.

    There was much progress in nursing during the early-to-middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing that intrigues you during that time period. Discuss how that area could be applied today.

    NR390 Week 6 Discussion Latest 2017 November

    Week 6: Amazing Changes and Events

    9797 unread replies.109109 replies.

    The mid-to-late 20th century was filled with amazing changes and events in professional nursing. Select one of these changes or events, describe it, and explain how that change or event has impacted the quality of nursing practice today.

    NR390 Week 7 Discussion Latest 2017 November

    Week 7: Interview Impact

    9999 unread replies.105105 replies.

    You have completed your interview of a nurse who is making nursing history today. How will that nurse’s contributions and accomplishments impact your future professional nursing practice? As you reflect on your own nursing practice, how are you contributing to nursing history? NR390 – History of nursing essay discussions.

    NR390 Week 8 Discussion Latest 2017 November

    Week 8: AACN BSN Essential VIII and Your Future Practice

    2323 unread replies.2323 replies.

    AACN BSN Essential VIII clearly calls for BSN graduates to appreciate nursing history and its impact on today’s professional nursing practice. As you consider your
    future
    professional nursing practice, tell us

    · 
    How
    you will share stories and lessons from nursing history with your nursing colleagues, and

    · 
    How
    lessons from nursing history will impact your future nursing practice.

     

    DeVry NR390 Week 1 Discussion latest 2017 August

    Week 1: Making Nursing History Today

    8080 unread replies.111111 replies.

    Nursing history is not just about the past and famous people, but is being made by nurses every day. Who do you know that is making nursing history today? Describe the contributions that one specific nurse is making to nursing history today.

    NR390 Week 2 Discussion latest 2017 August

    Week 2: Practices from the Past

    8484 unread replies.113113 replies.

    Catherine McAuley’s philosophy of careful nursing was applicable in pre-Nightingale times and is applicable today. Select one of the 10 key concepts of the philosophy of careful nursing and describe how it might have been applied in McAuley’s time and how it might be applied in your professional nursing practice today. NR390 – History of nursing essay discussions.

    NR390 Week 3 Discussion latest 2017 August

    Week 3: Nightingale Information New to You

    8989 unread replies.107107 replies.

    The basic story of Florence Nightingale is familiar to most nurses. This week we learned more about Nightingale’s life and work. Select at least one piece of the Nightingale legacy that was new to you and tell us how this changed your understanding of this great woman and her contributions to nursing.

    DeVry NR390 Week 4 Discussion latest 2017 August

    Week 4: Impact of 19th-Century Nurses

    9191 unread replies.107107 replies.

    Important nurses of the 19th century are often overshadowed by Nightingale’s prominence. Select one 19th-century nurse other than Nightingale and describe this person’s contributions to the profession. Although some duplication is expected, please try to select a nurse who has not already been presented by a classmate NR390 – History of nursing essay discussions.

    NR390 Week 5 Discussion latest 2017 August

    Week 5: Progress in Nursing in the Early-to-Mid 20th Century

    8383 unread replies.103103 replies.

    There was much progress in nursing during the early-to-middle part of the 20th century (1900 through the late 1930s). After reading the textbook and the lesson for this week, describe one area of change in nursing that intrigues you during that time period. Discuss how that area could be applied today.

    NR390 Week 6 Discussion latest 2017 August

    Week 6: Amazing Changes and Events

    5555 unread replies.6060 replies.

    NR390 – History of nursing essay discussions The mid-to-late 20th century was filled with amazing changes and events in professional nursing. Select one of these changes or events, describe it, and explain how that change or event has impacted the quality of nursing practice today.

    NR390 Week 7 Discussion latest 2017 August

    Week 7: Interview Impact

    8282 unread replies.9696 replies.

    You have completed your interview of a nurse who is making nursing history today NR390 – History of nursing essay discussions. How will that nurse’s contributions and accomplishments impact your future professional nursing practice? As you reflect on your own nursing practice, how are you contributing to nursing history?

    NR390 Week 8 Discussion latest 2017 August

    Week 8: AACN BSN Essential VIII and Your Future Practice

    7777 unread replies.9797 replies.

    AACN BSN Essential VIII clearly calls for BSN graduates to appreciate nursing history and its impact on today’s professional nursing practice. As you consider your
    future
    professional nursing practice, tell us

    How
    you will share stories and lessons from nursing history with your nursing colleagues, and

    How
    lessons from nursing history will impact your future nursing practice. NR390 – History of nursing essay discussions.

  • NUR2868 Role, Scope, Quality, and Leadership in Professional Nursing

    NUR2868 Role, Scope, Quality, and Leadership in Professional Nursing

    Module 5 Discussion

    Intuition vs. Experience in Nursing

    Your discussion post is to answer this question: What do you think nursing contributes to health care? How can a robotic system incorporate the clinical judgment that nurses use? Be as creative as you wish!

    ORDER A PLAGIARISM-FREE PAPER HERE

    If you can, listen to the following audio clip from National Nurses United’s “Insist on a Registered Nurse” campaign:

    While this is an attempt at humor about a serious situation, it drives a fundamental question: What would health care be without nurses?

    Module 5 Discussion

    Intuition vs. Experience in Nursing

    Your discussion post is to answer this question: What do you think nursing contributes to health care? How can a robotic system incorporate the clinical judgment that nurses use? Be as creative as you wish!

    If you can, listen to the following audio clip from National Nurses United’s “Insist on a Registered Nurse” campaign:

    While this is an attempt at humor about a serious situation, it drives a fundamental question: What would health care be without nurses? NUR2868 Role, Scope, Quality, and Leadership in Professional Nursing.

  • NRS433 INTRODUCTION TO NURSING RESEARCH

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 1 DISCUSSION

    DQ1 PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.

    Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

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    DQ2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss why the problem should be studied. Provide rational and support for your answer. NRS433 introduction to nursing research.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 2 DISCUSSION

    DQ1 Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. Discuss two strategies that would help a researcher manage and organize the data.

