American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems
American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems
Assignment 4
Assignment 4
Assignment Instructions:
For this 4-5 pages assignment, you will conduct a focused health history and physical assessment based upon your Practice Experience work in Shadow Health. Particularly, you will complete a focused assessment on Esther, an elderly patient who is complaining of abdominal discomfort. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment. American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems
Permalink: https://ulcius.com/american-sentine…oductive-systems/
Submission Parameters:
For this written assignment, please use the following guidelines and criteria. Also, please refer to the rubric for point allocation and assignment expectations. The expected length of the paper is approximately 4-5 pages, which does not include the cover page and reference page(s).
- Introduction (including purpose statement)
- Focus of the assessment
- Describe the focus of this particular assessment on the patient complaining of abdominal discomfort.
- Subjective Component
- Describe the ROS, PMH, and other relevant data in this section.
- Objective Component
- Describe the physical examination findings including techniques of examination
- Documented evidence to support clinical reasoning
- Describe the list of differential diagnoses
- Plan of care
- Describe the plan of care individualized to findings, life-span stage of development with culturally specific considerations for each focused area of assessment.
- Conclusion
- References (use primary and/or reliable electronic sources)
In regards to APA format, please use the following as a guide:
- Include a cover page and running head (this is not part of the 4-5 pages limit)
- Include transitions in your paper (i.e. headings or subheadings)
- Use in-text references throughout the paper
- Use double space, 12 point Times New Roman fonta
- Apply appropriate spelling, grammar, and organization
- Include a reference list (this is not part of the 4-5 pages limit)
- Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)
|
Competency |
20 |
18 | 16 | 0 |
Points Earned |
| Focus of the Assessment is identified with Special Considerations including Documented Focused Health History American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems | Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. | Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented. | Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic. | Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic. | /20 |
| 20 | 18 | 16 | 0 | ||
| Documented Physical Examination Findings including Techniques of Examination | Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week. | Documentation supports the student has completed the physical examination and describes the techniques of examination for the week. | Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. | No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week. | /20 |
| 20 | 18 | 16 | 0 | ||
| Documented Evidence to Support Clinical Reasoning with External Course Resources | Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week. | Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week. | Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth. | No evidence that that student has read or studied the topic. Discourse lacks depth. May be presented in a rambling manner. Content is inaccurate &/or is unclear. |
/20 |
| 20 | 18 | 16 | 0 | ||
| Individualized Plan of Care Based Upon Clinical Findings | Accurately presents an individualized plan of care based upon clinical findings. | Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted. | Presents a plan of care that is not individualized based upon the clinical findings. | A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings. | /20 |
| 5 | 4 | 3 | 0 | ||
| Developmentally and Culturally Specific | Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient. | Documents a developmentally and culturally specific assessment and plan of care. | Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. | A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems | /5 |
| 5 | 4 | 3 | 0 | ||
| Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice | Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment. | Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation. | Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment. | Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment. | /5 |
| 10 | 9 | 8 | 0 | ||
| Grammar, Spelling, and Punctuation APA Format | APA Format, grammar, punctuation and spelling is accurate with errors. | APA Format, grammar, punctuation and spelling is accurate with less than two types of errors. | APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors. | APA Format, grammar, punctuation and spelling is accurate with more than five types of errors. | /10 |
| COMMENTS: | TOTAL: | /100 | |||
Competency
20
18 16 0
Points Earned
Focus of the Assessment is identified with Special Considerations including Documented Focused Health History
Documentation clearly shows student has completed a focused assessment with identified special considerations including a well-documented focused health history. American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems
Documentation supports the student has completed the focused assessment with minimal identification of special concerns. The focused health history is documented.
Documentation supports the student has completed the focused assessment without identification of special concerns. The focused health history is documented and lacks depth and specificity of weekly topic.
Documentation supports the student attempted to complete the focused assessment without identification of special concerns. The focused health history is briefly documented and lacks depth and specificity of weekly topic.
