1.Think about an experience you\’ve encountered when viewing or completing the particular assessment.
2.Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
3.Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing (the particular) assessment. NUR 643E Health Assessment Topic Reflection 1
4.Describe how the Christian worldview and compassion for all plays a role in this type of assessment.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NUR 643E Health Assessment Topic Reflection 1

Response

Physical examination and history taking for the head and neck are essential functions of medical personnel, but they can be particularly challenging. In fact, this is usually the first activity that medical personnel undertake upon coming into first contact with the patient since these regions have a concentration of nerves that could be overlooked if the client presents with a seemingly non-related issue. NUR 643E Health Assessment Topic Reflection 1. As part of providing compassionate care that is in line with the Christian worldview, conducting physical examination of the head and neck is considered a priority to ensure that potentially debilitating conditions are not overlooked. Conducted when the patient is in a seated position, the physical examination of the head and neck can be length although varied dependent on the patient’s presenting history and complaint (Kauffman, 2014). There are five activities that are typically conducted when conducting physical examinations to include examinations of the head, ears, eyes, neck, and nose and throat. Perhaps the most challenging aspect of the examinations is checking the ears, particularly auditory acuity tests involving the use of tuning fork instruments. The challenge is in the use and interpretation of the test results when hearing loss is suspected. Firstly, Weber (lateralization) test that checks for asymmetric, normal and bilateral hearing. It is subjective since the client is required to indicate sound loudness for the vibrating tuning fork as compared for the two ears. NUR 643E Health Assessment Topic Reflection 1. The subjective nature of the test makes it difficult to interpret the results. Secondly, Rinne test that checks for conductive hearing loss. It checks for bone and air conduction by placing a vibrating tuning fork on the ear’s mastoid process. The challenge is in the subjective nature of the test since the patient must indicate when he or she stopes hearing the tone from the vibrating tuning fork. The identified difficulties noted in the subjective nature of the two tests can be addressed through experience in using the tests, making the nurse more skilled in noting the typically overlooked subtle differences that have implications for test findings and interpretations (Bickley & Szilagyi, 2013; Kauffman, 2014). NUR 643E Health Assessment Topic Reflection 1.

References

Bickley, L. & Szilagyi, P. (2013). Bates’ guide to physical examination and history-taking (11^th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Kauffman, M. (2014). History and physical examination: a common sense approach. Burlington, MA: Jones & Bartlett Learning. NUR 643E Health Assessment Topic Reflection 1.

NUR 643E Health Assesment Topic Reflection 2

Complete a 250‐word NUR 643E Health Assesment Topic Reflection 2 reflection of what you have learned during this topic. Include the following in your reflection:
1.Think about an experience you\’ve encountered when viewing or completing the particular assessment.
2.Discuss difficulties that could potentially arise or specific questions related to completing this type of assessment.
3.Include illustrative examples of potential strategies used to overcome the difficulties encountered when completing (the particular) assessment. NUR 643E Health Assesment Topic Reflection 2
4.Describe how the Christian worldview and compassion for all plays a role in this type of assessment.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Health assessment topic reflection

The health assessment topic was informative with regards to identifying one facet of nurses’ function. It introduced the concept of health assessment as the first step in identifying the health care needs of a patient. Health assessment makes use of physical examination to develop an understanding of what patients need from the medical perspective and how nurses and other medical personnel can meet that need. In addition, the topic distinguished health assessment from diagnostic tests that are conducted when a specific disease/condition is suspected following the presentation of known symptoms and/or signs. Besides that, the topic identified that there are four types of health assessment NUR 643E Health Assesment Topic Reflection 2. The first type is initial assessment conducted to determine the nature of the health problem reported by the patient. The second type is focused assessment that exposes and treats the health problem. The third type is time-lapsed assessment that is conducted to assess the problem as the patient’s condition is stabilized and the treatment proceeds. The fourth type is emergency assessment that seeks to rapidly identify the root cause of the health problem along with assessing the patient’s circulation, breathing and airway (Finkelman, 2016) NUR 643E Health Assesment Topic Reflection 2.

Although health assessment improves the speed of nursing intervention through presenting a targeted for nursing care, there are concerns about accuracy and comprehensiveness. This is especially of concern when it is considered that nurses have different experience, knowledge, and skill levels so that there are no guarantees that two different nurses will always present the same health assessment results for a patient. This variation on assessment outcomes based on individual nurses has implications for the care approach selected. This concern is best addressed through having standards, protocols and policies targeted at ensuring that the most accurate assessment results are presented based on the current available verified evidence. NUR 643E Health Assesment Topic Reflection 2. Besides that, health assessment should be accompanied by diagnostic tests to gain an accurate understanding of the health issues affecting the patient. Overall, health assessment is an opportunity for nurses to offer compassionate care that is in line with the Christian perspective through empathizing with the suffering and pain of patients, and presenting an early treatment plan that relieves the pain and suffering even as other assessments proceed for more comprehensive care (Cherry & Jacob, 2016).

References

Cherry, B. & Jacob, S. (2016). Contemporary nursing: issues, trends, & management. Amsterdam: Elsevier Health Sciences.

Finkelman, A. (2016). Leadership and management for nurses: core competencies for quality care (3^rd ed.). London: Pearson Education NUR 643E Health Assesment Topic Reflection 2.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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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 “good post,” 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.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

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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.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ 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’s 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. NUR 643E Health Assessment Topic Reflection 1

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• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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