Clinical diagnostic paper | Nursing homework help


see attachments I own perfect a fraction of the assignment but demand the quiet of the

  

Diagnostic and Clinical Reasoning Nursing essay Assignment

The meaning of this assignment is to arrange you the vacation to diffuse the object of your clinical munimentation and your cogitation wayes not-absolute to intricate enduring wariness plights. 

1. Fine a enduring face from your vulgar clinical proof. 

2. The enduring face you fine should be one of the elapsed intricate enduring plights that you own proofd succeeding a conjuncture your vulgar clinical enduring population. Given that you are to fine intricate plights, this assignment may not be perfectd for a ‘unconcealed bloom, polite slip, polite woman, enjoin OB, enjoin visible exam (etc.)’ model of face.

You earn demand to warrant which enduring face you are diffuseing your munimentation for by including the Typhon Plight ID # beneathneathneath your indicate on the denomination page of your Nursing essay. 

3. For this assignment you earn localize the selfselfsimilar SOAP format that you do for your ‘expanded’ Typhon faces. Compose this assignment ensuring that you concur to the match pilotlines arranged in the 6th edition APA manual. 

Below is the aggravateview of the required atoms for this assignment:

*Title Page (Page 1): Follow APA pilotlines for offer gathering on page 1, and embrace Medical Diagnosis, Novice Name, Typhon Plight ID #, and Date.

*Subjective (Start of Page 2): Follow APA pilotlines for offer gathering on page 2 and succeeding pages.

CC: pre-eminent repining - What are they entity seen for? This is the argue that the enduring sought wariness, established in their own language, or paraphrased. 

HPI: fact of offer indisposition - use the “OLDCART” adit for collecting grounds and munimenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving Factors, T=treatment, S=summary]

PMH: elapsed medical fact - This should embrace elapsed indisposition/diagnosis, stipulations, traumas, hospitalizations, and surgical fact. Embrace dates if enjoyly. 

Allergies: State the offending medication/food and the reactions. 

Medications: Names, dosages, and routes of administration. 

Social fact: Akin to the amount, educational roll/literacy, smoking, alcohol, offals, HIV destroy, sexually free, caffeine, operation and other stressors. Cultural and religions beliefs that collision bloom and indisposition. Financial media. 

Click on the converge beneathneath to perpend the CDC’s notification on the ‘gregarious determinants of bloom’. 

https://www.cdc.gov/socialdeterminants/

Family fact: Use stipulations enjoy affectionate, tender and the diseases and the ages they were insensible or diagnosed if public. 

Health Maintenance/Promotion: Immunizations, collision, sustenance, etc. Remember to use the United States Clinical Preventative Services Task Force (USPSTF) pilotlines for age misapply indicators. This should ruminate what the enduring is offerly doing concerning the pilotlines. 

Click on the converge beneathneath to path notification environing vulgar pilotlines.

https://www.uspreventiveservicestaskforce.org/

Review of Systems (ROS): this is to find secure you own not missed any pressurey symptoms, in-feature in areas that you own not already wholly perpendd conjuncture examineing the fact of offer indisposition. You would as-well deficiency to embrace any impartial negatives or positives that would aid succeeding a conjuncture your differential idiosyncrasy. For clever episodic (focused) investigates (i.e. sprained ankle, pointed throat, etc.) you may be disregarding fixed areas such as GYN, Rectal, GI/Abd, etc. Conjuncture the roll beneathneath is arranged for your vacation it is not to be considered all-encompassing and you are expected to embrace other schemes/categories ry to your enduring’s pre-eminent repining.

General: May embrace if enduring has had a fervor, chills, harass, malaise, etc. 

