Topic 2 DQ 2

Physical health assessment is a structured physical examination that allows a nurse to obtain a complete assessment of the patient’s health status. Typically, the techniques that should be applied to the physical assessment process: Are — inspection, palpation, percussion, and auscultation (Registered Nursing, 2021).

Before the actual physical assessment, the patient undergoes an interview to collect medical information. While this might be an easy process for adults and older children, getting information from a young child requires a lot of strategies and patience (Registered Nursing, 2021)

To get information from young children, the nurse would have to rely on their mothers to provide the data while at the same time engaging the child by talking to him/her through the interview process. The nurse must develop a good rapport with the child to gain his/her full Cooperations; listening and using appropriate communication techniques are essential in this process. A calm and reassuring manner of the nurse will help to gain a child’s confidence; use Suitable toys or other aids can be used to help the child interact with the nurse (Registered Nursing, 2021)

During the interview, the nurse can begin by asking the child trivial questions like his/her name, favorite food, cartoon character, etc., and then subtly lead to the questions that might help assess the child’s health status.

In the case of adults and older children, the interview can begin directly. When it comes to physical examination of the body, again, the approach will have to be different for a young child than an adult or older child. A child might not like someone else touches him/her. The nurse will have to win the trust, and the parent will have to be there to reassure the child. If the child is in pain, then examining that part of the body might be a bit more complicated, but again tactics and communication skills of the nurse will help (Registered Nursing, 2021).

For grown-ups, the physical examinations will be much easier because they know what is happening and why it is happening. On the other hand, a young child might be scared of the instruments used to examine them. The nurse should engage in active listening with an adult patient while paying attention to verbal and nonverbal cues. Ask open-ended questions that would allow the patient to detail the actual symptoms needed to ascertain what is happening to the patient. (Walden University, 2021) Be empathetic with an adult patient by saying you understand what he/she is going through so that you can gain his/her trust in the interview process. The nurse can also validate and reassure the patient that their problems would be addressed while in your care. Another strategy is transitions and empowerment of the patient in the interview process to help alleviate their fear of the unknown in the current health issues(Walden University, 2021).So, physical assessment of a child will differ from an adult intact, but the techniques are the same.

Respond to the above post using 200-300 words APA format with reference by supporting the discussion.

 Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement. 

 

Qualitative Research

Write a fully developed and detailed APA essay addressing each of the following points/questions. There is no required word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) source using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page are required. Review the rubric criteria for this assignment.

Conduct a literature search to select a qualitative research study on the topic identified in Module 1. Conduct an initial critical appraisal of the study.

Respond to the overview questions for the critical appraisal of qualitative studies, including:

• What type of qualitative research design was utilized to conduct the study?
• Are the results valid/trustworthy and credible?
• How were the participants chosen?
• How were accuracy and completeness of data assured?
• How plausible/believable are the results?
• Are implications of the research stated?
• May new insights increase sensitivity to others’ needs?
• May understandings enhance situational competence?
• What is the effect on the reader?
• Are the results plausible and believable?
• Is the reader imaginatively drawn to the experience?
• What are the results of the study?
• Does the research approach fit the purpose of the study?
• How does the researcher identify the study approach?
• Are the data collection and analysis techniques appropriate?
• Is the significance/importance of the study explicit?
• Does the literature support a need for the study?
• What is the study’s potential contribution?
• Is the sampling clear and guided by study needs?
• Does the researcher control selection of the sample?
• Do sample size and composition reflect the study needs?
• Is the phenomenon (human experience) clearly identified?
• Are data collection procedures clear?
• Are sources and means of verifying data explicit?
• Are researcher roles and activities explained?
• Are data analysis procedures described?
• Does analysis guide directions of sampling when it ends?
• Are data management processes described?
• What are the reported results (descriptive or interpretation)?
• How are specific findings presented?
• Are the data meanings derived from data described in context?
• Does the writing effectively promote understanding?
• Will the results help me care for my patients?
• Are the results relevant to persons in similar situations?
• Are the results relevant to patient values and/or circumstances?
• How may the results be applied to clinical practice?

Please be sure to answer the questions thoroughly using complete sentences and APA format. Explain responses to yes/no questions in detail by presenting information found in the study to support your response.

Provide a reference for the article according to APA format and a copy of the article.

Assignment Expectations:

Length: Clearly and fully answer all questions; attach a copy of the article
Structure: Include a title page and reference page in APA format. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source for the article is required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

In a 3-page paper, written in APA format using proper spelling/grammar, research the topic of learning disabilities of American children and address the following:

1. When is a child’s communication considered delayed? Please include stages of development regarding communication with examples.
2. What are speech disorders and how are they characterized?
3. What are language disorders? How does they affect language development and education?
4. How does a speech language pathologist help children with communication disorders? Explain with specific techniques and examples.

Be sure to include APA citations for any resources you used as references.

Promoting Evidence-Based Practice

In recent years, the implementation of evidence-based practice has been identified as a priority across nearly every nursing specialty (Prevost & Ford, 2020). In addition, nurses are increasingly accepted as essential members and often as leaders, of the interdisciplinary health-care teams. To effectively participate and lead a health-care team, nurses must have knowledge of the most effective and reliable evidence-based approaches to care, increase their expertise in critiquing research, and apply the evidence of their findings to select optimal interventions for their patients (Prevost & Ford, 2020).

Instructions:

1. Read the infomation above, and then answer the following questions:
   1. Identify at least five (5) things you might do to increase your knowledge and use of evidence in your practice? (explain each suggestion and how it fits in the practice)
   2. What are the most significant and driving and restraining forces to make this change?
   3. Would you expect covert or overt resistance to your efforts?
   4. Will you need to enlist support from others or acquire additional resources for this planned change to occur? (be specific as in administrative support or scientific journals, etc)
2. Your paper should be:
   • One (1) page
   • Typed according to APA style for margins, formatting and spacing standards
   • Typed into a Microsoft Word document, include references.