    DQ2 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 3 DISCUSSION

    DQ1 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

    DQ2 Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 4 DISCUSSION

    DQ1 Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Support your answer with peer-reviewed articles NRS433 introduction to nursing research.

    DQ2 Describe the “levels of evidence” and provide an example of the type of practice change that could result from each.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 5 DISCUSSION

    DQ1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

    DQ2 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace?

    WEEK 1 DISCUSSION

    DQ1 PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem.

    Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem.

    DQ2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss why the problem should be studied. Provide rational and support for your answer.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 2 DISCUSSION

    DQ1 Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. Discuss two strategies that would help a researcher manage and organize the data.

    DQ2 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 3 DISCUSSION

    DQ1 Provide examples of experimental and nonexperimental research design. Contrast the levels of control applied to each.

    DQ2 Describe sampling theory and provide examples to illustrate your definition. Discuss generalizability as it applies to nursing research.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 4 DISCUSSION

    DQ1 Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Support your answer with peer-reviewed articles. NRS433 introduction to nursing research.

    DQ2 Describe the “levels of evidence” and provide an example of the type of practice change that could result from each.

    NRS433 INTRODUCTION TO NURSING RESEARCH

    WEEK 5 DISCUSSION

    DQ1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

    DQ2 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace? NRS433 introduction to nursing research.

  • Shadow health respiratory assessment questions and transcript

    Shadow health respiratory assessment questions and transcript

    NR 509 Week 2 Alternate Writing Assignment: Respiratory Summer 2018

    Purpose

    As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

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    Course Outcomes

    This assignment is guided by the following Course Outcomes (COs):

    Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)

    Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)

    Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2). Shadow health respiratory assessment questions and transcript.

    The purposes of this assignment are to: (a) identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1), (b) differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).

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    ASSESSMENT

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    NOTE
    : 
    You are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

    Due Date: 
    This alternative written assignment is due no later than the 
    Sunday of the week in which you did not attend the weekly debriefing session
    . The standard MSN Participation Late Assignment policy applies to this Shadow health respiratory assessment questions and transcript assignment.

    Brian Foster Chest Pain Shadow Health Assessment

    Preparing the Paper:

    Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.

    Carefully read and review the selected body system in your course textbooks.

    Incorporate at least 
    one
    scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.

    The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations. Shadow health respiratory assessment questions and transcript.

    Provide concluding statements that should summarize key points of the overall assignment content.

    In-text citations and reference page(s) must be written using proper APA format (6thedition).

    NR 509 Week 2: Shadow Health Respiratory Physical Assessment Assignment

    Shadow Health Respiratory Assessment Pre Brief

    NB: We have all the questions and documented answers in the SUBJECTIVE DATA, OBJECTIVE DATA, ASSESSMENT AND CARE PLAN format. All you need to do is ORDER NOW for an equivalent of 4 pages and score 100% in this assignment and all other Shadow Health Assignments. By placing this order, the only thing you will do is ask Tina the questions that we will give you and then use our documentation  to create yours!!! Shadow health respiratory assessment questions and transcript.

    Tina had an asthma episode 2 days ago. At that time she used her albuterol inhaler and her symptoms decreased although they did not completely resolve. Since that incident she notes that she has had ten episodes of wheezing and has shortness of breath approximately every four hours. Tina presents with continued shortness of breath and wheezing. Be sure to ask pertinent questions during the interview about related body systems. This case study will provide the opportunity to carefully assess lung sounds during the physical examination. Be sure to appropriately document your findings using correct medical terminology.

    Reason for visit: Patient presents complaining of a recent asthma episode that is not fully resolved.

    APPROACH

    Overview

    | 
    Transcript

    | Subjective Data Collection

    | Objective Data Collection

    | Education & Empathy

    | Documentation / Electronic Health Record

    | Student Pre-Survey

    | Lifespan Activity

    | Review Questions

    | Self-Reflection Activity

    SAMPLE Shadow Health Respiratory Assessment

    Model Documentation

    Subjective

    Social History: She is not aware of any environmental exposures or irritants at her job or home……

    Review of Systems:

    General: Denies changes in…

    Nose/Sinuses:

    Gastrointestinal:

    Respiratory:

    Objective                   

    General: Ms. Jones is a pleasant….

    Respiratory: Chest expansion is….

    Assessment                

    Mild-persistent….

    Plan

    Diagnostics

    Obtain office….

    Education

    Encourage Ms. Jones to continue t….

    Referral/Consultation

    Refer to…..

     Follow-up Planning

    Order ….

    Instruct Ms. Jones …..

    Revisit….

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    Tina’s second cousin was diagnosed with asthma at age 5. What would be included in your treatment plan? What factors might concern you related to compliance?

    The treatment plan for this child would be to….

    Consider that Tina’s uncle is now 68 years old and has smoked heavily every day since he was fifteen. What would you expect to find in his respiratory assessment? How would this affect your oxygenation goals for this patient?

    Common significant deviations of the chest for older adults include marked dorsal curvature, kyphosis, increased AP diameter of the chest (barrel chest), and diminished chest expansion (Hogstel & Curry, 2005). Bones become thinner, more rigid, and change shape, and muscles may become weakened. This results in a lower oxygen level with less carbon dioxide removed from the body, and decreased ability to cough. Osteoporosis causes decreased thoracic vertebrae height. Aging also causes the alveoli to lose their shape causing shortness of breath. Due to diminished cough reflex with decreased sensitivity, large amounts of particles that are more difficult to expectorate can collect in the lungs. In addition, the brain is less sensitive to hypoxia (low oxygen) and hypercapnea (higher than normal carbon dioxide) and higher residual volume. As a result of these changes, older persons are at increased risk for pneumonia and bronchitis (Minaker, 2011; Sharma & Goodwin, 2006). Shadow health respiratory assessment questions and transcript.

