Comprehensive Physical Assessment

This Comprehensive Assessment activity provides the opportunity to plan and conduct a full health assessment on a patient in a single clinic visit. Students spend, on average, three hours on this activity.

Before entering the clinic room you will complete the Plan My Exam activity to organize the exam procedures you will use into a sequence that moves smoothly from head to toe by mapping them to the region of the body where you will perform them. After you have planned your exam, you will enter the clinic room and conduct a Comprehensive Assessment by interviewing and examining your Digital Standardized Patient.

These prompts help you think more deeply about your performance in the activity. Reflective writing develops your clinical reasoning skills as you grow and improve as a clinician and gives your instructor insight into your learning process. The more detail and depth you provide in your responses, the more you will benefit from this activity.

• Read Chapters 4-11 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 

• Read Chapters 12-17 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 

• Read Chapters 4, 18 & 31 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 
• Read Chapters 19-20 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Saunders. 
• Optional Resource: Map the Human Heart 

Map of the Human Heart — NOVA | PBS

See exactly how your heart pumps blood throughout your body and learn astounding facts about the human heart.

• Read Chapters 21 and 24-26 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Elsevier. 
• Read Chapters 22-23 In Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Elsevier. 
• Read Chapters 28 in Jarvis, C. (2015). Physical examination and health assessment (7th ed.).  St. Louis, MO: Elsevier. 

Additional Instructions:

1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Option:

Instruction

Paper

• 2 to 3-page paper. Include title and reference pages.

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Due tomorrow 3/20/2020 4PM Eastern time.  Must answer all 3 questions at the bottom and have references within the past 4 years.

By the due date assigned, respond to the case study questions below and submit your responses to the Discussion Area.

Respond to the question using the lessons and vocabulary found in the readings. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow APA format for writing style, spelling and grammar, and citation of sources.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response. Complete your participation for this assignment by the end of the week.

Case Study:

An 18 year old college student reports a history of episodic attacks of shortness of breath, dry cough, and wheezing for the last 5 years. These symptoms usually occur during a change of weather or whenever she “catches a cold”. Symptoms also reported to worsen during night and early morning. Accompanying symptoms of recurrent sneezing, runny nose, and itchy eyes.
The patient reports she was prescribed some inhaler medications by her practitioner two years ago for use as needed. She stopped the meds as she was concerned over inhaler dependence. Intermittently she takes cough syrup during “attacks” with some help.

PMH: No diagnosed chronic illnesses
SH: College student, single, lives with parents. Father is smoker in the home, use dry wood in the home in fireplace

ROS:
Constitutional: Denies fever, denies weight loss
Respiratory: Denies hemoptysis, reports mostly dry cough
Cardiovascular: Tightness in chest at times
ENT: Denies ear pain, mild rhinorrhea reported, scratchy throat intermittently

Question answers should be based on evidence found in readings and from peer-reviewed literature. At least two sources must be used and cited in APA format for each question. Only one source can be a textbook. Resources should generally be within 5 years unless you are explaining the pathophysiology of a disease or providing pertinent background information.

Discussion Questions:

1. Based on the history provided, the health care provider suspects asthma with varying frequency and intensity. Describe whether this condition is restrictive or obstructive and support with evidence.
2. Describe the pathophysiologic process that occurs with asthma and support with evidence from the literature.
3. Explain what confirmatory testing is evidence based practice for diagnosing asthma and how this information can guide the treatment plan.

Write a critical appraisal that demonstrates comprehension of two  qualitative research studies in NURSING. Successful completion of this  assignment requires that you provide rationale, include examples, and  reference content from the studies in your responses.

In  a 1,000–1,250 word essay, summarize two qualitative studies, explain  the ways in which the findings might be used in nursing practice, and  address ethical considerations associated with the conduct of the study.

Prepare  this assignment according to the guidelines found in the APA Style  Guide, located in the Student Success Center. An abstract is not  required.