6512 Assessment Tools

6512 Discussion 3

Discussion: Assessment Tools and Diagnostic Tests in Adults and Children
When seeking to identify a patient鈥檚 health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.
Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture-among other factors-are also relevant. That said, gathering and communicating this information can be a delicate process.
In this Discussion, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children鈥檚 health and weight.
To prepare:
路 Review this week鈥檚 learning resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. We will also review examples of pediatric patients and their families as it relates to BMI.
路 This week you will be assigned one of the following DB by your instructor.
1. Select one of the following assessment tools or diagnostic tests to explore for the purposes of this Discussion:
搂 Mammogram
搂 Prostate-specific antigen (PSA) test
搂 Body-mass index (BMI) using waist circumference for adults
2. Select聽one聽of the examples on which to focus for this Discussion. What health issues and risks may be relevant to the child you selected?
搂 Overweight 5-year-old boy with overweight parents
搂 5-year-old girl of normal weight with obese parents
搂 Severely underweight 12-year-old girl with underweight parents
路 Search the Walden Library and credible sources for resources explaining the tool or test you selected. What is its purpose, how is it conducted, and what information does it gather?
路 What does the literature discuss regarding the validity, reliability, and are there any issues with sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool?
路 Based on the risks you identified, consider what further information you would need to gain a full understanding of the child鈥檚 health. Think about how you could gather this information in a sensitive fashion.
路 Consider how you could encourage parents or caregivers to be proactive toward the child鈥檚 health.
Post聽a description of how the assessment tool or diagnostic test you selected is used in health care. Based on your research, evaluate the test or the tool鈥檚 validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.
OR
Post聽an explanation of the health issues and risks that are relevant to the child you selected. Describe additional information you would need in order to further assess his or her weight-related health. Taking into account the parents鈥 and caregivers鈥 potential sensitivities, list at least three specific questions you would ask about the child to gather more information. Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child鈥檚 health and weight.

 

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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or 鈥済ood post,鈥 and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

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I discourage over-utilization of direct quotes in DQs and assignments at the Master鈥檚 level and deduct points accordingly. As Masters鈥 level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else鈥檚 words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

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