    In the respiratory assessment of this patient, I expect to find marked dorsal curvature, increased AP diameter of the chest, diminished chest expansion, and kyphosis. The weakened muscles will result in lower oxygen levels and lower elimination of carbon dioxide leading to decreased coughing capacity. Alveoli will also will also lose their shape leading to dypnea. Therefore, oxygenation goals will have to take in cognizance these realities and advise the patient accordingly. Consequently, efforts to increase exercise tolerance, treat complication, and relieve symptoms will be initiated.

    If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?

    If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?

    Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?

    Suppose that while auscultating, you assessed a few scattered expiratory wheezes. Why would this be an expected finding for a patient with Tina’s history. Shadow health respiratory assessment questions and transcript.

    When you observe a patient like Tina throughout an exam, there are many ways to determine whether a patient is experiencing respiratory distress. Identify one indicator of respiratory distress that can be assessed through observation alone.

     

    Describe how you would assess Tina for dyspnea

    Dyspnea can be assessed both……

    Explicitly describe the tasks you undertook to complete this exam.

    The examination…..

    Explain the clinical reasoning behind your decisions and tasks.

    Identify how your performance could be improved and how you can apply “lessons learned” within the assignment to your professional practice.

    My performance could be improved by seeking more history from the patient…..

    NR 509 Week 1 Shadow Health History Assignment

    Pre-brief

    Obtaining an accurate history is the critical first step in determining the etiology of a patient’s problem. A large percentage of the time, you will actually be able to make a diagnosis based on the history alone. The value of the history, of course, will depend on your ability to elicit relevant information. Your sense of what constitutes important data will grow exponentially as you practice your interviewing skills and through increased exposure to patients and illness…………………… Interviewing patients is an art and should remain an essential skill for successful practice.

    In this activity, you will interview Tina Jones to collect data to assess Ms. Jones’ condition. You will also have the opportunity to educate and empathize with Tina to engage in effective therapeutic communication; create a problem listusing evidence from the data you collected; prioritize the identified problems to differentiate immediate from non-immediate care; plan how to best address the most important concern with further assessment, interventions, and patient education; and compare your documentation to model documentation.

    Ms. Jones is a pleasant, 28-year-old obese African American single woman who presents to establish care and with a recent right foot injury. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Her speech is clear and coherent and she maintains eye contact throughout the interview. Shadow health respiratory assessment questions and transcript.

    Reason for visit: Patient presents for an initial primary care visit today complaining of an infected foot wound.

    | Overview

    | Transcript

    | Subjective Data Collection

    | Objective Data Collection

    | Education & Empathy

    | Documentation / Electronic Health Record

    | Information Processing

    | Lab Pass: Certificate of Completion

    NR 509 Week 2 Quiz

    A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:

    During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:

    The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:

    When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands

    A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____

    When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:

    The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland. Shadow health respiratory assessment questions and transcript.

    A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:

    The FNP notices that the patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the FNP would assess the patient’s:

    The FNP is aware that the four areas in the body were lymph nodes accessible are the:

    A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by:

    The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed?

    A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. The FNP interprets these results to indicate that: Shadow health respiratory assessment questions and transcript.

    A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next:

    A patient’s vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that

    When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o’clock in each eye. The FNP should

    The FNP is performing the diagnostic positions test. Normal findings would be which of these results?

    During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding?

    A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one eye. How should the FNP check for this?

    The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient?

    The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?

    During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings

    During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of:

    The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus?

    The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? Shadow health respiratory assessment questions and transcript During pregnancy:

    NR 509 Week 2 Quiz Review – (Jarvis 8,9,13,14,15,16,18), (Swartz 4,6,7,8,9,10)

    NR 509 Week 2 Quiz

    A mother brings her two month old daughter in for an examination says “my daughter rolled over against the wall and now I have noticed that she has the spot soft on the top of her head, is there something terribly wrong?” The FNP‘s best response would be:

    During percussion the FNP knows that a dull percussion note elicited over a lung lobe. This most likely results from:

    The patient is unable to differentiate between sharp and dull stimulation to both sides of her face. The FNP suspects Damage to:

    When examining the face, the FNP is aware that the two pairs of salivary gland‘s that are accessible to examination are the _____ glands

    A patient comes to the clinic complaining of neck and shoulder pain and is unable to turn her head. The FNP suspects damage to cranial nerve ____ and proceeds with the examination by____

    When examining a patient’s cranial nerve function, the FNP remembers that the muscles in the neck that are innervated by CN XI are the:

    The patient’s laboratory data reveal an elevated thyroxine level. The FNP would proceed with an examination of the _____ gland

    A patient says that she has recently noticed a lump in the front of her neck below her “Adams apple” that seems to be getting bigger. During the assessment, the finding that leaves the FNP to suspect that this may not be a cancerous thyroid nodule is that the lump:

    The FNP notices that the patient’s submental lymph nodes are enlarged. In an effort to identify the cause of the node enlargement, the FNP would assess the patient’s:

    The FNP is aware that the four areas in the body were lymph nodes accessible are the:

    A 52-year-old patient describes the presence of occasional floaters or spots moving in front of his eyes. The FNP should know that floaters are usually not significant and are caused by:

    The FNP is preparing to assess the visual acuity of a 16-year-old patient. How should the FNP proceed? Shadow health respiratory assessment questions and transcript.

    A patient’s vision is recorded as 20/30 when the Snellen eye chart is used. The FNP interprets these results to indicate that:

    A patient is unable to read even the largest letters on the Snellen chart. The FNP should take which action next:

    A patient’s vision is reported as 20/80 in each eye. The FNP interprets this finding to mean that

    When performing the corneal light reflex assessment, the FNP notes that the light is reflected at 2 o’clock in each eye. The FNP should

    The FNP is performing the diagnostic positions test. Normal findings would be which of these results?

    During an assessment of the sclera of an African-American patient, the FNP would consider which of these an expected finding? Shadow health respiratory assessment questions and transcript.

    A 60-year-old man is at the clinic for an examination. The FNP suspects that he has ptosis of one eye. How should the FNP check for this?