/20
20
18
16
0
Documented Physical Examination Findings including Techniques of Examination
Documentation clearly shows student has completed the physical examination and accurately describes the techniques of examination for the week.
Documentation supports the student has completed the physical examination and describes the techniques of examination for the week.
Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth.
No evidence that the student is applying read concepts of advanced focused physical assessment. Documentation lacks depth and may lack coherence for understandability of tasks completed in this week.
/20
20
18
16
0
Documented Evidence to Support Clinical Reasoning with External Course Resources
Discourse clearly shows the student has studied the topic and has given thought to the focused assessed topic and documentation for the week.
Discourse supports the student has studied the topic and has given thought to the focused assessment topic and documentation for the week.
Discourse supports student studied some of the topic for the focused assessment topic this week. Discourse is accurate but lacks depth.
No evidence that that student has read or studied the topic.
Discourse lacks depth. May be presented in a rambling manner.
Content is inaccurate &/or is unclear.
/20
20
18
16
0
Individualized Plan of Care Based Upon Clinical Findings
Accurately presents an individualized plan of care based upon clinical findings.
Presents an individualized plan of care based upon clinical findings. Some minor omissions are noted.
Presents a plan of care that is not individualized based upon the clinical findings.
A plan of care is not presented or the plan of care presented lacks demonstration of competency or is irrelevant to the clinical findings.
/20
5
4
3
0
Developmentally and Culturally Specific
Accurately documents a developmentally and culturally specific assessment and plan of care for the selected patient.
Documents a developmentally and culturally specific assessment and plan of care.
Presents a developmentally and culturally specific assessment or plan of care and one or both are not based upon the selected patient.
A developmentally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems
/5
5
4
3
0
Demonstration of Compliance with Ethical and Legal Standards of Professional Nursing Practice
Compliance with the ethical and legal standards of professional nursing practice is explicitly stated in the documentation of the focused physical assessment.
Compliance with the ethical and legal standards of professional nursing practice is stated in the documentation.
Compliance with the ethical and legal standards of professional nursing practice is briefly implied in the documentation of the focused physical assessment or inaccuracies are evidenced in the written assessment.
Compliance with the ethical and legal standards of professional nursing practice is not included in the documentation of the focused physical assessment.
/5
10
9
8
0
Grammar, Spelling, and Punctuation APA Format
APA Format, grammar, punctuation and spelling is accurate with errors.
APA Format, grammar, punctuation and spelling is accurate with less than two types of errors.
APA Format, grammar, punctuation and spelling is accurate with five or fewer types of errors.
APA Format, grammar, punctuation and spelling is accurate with more than five types of errors.
/10
COMMENTS:
TOTAL:
/100
Discussion 6
This week you have studied mental health (psychological); urinary and reproductive systems of the male and female in advanced physical assessment. While this is a diverse set of advanced physical assessment skills where do you place your greatest level of confidence and what areas need more development. Of these areas of advanced physical assessment where to you struggle in your nursing practice most when providing patient-centered education?
Please cite sources for additional knowledge, skill development, or professional development related to reproductive health and provide additional “clinical pearls” learned this week. In other words, please include primary sources and/or reliable electronic sources to support your arguments.
Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria. American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems
Sample Solution for Discussion 6
I felt quite confident when reading chapter 19, “the pregnant woman”, as this is where the majority of my nursing practice lies. It felt good to be able to look at a picture and say what it was before reading the caption, unlike previous chapters. Even though my level of comfort was justified by my years’ experience as an obstetric nurse, I feel there is always something to be learned or tweaked to better communicate with the patient.
As an obstetrical nurse, we float to all areas within the family maternity unit. The area that I have the most difficulty with is the behavior and mental health assessments I need to utilize when caring for a patient with substance use disorders. I struggle at times when I work in the neonatal intensive care unit (NICU) interacting with moms and dads with a history of substance use disorder as many factors come into play. I don’t want to be judgmental as I want to give the best nursing care I possibly can; however, seeing these innocent infants go thru withdrawal is tough. Obtaining a neonatal abstinence score (NAS), giving these infants morphine, klonopin, as well as other medications tears me up inside.