Skin: 

HEENT: gathering, eyes, ears, nose and throat 

Neck: 

CV: cardiovascular 

Lungs: 

GI: gastrointestinal 

GU: genito-urinary 

PV: peripheral vascular 

MSK: musculoskeletal 

Neuro: neurological 

Endo: endocrine 

Psych: 

*Objective: 

Physical Proof (PE): either poor for a focused exam or elapsed bulky for a perfect fact and visible duty. This area should establish your findings akin to the idiosyncrasy. For clever episodic (focused) investigates (i.e. sprained ankle, pointed throat, etc.) you may be disregarding fixed areas such as GYN, Rectal, Abd, etc. All SOAP voicelessnesss still should own visible proof of CV and lungs. Conjuncture the roll beneathneath is arranged for your vacation it is not to be considered all-encompassing and you are expected to embrace other schemes/assessments ry to your enduring’s pre-eminent repining. Ensecure that you embrace misapply manful and femanful biased visible dutys when ry to the face. Your visible exam notification should be schemeatic using the selfselfsimilar mass scheme format as the ROS minority. Misapply medical terminology describing the extrinsic proof is mandatory. 

VS: indispenstalented signs, elevation and pressure, BMI 

Gen: unconcealed assertion of presumption, if there is any clever vex. 

Skin: 

HEENT: gathering, eyes, ears, nose and throat 

Neck: 

CV: cardiovascular 

Lungs: 

Abd: abdomen 

GU: genito-urinary 

PV: peripheral vascular 

MSK: musculoskeletal 

Neuro: neurological exam 

Psych:

Diagnostic Tests: This area is for tests that were completed during the enduring’s appointment that firm the differential idiosyncrasy in or out (e.g. – Rapid Strep Test, CXR, etc.).

*Assessment: (estimate each idiosyncrasy) 

Diagnosis/Diagnoses: Start succeeding a conjuncture the offering pre-eminent repining idiosyncrasy original. Estimate each idiosyncrasy. A assertion of vulgar situation of all other continuous indispositiones that were orationed during the investigate must be embraced (i.e. HTN-polite managed on medication). Remember the S and O must succor this idiosyncrasy. Impartial positives and negatives must be build in the write-up. 

*Plan: (estimate each guile biased to each idiosyncrasy)

These are the insinuations that report to the aloft idiosyncrasy and oration the succeedingcited phases (they should be disjoined out as rolled beneathneath): 

Diagnostics: labs, features testing - tests that you guilened for/ordered during the face that you guile to criticism/evaluate not-absolute to your operation up for the enduring’s pre-eminent repining. 

Therapeutic: changes in meds, peel wariness, counseling 

Educational: notification clients demand in enjoin to oration their bloom amounts. Embrace follow-up wariness. Anticipatory plainion and counseling.

Consultation/Collaboration: referrals, or ask-advice-of conjuncture in clinic succeeding a conjuncture another arranger. If no referral made was there a enjoyly referral you could find and why? Advance wariness guilening. 

*Clinical Firmness Making 

The next minority summarizes your discriminating thinking, firmness-making and feature argueing skills that arranges you the platform to diffuse on your signed Typhon enduring face. It is a ruminateion of the cogitation way you used in caring for the enduring. Follow the plainions beneathneathneath each minority and label each area as misapply. All notification should be in your own language. 

Pathophysiology

Include notification in revere to the pathophysiology akin to the main idiosyncrasy or indisposition way. This earn aid to beneathneathstand how the S and O succored the idiosyncrasy you assigned. 

Do not vision and elapsede from likely commencements. Paraphrase commencement notification as you compose your argument of the pathophysiology and ensecure that you arrange in-citation and intimation citations for the commencement.  

Pharmacology:  OR (***Alternate - Therapy notification): 

Choose one offal that was prescribed at this investigate or that is taken continuousally by the enduring to criticism. Please embrace the indicate of the offal (collective and infamy), class, action, perspiration, bclassify possessions and interactions, why this feature offal is entity prescribed for this feature enduring, what is this offal prepared to negotiate, (specifically antibiotics, what organisms are we negotiateing?). What other offal could be separated instead that would operation, if any? Keep in sentiment the require and vacation for the enduring. 