    The FNP is doing an assessment on a 21-year-old patient and notices that his nasal mucosa appears pale gray and swollen. What would be the most appropriate question to ask the patient?

    The FNP is palpating the sinus areas. If the findings are normal, then the patient should report which sensation?

    During an oral assessment of a 30-year-old African-American patient, the FNP notices bluish lips and a dark line along the gingival margin. What would the FNP do in response to these findings

    During an assessment of a 20-year-old patient with a three day history of nausea and vomiting the FNP notices dry mucous and deep vertical fissures on the tongue. These findings are reflective of:

    The FNP is reviewing the technique of palpating for tactile fremitus with a new graduate. Which statement by the graduate FNP reflects a correct understanding of tactile fremitus?

    The FNP student is reviewing physical assessment findings of the HEENT system associated with pregnancy. Which statement by the graduate FNP reflects a correct understanding of expected HEENT changes associated with pregnancy? During pregnancy: Shadow health respiratory assessment questions and transcript.

    NR 509 Week 2 Quiz Review – (Jarvis 8,9,13,14,15,16,18), (Swartz 4,6,7,8,9,10)

    1.       What does dullness when percussing lung fields: Jarvis pg 427

    2.       Facial sensation controlled by which CN: Jarvis 283,

    3.       Know what two salivary glands are accessible during exam

    4.       What CN is being … when pt shrugs shoulders Jarvis 646

    5.       What muscles are being …. when …. CN 11 (spinal accessory nerve)

    6.       Concern for malignant nodules versus benign lymph nodule

    7.       Know what you’d do next if you palpated a submental lymph node: Jarvis pg 253

    8.       Define visual acuity

    9.       Know what to do if your patient can’t read the largest number on the Snellen chart: Jarvis 289

    10.   Example of good visual acuity : Jarvis 289

    11.   Example of poor visual acuity: Jarvis 289

    12.   What is …. with corneal light reflex-

    13.   Know normal variances of sclera : Jarvis 283

    14.   Know how to check for Ptosis: Jarvis 292

    15.   What does ptosis indicate: Jarvis 292

    16.   Nasal fissure of pt with chronic allergies : Jarvis 271

    ·         Acute allergies : Jarvis p 363 .

    17.   What is an abnormal palpation of sinuses: Jarvis 362

    ·         Normal palpation of sinuses

    18.   Know normal variations in gingival margin Shadow health respiratory assessment questions and transcript

    19.   Know what a dehydrated oral cavity will look like: Jarvis 387

    20.   What is tactile fremitus, how do you test for it and what does it indicate. Jarvis 425

    N 518 Module 2: THE GENERAL SURVEY AND HEENT

    Module 2: Discussion Question

    Start by reading and following these instructions:

    You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. 
    Your initial post(s) should be your response to the questions posed in the discussion question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing.The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. Shadow health respiratory assessment questions and transcript. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally.

    Discussion Question:

    In your professional opinion, what is the difference between chronic and acute pain? How is the assessment for each type of pain different? What must you keep in mind when assessing acute pain? What must you keep in mind when assessing chronic pain?  Reflect upon a time when you assessed a patient in pain. What did you do well? What points could you have improved upon? How did the pain impact the patient? What specific treatments could have lessened the impact of the pain on the patient?

    Your initial posting should be 200 to 300 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 100 words in length. To properly “thread” your discussion posting, please click on REPLY Shadow health respiratory assessment questions and transcript.

    When you are ready for the discussion, do the following:

    Click on the discussion link above.

    Start your answer by clicking “Start a New Thread” button with the title of your answer and the body of text following the guidance above.

    To properly post your answer, please click on the “Post” button.

    After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you.

    To reply to a classmate’s post:

    Click on the title of another student’s post.

    Click “Reply to Thread” and type your response to the student.

    Click the “Post” button to post your reply.

    N 581 Module 2: Assignment

    Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append. Shadow health respiratory assessment questions and transcript.

    Start by reading and following these instructions:

    1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

    2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

    3. Consider the discussion and the any insights you gained from it.

    4. Create your Shadow health respiratory assessment questions and transcript Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

    Assignment:

    Exercises
    : 

    Complete the Shadow Health HEENT assessment.

    Professional Development

    Write a reflection essay of your experience with the Shadow Health virtual assessment. At least two scholarly sources in addition to your textbook should be utilized. Please be sure to address each of the following prompts:

    What went well in your assessment?

    What did not go so well? What will you change for your next assessment?

    What findings did you uncover?

    What questions yielded the most information? Why do you think these were effective?

    What diagnostic tests would you order based on your findings? Shadow health respiratory assessment questions and transcript.

    What differential diagnoses are you currently considering?

    What patient teaching were you able to complete? What additional patient teaching is needed?

    Would you prescribe any medications at this point? Why or why not? If so, what?

    How did your assessment demonstrate sound critical thinking and clinical decision making? What could you change to make it better?

    N 581: SHADOW HEALTH ASSIGNMENT

    Shadow Health Physical Assessment Rubric

    Shadow Health Physical Assessment Rubric

    Criteria

    Ratings

    Pts

    This criterion is linked to a Learning Outcome
    Subjective Data, Organization, Communication, and Summary (DCE Score or transcript)

    25.0
     pts

    Above Average- DCE Score greater than or equal to 93; Comprehensive introduction with expectations of exam verbalized; questions worded in a non-judgmental way; professional language exercised; questions well-organized; appropriate closing with summary of findings verbalized to patient.

    21.0
     pts

    Average- DCE Score greater than or equal to 86-92; Adequate introduction; some questions worded in a non-judgmental way; professional language mostly exercised; questions generally organized; somewhat complete closing.

    10.0
     pts

    Below Average- DCE Score greater than or equal to 80-85; Incomplete introduction; many questions worded in a judgmental way; some professional language exercised; questions somewhat organized; incomplete closing. Shadow health respiratory assessment questions and transcript

    0.0
     pts

    Unsatisfactory- DCE Score less than or equal to 79; Introduction missing; questions worded in a judgmental way; little professional language; questions unorganized; closing missing.