I do find behavioral and mental health issues very interesting; however, at the same time, they are frustrating. It is so wonderful when you can make a difference while caring for these patients, but then they leave the hospital you don’t know what state of mind they are going to be in when they return to see their infant. There is a huge deficit in our country when it comes to caring and resources for patients suffering from mental illness. Many patients suffer from dual diagnosis’ who are not adequately treated, or they refuse treatment. Many primary care physicians try to treat these patients when they need professional individualized psychiatric care (Dains et al., 2016).
References
Dains, J., Baumann, L., & Scheibel, P. (2016). Advanced health assessment & clinical diagnosis in primary care (5th ed.). Mosby Elsevier.
336 words
In reply to Diane Koutavas
Re: Discussion 6
In reply to Dona Clarin
Re: Discussion 6
Depression VS Persistent Depressive Disorder
According to the American Psychiatric Association (2020) dysthymic disorder is now called persistent depressive disorder (PDD). PDD is not as severe as major depressive disorder (MDD); however, it is characterized by a low level of depression that lasts longer than MDD (2017). For depression to be classified as PPD, the patient needs to be diagnosed with having depression for a minimum of two years. Children and adolescence can be classified as having PDD if they have moods of irritability or depression continuing for at least one year (2020).
PDD often begins in childhood, adolescence, or early adulthood affecting 0.5% of adults in the United States(2020). Individuals afflicted with PDD may not feel they need help they often describe their mood as feeling “down in the dumps” just being the normalcy for them since this is a continual state of being (2020). The symptoms of PDD cause significant difficulty and distress with social activities, work, and school. The effects of PDD can be greater than the effects of MDD; however, MDD may precede the onset of PDD. Also, one may already have a diagnosis of PDD and then have an episode of MDD occurring which is then superimposed. American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive SystemsReferences
(2017). Retrieved December 31, 2016, from https://www.nimh.nih.gov/health/statistics/persistent-depressive-disorder-dysthymic-disorder.shtml
(2020). Retrieved December 31, 2019, from https://www.psychiatry.org/patients-families/depression/what-is-depression
236 words
In reply to Diane Koutavas
Re: Discussion 6
One in eight children under the age of 17 in the United States has at least one parent who has a substance use disorder (Lipari & VanHorn, 2017). The staggering numbers of these 8.7 million children are at risk for neglect, abuse, or maltreatment (Lipari & VanHorn, 2017).
Having worked in the NICU as a full-time RN, I once had a mother overdose at her infant son’s bedside that we were treating for neonatal abstinence syndrome. I admit that it is one of the hardest experiences as a nurse that I have witnessed is the helplessness of these babies withdrawing. I have also seen mothers in post-partum that are in the treatment being prescribed either methadone or suboxone. When giving their medication, they become so lethargic that they can barely care for the infant.
The importance of assessing mental health during assessments is crucial for assessing chest, abdominal, and neurological issues.
Reference
190 words
In reply to Rebecca Talley-Mullins
Re: Discussion 6
Thank you for the information and references, it is valuable to have good resources when trying to understand mental illness and addiction, “substance use disorder”. It sounds like we share the same sediments. The statistics are both unfortunate and overwhelming at the same time. As a young RN, in L&D, I had an eye opening experience, one that made me question if I was raising my son appropriately. A patient came in bleeding from an abruption, with her five year old son, (same age as mine at the time) to have an emergency cesarean after smoking crack just moments before arrival by ambulance. It was awful hearing the five year old rattle off statistics of his mother address, insurance, etc. I was astonished back then thinking my son was not as advanced as this child. I went home and hugged my son and husband, thanking God he didn’t have to be put in the same situation. Today, many years later as a seasoned RN, I find it doesn’t get any easier to deal with as it occurs more often than I’d like.
184 words American Sentinel N522PE Module Six: Mental Health Assessment & Male and Female Urinary and Reproductive Systems