***NOTE: Since the enduring face you fine for this assignment is deemed to be one of the most intricate faces you own succeeding a conjuncture this way population, the enjoylihood exists that you earn own a pharmacologic proxy to examine for this assignment limitation. However, if there are no pharmacologic proxys to localize then pick-out a non-pharmacologic atom of the hygienic guile (e.g. this could be hyperbaric therapy, breathe-into therapy, recreation grafting, biofeedback, PT, OT, Counseling [e. g. nutritional, emotional, proceeding variation, etc.]or a Complementary Alternative Medical viands [e.g. nutritional therapy, a religions insinuation, Emotional Freedom Therapy (EFT), journaling, visual imagery, modifitalented recreation, Cranial Electrical Stimulation (CES), etc.] 

Do not vision and elapsede from likely commencements. Paraphrase commencement notification as you compose your argument and ensecure that you arrange in-citation and intimation citations for the commencement.  

Clinical Feature Reasoning:

Include in this minority:

1. Differential diagnoses

Include a roll of all of the diagnoses you considered for your roll of ‘differential diagnoses. This roll may increase over the diagnoses signed in the ‘A’ minority of the Nursing essay.

2. Priority idiosyncrasy argument

Discuss the key duty [fact and visible exam] findings that resulted in the identification of the pre-eminence idiosyncrasy/diagnoses involved in the ‘A’ minority of the Nursing essay 

3. Rationale for key atoms of the guile of wariness 

As an tardy usage novice you demand to perpend the proof not-absolute to the enduring’s wariness demands and be talented to muniment the rationale for the atoms of the guile. 

Briefly arrange rationales for the key atoms of the guile of wariness [e.g. if a feature HTN medication is prescribed then intimation the vulgar JNC pilotlines, if a feature antimicrobial is prescribed arrange the commencement intimationd for the firmness, etc.]

Provide a rationale for any wariness phase embraced in the guile that is not accordant succeeding a conjuncture the wariness adites build in your way materials, EBP, CPGs or encompassed in the ‘community model of wariness’. 

When using likely commencements to succor your argument do not vision and elapsede from the commencements. Paraphrase commencement notification as you compose your argument and ensecure that you arrange in-citation and intimation citations for the commencement.  

Ethical and or Cultural Concerns: 

Identify any intellectual or cultural posteritys akin to this enduring’s wariness. Embrace how these concerns were orationed. 

Discuss the succeedingcited:

1. Review the conditions of the ANA Code of Ethics 

Choose at smallest one of the conditions of the Code and examine how your proof succeeding a conjuncture the enduring face aligns succeeding a conjuncture the tenants of the victuals OR how you advocated for the enduring during the face to ensecure your actions aligned succeeding a conjuncture the tenants of the victuals.

Link to constitute path to the ANA Code of Ethics – you earn demand to scroll down to ‘Select One’ [option] to way to the page where you earn own generous path to the Code:

https://www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/

2. Discuss patent clear or practicable cultural implications for this face – from the enduring’s cultural perspective or your cultural perspective

Links to doctrines that perpend the posterity of cultural concerns in bloom wariness:

https://www.redorbit.com/news/health/1372127/transcultural_nursing_its_importance_in_nursing_practice/

https://journals.lww.com/academicmedicine/Fulltext/2003/06000/A_Strategy_to_Reduce_Cross_cultural.6.aspx

https://pdfs.semanticscholar.org/3e50/d2758210e1bd345ccf16fcf8dfcd2b1b5ec9.pdf

Barriers to Care: 

Construct a argument that summarizes the barriers/practicable barriers your enduring faces not-absolute to their force to solicit or hold bloomwariness services and examination of at smallest 3 of the ry ‘gregarious determinants of bloom’ for your enduring.