    25.0
     pts

    This criterion is linked to a Learning Outcome
    Objective Data, Physical Examination, Interpretation of Findings, Assessment, and Documentation

    20.0
     pts

    Above Average- Physical assessment documentation includes all relevant body systems; all pertinent normal and abnormal findings identified; documentation reflects professional language; treatment plan includes each of the following components: diagnostics, medication, education, consultation/referral, and follow-up planning.

    16.0
     pts

    Average- Physical assessment documentation lacks sufficient details pertaining to one or two relevant body systems; or identifies ≥ 50% of the pertinent normal and abnormal findings; or documentation lacks professional language; or treatment plan lacks one or two components (diagnostics, medication, education, consultation/referral, or follow-up planning).

    8.0
     pts

    Below Average- Physical assessment documentation lacks sufficient details pertaining to three or more relevant body systems; or identifies < 49% of the pertinent normal and abnormal findings; or documentation includes unprofessional language; or treatment plan lacks three or more components (diagnostics, medication, education, consultation/referral, or follow-up planning). 0.0  pts Unsatisfactory- No physical assessment documentation or no treatment plan. Shadow health respiratory assessment questions and transcript 20.0  pts This criterion is linked to a Learning Outcome Self-Reflection 5.0  pts Above Average- Responds to three of the three reflection post questions; and provides analysis of performance; and reflection posts written using professional language; and reflection posts demonstrate insight. 3.0  pts Average- Responds to two of the three reflection post questions; or provides limited self-analysis of performance; or reflection posts are somewhat unclear related to the assignment and the student’s experience; or reflection posts lack insight. 2.0  pts Below Average- Responds to one of the three reflection post questions; or does not provide self-analysis of performance; or reflections are not related to the assignment and the student’s experience; or does not provide insight 0.0  pts Unsatisfactory- No reflection posts for the assignment. 5.0  pts Total Points:  50.0 Shadow health respiratory assessment questions and transcript

  • Shadow health Questions – respiratory for Tina transcript results

    Shadow health Questions – respiratory for Tina transcript results

    History of Present Illness

    Finding:

    Established chief complaint

    Finding:

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    Reports increased breathing problems

    (Found)

    Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    What brings you in today?

    Finding:

    Asked about reasons for seeking treatment

    Finding:

    Reports worry that inhaler “isn’t working like it usually does”

    (Available)

    Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.

    Example Question:

    Why did you decide to seek treatment?

    Finding:

    Believes breathing problems triggered by asthma exacerbation

    (Available)

    Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    What do you think caused your illness?

    Finding:

    Asked about current breathing

    Finding:

    Reports current breathing is normal

    (Found)

    Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint.

    Example Question:

    Are you having difficulty breathing right now?

    Finding:

    Asked about symptoms during asthma exacerbation

    Finding:

    Describes exacerbation symptoms as chest tightness and “can’t take in air”

    (Found)

    Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe what happens when her asthma acts up will indicate how her individual symptoms manifest. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    What happens when your asthma acts up?

    Finding:

    Reports asthma severity as “not full attack,” but worse than usual

    (Available)

    Pro Tip: Asthma severity might change over time for a variety of reasons. Asking Tina about the severity of her asthma will allow her to assess her condition.

    Example Question:

    How severe is your asthma?

    Finding:

    Reports audible wheeze during asthma exacerbation

    (Available)

    Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.

    Example Question:

    Do you wheeze during an asthma exacerbation?

    Finding:

    Reports audible wheeze lasting 5 minutes during asthma exacerbation

    (Available)

    Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina how long her wheezing lasts illustrates how her asthma is presenting. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    How long does your wheezing usually last?

    Finding:

    Reports no post nasal drainage with asthma exacerbation

    (Available)

    Pro Tip: Post-nasal drip can worsen already exacerbated asthma. Soliciting information about Tina’s sinuses will point to additional factors that are triggering Tina’s breathing problems.

    Example Question:

    Do you have postnasal drainage when you have breathing problems?

    Finding:

    Reports no chest pain during asthma exacerbation

    (Found)

    Pro Tip: Symptoms often vary from patient to patient. Asking Tina whether she experiences chest pain during an attack will indicate how her individual symptoms manifest.

    Example Question:

    Are the shortness of breath episodes associated with chest pain?

    Finding:

    Asked about asthma management

    Finding:

    Reports feeling asthma is less controlled recently

    (Available)

    Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition.

    Example Question:

    How well do you feel your asthma is controlled? Shadow health Questions – respiratory for Tina transcript results.

    Finding:

    Reports asthma has been interfering with activities of daily life

    (Available)

    Pro Tip: Severe asthma can interfere with daily life. Asking Tina the degree to which asthma impacts her daily life can be illustrative of the relative severity of her asthma.

    Example Question:

    Is there anything you can’t do because of your asthma?

    Finding:

    Reports no record keeping of asthma exacerbation or shortness of breath episodes

    (Available)

    Pro Tip: For some patients, keeping records of asthma exacerbation allows them to monitor their conditions. Soliciting this information from Tina will show health literacy.

    Example Question:

    Do you use a chart to monitor your asthma?

    Finding:

    Reports no peak flow meter usage

    (Available)

    Pro Tip: A peak flow meter measures how well a patient’s lungs can expel air. By asking whether Tina uses a peak flow meter, you are asking about her health literacy and what kind of medical tools she uses to manage her asthma.

    Example Question:

    Do you check your peak flow regularly?

    Finding:

    Reports no nebulizer use

    (Available)

    Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina if she uses a nebulizer for her asthma will indicate her treatment plan and the degree to which she complies with it.

    Example Question:

    Do you use a nebulizer?

    Finding:

    Reports no vaporizer use

    (Available)

    Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever used a vaporizer can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

    Example Question:

    Do you use a vaporizer?