Discuss the Following:

1. The patent clear and practicable barriers you signed for your enduring 

Your argument demands to embrace observations environing path to wariness, financial barriers, and non-financial barriers over path. Be secure to arrange in-citation citations as misapply for APA title pilotlines in your argument to succor the lore that you criticismed in warranting the patent clear/practicable barriers. 

Links to expression exploring barriers

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3393009/

https://academic.oup.com/fampra/article/23/3/325/475515

https://www.careatc.com/ehs/3-common-barriers-to-quality-medical-care

2. Three pre-eminence gregarious determinants of bloom for your enduring 

Your argument demands to embrace examination of the three gregarious determinants of bloom that you signed as having the most symbolical collision on your enduring’s bloom wariness and bloom standing. Be secure to arrange in-citation citations as misapply for APA title pilotlines in your argument to succor the lore that you criticismed in warranting the gregarious determinants of bloom. 

Link to CDC’s notification on Gregarious Determinants of Health 

https://www.cdc.gov/socialdeterminants/

3. Health wariness device or advocacy leaderships bearing to your enduring’s wariness 

Include in your argument at smallest one bloom wariness device or leadership that you signed in the lore as having the practicable to unconditionally collision the signed patent clear/practicable barriers or pre-eminence gregarious determinants of bloom for your enduring. 

Resources for your ‘search’ embrace the Herzing Library, Google Scholar, PubMed, and/or the Virginia Henderson Repository https://www.nursingrepository.org/

*Evidence established usage

Evidence-Based Usage (EBP) is a cogitationful integration of the best availtalented proof, coupled succeeding a conjuncture clinical expertise. As such it enables bloom practitioners to oration bloomwariness inquirys succeeding a conjuncture an evaluative and innate adit. EBP allows the practitioner to assess vulgar and elapsed exploration, clinical pilotlines, and other notification media in enjoin to warrant bearing lore conjuncture differentiating between high-description and low-description findings. Evidence-Based Usage embraces the collision of proof and the evaluation of the effects to pilot advenient usage. 

This minority is a 1-2 section analysis of all the versed proof localized to perfect this assignment. New media, topics or ideas should not be introduced

Discuss the succeedingcited:

1. Formulate a polite-built inquiry. 

What clinical inquirys and stipulations did you use to plain your quest in the library groundsbase? 

2.  Identify doctrines and other proof-established media that exculpation the inquiry. Warrant all commencements (APA citations) used that apprised your firmness making in this feature plight. 

3. Critically survey the proof [exploration consider, proof established or clinical usage pilotlines, published wariness models, etc.] to assess its validity. Comment on the description of the exploration or proof established usage pilotlines used. What is the roll of proof? How likely is it? Is it a impartial a warning or an expected model of wariness? 

4. Apply the proof and evaluate for areas of amendment.   How valutalented was the proof in beneathneathstanding and plaining the wariness in this plight? How did it govern your firmness making? Were you talented to assess the effect? If so, are changes demanded? 

*Self-Reflection:

Reflection on firmness making:  This is an area where you seem aggravate the grounds collected and succeeding a warinessful criticism of the availtalented media (i.e. citation books, intimation readings) earn arrange a ruminateion of what dominion own been pretended or deleted that would own made this voicelessness elapsed final or perfect. This is not an area to refinement the master. Examine areas could you own alterable? What areas dominion you own pretended, possibly added inquirys you should own asked in the ROS, or added areas you may own assessed for in the PE? 

Advanced Usage Practitioner Role Analysis:  Identify the biased idiosyncratic that myriad this guile of wariness and patent clear the skillful-treatment, conjuncture including component in how you advocated for the enduring. It is altogether enjoyly, and expedient, that you myriad the fruit of the guile of wariness.  Include how an individualized adit was applied to this enduring’s wariness. As-well embrace how you signed your advocacy for the role of the Nurse Practitioner. 

*Reference Page: Follow APA pilotlines for composeing all intimation page citations and ensecure you used APA title for all in-citation citations.