    Finding:

    Asked about recent asthma exacerbation

    Finding:

    Confirms recent asthma exacerbation

    (Available)

    Pro Tip: Asking about how Tina is recently breathing can provide a comparative baseline for assessing Tina’s current condition and previous breathing concerns or conditions.

    Example Question:

    Have you had breathing problems recently?

    Finding:

    Reports most recent asthma exacerbation two days ago

    (Available)

    Pro Tip: Soliciting a shallow history of a patient’s condition can provide a baseline for comparing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.

    Example Question:

    When did you last have problems with your asthma?

    Finding:

    Reports asthma exacerbation at cousin’s house

    (Available)

    Pro Tip: Environmental factors can often be primary allergy triggers. Asking Tina where she was when the most recent exacerbation occurred can point to potential environmental factors.

    Example Question:

    Where were you when your breathing problems started?

    Finding:

    Reports recent asthma exacerbation triggered by cats

    (Available)

    Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    What started your recent asthma problems?

    Finding:

    Treated recent asthma exacerbation with rescue inhaler

    (Available)

    Pro Tip: Tina’s response to a question about recent asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.

    Example Question:

    What treatment did you use when your asthma acted up?

    Finding:

    Asked about cat allergy

    Finding:

    Confirms cat allergy

    (Available)

    Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a cat allergy can reveal one such trigger.

    Example Question:

    Can you confirm that you are allergic to cats?

    Finding:

    Reports wheezing around cats

    (Available)

    Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina wheezes around cats can reveal one such trigger.

    Example Question:

    Do cats make you wheeze?

    Finding:

    Reports runny nose around cats

    (Available)

    Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina gets a runny nose around cats can reveal one such trigger.

    Example Question:

    How is your nose around cats?

    Finding:

    Reports eyes red, itchy, and swollen around cats

    (Available)

    Pro Tip: Asthma triggers can result in symptoms that manifest in various ways. Asking Tina how being around a known trigger will indicate what some of these symptoms might look like.

    Example Question:

    How does being around cats affect your eyes?

    Finding:

    Reports sneezing around cats

    (Available)

    Pro Tip: Environmental factors, like pets, can often be primary allergy triggers. Asking whether Tina sneezes around cats can reveal one such trigger.

    Example Question:

    Do you sneeze around cats?

    Finding:

    Reports infrequent cat exposure

    (Available)

    Pro Tip: Environmental factors can often be primary allergy triggers. Asking how often Tina is around cats, a known trigger, will indicate how frequently she is exposed to one trigger.

    Example Question:

    How often are you around cats?

    Finding:

    Asked about asthma triggers

    Finding:

    Confirms knowledge of asthma triggers

    (Available)

    Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina what triggers her asthma will indicate, in part, Tina’s health literacy.

    Example Question:

    Does anything trigger your asthma?

    Finding:

    Reports asthma triggered by cats

    (Available)

    Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a cat allergy can reveal one such trigger.

    Example Question:

    Do cats trigger your asthma?

    Finding:

    Reports asthma triggered by dust

    (Available)

    Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a dust allergy can reveal one such trigger.

    Example Question:

    Does being around dust trigger your asthma?

    Finding:

    Reports asthma triggered by running up stairs

    (Available)

    Pro Tip: Shortness of breath or asthma can be exercise-induced. Asking whether climbing stairs can be a trigger for Tina might reveal a possible provocation.

    Example Question:

    Does climbing stairs trigger your asthma?

    Finding:

    Reports no seasonal triggers

    (Available)

    Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina whether she has seasonal triggers will indicate, in part, Tina’s health literacy.

    Example Question:

    Do you have seasonal asthma triggers?

    Finding:

    Reports changes in weather do not trigger asthma

    (Available)

    Pro Tip: For some patients, weather changes can be asthma irritants. Asking Tina if the weather impacts her asthma will indicate if weather is an irritant for Tina’s condition. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    Do changes in weather make your asthma worse?

    Finding:

    Asked any question about exacerbation onset

    Finding:

    Reports asthma exacerbation two days ago

    (Found)

    Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.

    Example Question:

    How long ago did your breathing problems start?

    Finding:

    Asked about breathing since recent asthma exacerbation

    Finding:

    Reports frequent shortness of breath episodes since asthma exacerbation

    (Found)

    Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles.

    Example Question:

    How has your breathing been since the exacerbation?

    Finding:

    Reports shortness of breath episodes about every 4 hours since original asthma exacerbation

    (Available)

    Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition.

    Example Question:

    How many times have you had breathing problems in the past two days?

    Finding:

    Reports last shortness of breath episode was early in the morning

    (Available)

    Pro Tip: Soliciting a shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Asking about breathing problems can elicit a response about recent troubles. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    When did you last have trouble breathing?

    Finding:

    Asked any question about aggravating factors

    Finding:

    Reports shortness of breath slightly increased when lying flat on back

    (Available)

    Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. By asking Tina if lying down causes shortness of breath, you’re assessing which positions might cause exacerbation.

    Example Question:

    Does lying down make your asthma worse?

    Finding:

    Reports shortness of breath aggravated by movement

    (Available)

    Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. Inquiring into what activities make Tina short of breath can indicate possible triggers.

    Example Question:

    Is there anything you can’t do because of your asthma?

    Finding:

    Asked any question about associated symptoms since exacerbation

    Finding:

    Reports persistent cough

    (Found)

    Pro Tip: A shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Soliciting this information from Tina allows her to explain any recent developments with her asthma.

    Example Question:

    Have you been coughing?

    Finding:

    Reports no phlegm or sputum since exacerbation

    (Available)

    Pro Tip: A productive asthma cough can expel sputum from the lungs. By asking whether Tina has been coughing up phlegm or sputum you are discovering the nature of Tina’s cough since exacerbation.

    Example Question:

    Have you been coughing anything up?

    Finding:

    Reports shortness of breath is worse at night

    (Available)

    Pro Tip: Sometimes a condition will fluctuate during the course of the day. By asking Tina how her asthma differentially impacts her both during the day and at night, you are assessing an important change over time.

    Example Question:

    Is your asthma worse at night?

    Finding:

    Asked any question about wheezing since exacerbation

    Finding:

    Reports wheezing since exacerbation

    (Available)

    Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.

    Example Question:

    Have you been wheezing?

    Finding:

    Reports increased wheezing episodes since exacerbation

    (Available)

    Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking if Tina’s been wheezing more frequently since exacerbation can indicate the severity of her symptoms since exacerbation. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    Have you been wheezing more than usual?

    Finding:

    Reports 10 wheezing episodes since exacerbation

    (Available)

    Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina how frequently she’s been wheezing will illustrate the extent of exacerbation.

    Example Question:

    How many times have you wheezed in the past two days?

    Finding:

    Asked about asthma medication

    Finding:

    Reports asthma treated with inhaler

    (Found)

    Pro Tip: Tina’s response to a question about asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.

    Example Question:

    What usually works to treat your asthma?

    Finding:

    Asked about inhaler prescription

    Finding:

    Inhaler is Proventil

    (Available)

    Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it.

    Example Question:

    What is the name of the inhaler you are currently using?

    Finding:

    Prescribed usage is 2 puffs

    (Available)

    Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina how many puffs of her inhaler she’s prescribed will indicate her treatment plan and the degree to which she complies with it. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    How many puffs of your inhaler are you prescribed?

    Finding:

    Reports inhaler use since asthma diagnosis

    (Available)

    Pro Tip: Tina’s response to a question about asthma management will reveal the severity of her symptoms, her health literacy, and the way she’s complied with previous treatment plans.

    Example Question:

    How long have you had an inhaler?

    Finding:

    Reports sometimes needing a third puff to resolve asthma symptoms

    (Available)

    Pro Tip: Inhaler effectiveness can vary over time for a variety of reasons. Asking Tina about the number on inhaler puffs she needs to resolve symptoms can indicate whether her asthma has worsened or point to potential problems like poor inhaler technique.

    Example Question:

    How many inhaler puffs do you need?

    Finding:

    Asked about inhaler use over past 2 days

    Finding:

    Reports increased inhaler usage since asthma exacerbation

    (Available)

    Pro Tip: Asthma exacerbation can result in increased wheezing, shortness of breath, and chest tightness. Asking if Tina’s been using her inhaler more frequently since exacerbation can indicate how she’s been treating her symptoms since exacerbation. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    How often do you use your inhaler?

    Finding:

    Reports using inhaler every 4 hours or so since exacerbation

    (Available)

    Pro Tip: After an asthma exacerbation, patients often will become more reliant on medical tools like inhalers. Asking Tina how many times she’s used her inhaler in the past two days will point to the severity of her recent exacerbation.

    Example Question:

    How many times have you used your inhaler in the past two days?

    Finding:

    Reports most recent inhaler use early in the morning

    (Available)

    Pro Tip: Soliciting a shallow history of a patient’s medication history can reveal recent exacerbation. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment.

    Example Question:

    When did you last use your inhaler?

    Finding:

    Asked about possible contributing factors in environment

    Finding:

    Reports living situation is tidy and free of dust

    (Available)

    Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at home might indicate a relevant factor in her recent exacerbation.

    Example Question:

    Have you noticed anything at home that aggravates your asthma?

    Finding:

    Reports very rare exposure to asthma triggers at work

    (Available)

    Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at work might indicate a relevant factor in her recent exacerbation. Shadow health Questions – respiratory for Tina transcript results.

    Example Question:

    Does anything at work make your asthma worse?

    Finding:

    Reports new bedding

    (Available)

    Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina if she regularly changes her bedding, you’re soliciting information about environmental factors that might exacerbate her condition.

    Example Question:

    Do you change your bedding regularly?

    Finding:

    Reports using hypoallergenic mattress cover

    (Available)

    Pro Tip: Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.

    Example Question:

    Do you use a hypoallergenic mattress cover?

    Finding:

    Reports mattress approximately 1 year old

    (Available)

    Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina how old her mattress is, you’re soliciting information about environmental factors that might exacerbate her condition.

    Example Question:

    How old is your mattress?

    Finding:

    Reports using hypoallergenic pillows

    (Available)

    Pro Tip: Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.

    Example Question:

    Are your pillows hypoallergenic?

    Finding:

    Has no pets at home

    (Found)

    Shadow health Questions – respiratory for Tina transcript results Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has any pets can reveal one such trigger.

    Example Question:

    Do you have pets at home?

    Finding:

    Reports no one at home smokes tobacco

    (Available)

    Pro Tip: Secondhand smoke can be particularly triggering for asthmatics. Asking whether anyone in Tina’s household smokes might indicate a proximate environmental trigger.

    Example Question:

    Does anyone in your house smoke?

    Finding:

    Asked follow up question about cough

    Finding:

    Reports cough started two days ago

    (Available)

    Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.

    Example Question:

    When did the cough start?

    Finding:

    Reports cough since exacerbation

    (Available)

    Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.

    Example Question:

    How long have you had a cough?

    Finding:

    Reports cough aggravated by movement

    (Available)

    Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what makes Tina’s cough worse can open up a conversation about asthma management.

    Example Question:

    What makes your cough worse?

    Finding:

    Reports cough worse at night

    (Found)

    Pro Tip: Sometimes a condition will change during the course of the day. By asking Tina how her cough differentially impacts her both during the day and at night, you are assessing an important change over time.

    Example Question:

    Is your cough worse at a certain time of day?

    Finding:

    Reports cough slightly relieved by drinking water

    (Available)

    Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what relieves Tina’s cough can open up a conversation about asthma management.

    Example Question:

    What makes your cough better?

    Finding:

    Reports cough persistent but not severe

    (Available)

    Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

    Example Question:

    How severe is your cough?

    Finding:

    Reports “small, dry” cough

    (Found)

    Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

    Example Question:

    How would you describe your cough?

    Finding:

    Reports no cough treatments

    (Available)

    Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not treat this symptom Shadow health Questions – respiratory for Tina transcript results. Asking Tina how she is treating her cough might reveal her current symptom management and health literacy.

    Example Question:

    Have you tried to treat your cough?

    Finding:

    Asked follow up question about asthma at night

    Finding:

    Reports waking up with shortness of breath since asthma exacerbation

    (Available)

    Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.

    Example Question:

    Does your asthma wake you up at night?

    Finding:

    Reports waking up twice a night with asthma since exacerbation

    (Available)

    Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.

    Example Question:

    How many times in the past two nights did asthma wake you up?

    Finding:

    Reports wheezing at night

    (Available)

    Pro Tip: Wheezing might indicate a recent asthma exacerbation. Asking Tina whether she’s been wheezing in the past two nights will give you insight into her immediately recent symptoms.

    Example Question:

    Have you been wheezing the past two nights?

    Relevant Medical History

    Finding:

    Asked about asthma diagnosis

    Finding:

    Has asthma

    (Found)

    Pro Tip: Asking whether Tina has asthma will elicit information regarding any previous respiratory diagnosis.

    Example Question:

    Can you confirm that you have asthma?

    Finding:

    Diagnosed with asthma in childhood

    (Found)

    Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

    Example Question:

    How long have you had asthma?

    Finding:

    Diagnosed with asthma at 2 1/2 years old

    (Available)

    Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

    Example Question:

    How old were you when you were diagnosed with asthma?

    Finding:

    No current asthma doctor

    (Available)

    Pro Tip: Seeing a specialist, like an asthma doctor, can help patients to manage symptoms. Asking whether Tina is seeing an asthma doctor will allow you to assess her current treatment plan and healthcare access.

    Example Question:

    Do you have an asthma doctor?

    Finding:

    Asked about hospitalizations for asthma

    Finding:

    Reports prior hospitalizations for asthma

    (Available)

    Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina if she’s been hospitalized, you are soliciting information about the history and severity of her condition.

    Example Question:

    Have you ever been hospitalized for asthma?

    Finding:

    Reports last hospitalization was age 16

    (Available)

    Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina when she was last hospitalized, you are soliciting information about the history and severity of her condition.

    Example Question:

    When was your last hospitalization for asthma?

    Finding:

    Estimates 5 total hospitalizations for asthma

    (Available)

    Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina the number of times she’s been hospitalized, you are soliciting information about the history and severity of her condition.

    Example Question:

    How many times have you been to the hospital?

    Finding:

    Reports she has never been intubated

    (Available)

    Pro Tip: Intubation for a condition, like asthma, can reveal its severity Shadow health Questions – respiratory for Tina transcript results. By asking Tina if she’s been intubated, you are soliciting information about the history and severity of her condition.

    Example Question:

    Have you ever been put on a breathing tube?

    Finding:

    Asked about relevant history

    Finding:

    Reports no history of eczema

    (Available)

    Pro Tip: Children with eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.

    Example Question:

    Have you had eczema?

    Finding:

    Reports no history of sinus problems

    (Available)

    Pro Tip: People with asthma are likely to also experience sinus problems. It is important to determine whether Tina has sinus problems as they can cause complicating symptoms in patients who also experience asthma.

    Example Question:

    Do you have a history of sinus problems?

    Finding:

    Reports no current tobacco use

    (Found)

    Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina if she currently smokes can help you to discern whether smoking was a factor in Tina’s recent asthma exacerbation.

    Example Question:

    Do you smoke cigarettes?

    Finding:

    Reports no history of tobacco use

    (Available)

    Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked cigarettes can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

    Example Question:

    Have you ever smoked cigarettes?

    Finding:

    Reports no history of GERD

    (Available)

    Pro Tip: People with asthma are almost twice as likely to also experience GERD. It is important to determine whether Tina has GERD as GERD can cause shortness of breath in patients who also experience asthma.

    Example Question:

    Do you have gastroesophageal reflux disease?

    Finding:

    Reports no history of respiratory infection

    (Available)

    Pro Tip: History of respiratory illness can manifest in various conditions. Inquiring into Tina’s relevant history can reveal past diagnoses and previous conditions or concerns.

    Example Question:

    Have you ever had respiratory infections?

    Risk Factors

    Finding:

    Asked about family history

    Finding:

    Reports younger sister only family with asthma

    (Available)

    Pro Tip: Soliciting a family history helps you to determine which, if any, conditions are inherited. In asking Tina whether anyone in her family has asthma, you’re ascertaining whether Tina’s condition is inherited.

    Example Question:

    Does anyone in your family have asthma?

    Finding:

    Reports no recent illnesses with family members at home

    (Available)

    Pro Tip: For people with asthma, getting sick can increase their risk for exacerbation. If Tina’s had any family members recently sick, that might have caused her recent exacerbation.

    Example Question:

    Has anyone at home been sick?

    Finding:

    Reports no family history of eczema

    (Available)

    Pro Tip: People with a family history of eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.

    Example Question:

    Does anyone in your family have eczema?

    Finding:

    Reports no family history of sinus problems

    (Available)

    Pro Tip: People with a family history of sinus problems are often at a higher risk for asthma. If Tina has a family history of sinus problems, this could suggest inherited sensitivity.

    Example Question:

    Do you have a family history of sinus problems?

    Finding:

    Asked about smoking any substances

    Finding:

    Reports past marijuana use

    (Available)

    Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked marijuana can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

    Example Question:

    Have you ever smoked marijuana?

    Finding:

    Reports quitting marijuana due to lack of interest and asthma exacerbation

    (Available)

    Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina why she quit smoking marijuana can help you to discern whether smoking exacerbated Tina’s asthma.

    Example Question:

    Why did you stop smoking marijuana?

    Finding:

    Reports stopping marijuana use at 20 or 21

    (Available)

    Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina when she quit smoking marijuana can help you to discern whether smoking recently exacerbated Tina’s asthma.

    Example Question:

    When was the last time you smoked marijuana?

    Finding:

    Reports smoking marijuana for 5 or 6 years Shadow health Questions – respiratory for Tina transcript results