American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues
American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues
Discussion 7
Caring for persons across the life span and from very diverse cultural backgrounds can present challenges in nursing practice. As you studied the ethical and legal issues related to advanced physical assessment what insights have you gained to advance your clinical reasoning? Describe knowledge gained or re-affirmed through a de-identified clinical story. American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues
Remember to respond to at least two of your peers. Please refer to the Course Syllabus for Discussion Participation Guidelines & Grading Criteria.
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Example Discussion 7 Approach and Responses
Over time with practice and experience practitioners learn how integrate the elements of clinical care , which include the ability to interview patients of all ages and backgrounds, coupled with learning the techniques of physical assessment, one is able to come up with clinical reasoning which translates to a diagnosis and a plan of care(Bickley, 2017).
Understanding cultural and age differences is part of the preparation needed before approaching a patient. One needs to maintain professionalism at all times and work at getting a patient feel relaxed and comfortable.Several steps can be applied to prepare for a physical assessment. Ensure consent for treatment is obtained. If a patient is underage, identify who the guardian is. For patients who are not able to make their own decisions please ensure a Power of Attorney document is in place and have a copy for your records. Reflect on your approach to the patient, adjust lighting and environment, check your equipment, observe standard precautions(Bickley, 2017).
Ethics education in nursing provides a critical foundation for addressing ethical questions that arise in the patient-provider relationship. These questions are many and often include central concerns surrounding truth-telling, informed consent, and protecting the rights and welfare of patients and families in decision making(Ethics Education in Nursing: Instruction for Future Generations of Nurses, 2018).
It is imperative that healthcare professionals familiarize themselves with general principles of human development from childhood to geriatric in order to understand how individuals present from an age-appropriate behavior perspective to the expectation. This is true also for cultural differences and responses of different individuals to illnesses, pain, and their relationship with healthcare providers.
Most clinicians have a sense of right and wrong, but once in a while, one encounters a situation that requires the application of ethical principles(Bickley, 2017).
I work in a home care hospice setting and in some cases, it requires constant reference to ethical principles, especially because of the setting and also the fact that most of the time we rely on families and caregivers to manage patients. This can present a challenge. I find myself deferring to other members of the interdisciplinary team for guidance.
References
425 words
In reply to Hannah
Re: discussion 7 – American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues
Bickley, L. S., & Szilagyi, P. G. (2017). Assessing children: Infancy through adolescence. In R. M. Hoffman (Ed.), Bates’ guide to physical examination and history taking (12th ed., pp. 799–925). Wolters Kluwer.
Bickley, L. S., & Szilagyi, P. S. (2017b). The older adult. In R. M. Hoffman (Ed.), Bates’ guide to physical examination and history taking (12th ed., pp. 955–1008). Wolters Kluwer.
264 words
In reply to Hannah
Re: discussion 7
Hello Hannah,
I wanted to commend you on your post. I definitely agree with your comment on how “understanding cultural differences is preparation before approaching a patient.” Ensuring that we have background information on our patients is vital, it’s important to come into any interaction open minded and ready to learn ourselves sometimes. When patients notice we are willing to work together towards one goal, the work load becomes so much easier.
Horvat L, Horey D, Romios P, Kis-Rigo J. Cultural competence education for health professionals. Cochrane Database Syst Rev. 2014 May 5;(5):CD009405. doi: 10.1002/14651858.CD009405.pub2. PMID: 24793445.
102 words
Final Project
Final Project
The Final Project (6-8 page paper) synthesizes the previous weeks’ study of advanced physical assessment by conducting a comprehensive assessment in ShadowHealth. The final project synthesis is focused upon designing evidence-based, culturally competent nursing interventions through the development of an individualized health plan. Assessment of competency is based on the Comprehensive Patient Interview, Physical Examination and Individualized Plan of Care incorporating Healthy People 2020 and evidence-based interventions and patient-centered goals.
You will use one comprehensive digital clinical experience health history and physical assessment for this assignment: Comprehensive Assessment. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment. The use of Headers in your paper is strongly encouraged.
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 6-8 pages, which does not include the cover page and reference page(s).
- Introduction (including purpose statement)
- Subjective Findings Synthesis
- Objective Findings Synthesis
- Plan of Care
- Apply one nursing theory in planning care for this patient
- Incorporate Healthy People 2020 Objectives into the plan of care prioritized to meet the health needs of the patient
- Document evidence to support clinical reasoning for selected evidence-based plan of care
- Plan of care is individualized to findings, life-span stage of development with culturally specific considerations, and patient-centered.
- 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 6-8 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 font
- Apply appropriate spelling, grammar, and organization
- Include a reference list (this is not part of the 6-8 pages limit)
- Attempt to use primary sources only. That said, you may cite reliable electronic sources (i.e. NCSBN, AANP)
The Final Project documentation is due in Week Seven. Please see the Final Project below to help you complete the assignment. American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues
Final Project Rubric
|
Competency |
20 |
18 |
16 |
0 |
Earned/ Possible Points |
| The history, assessment and key findings are synthesized | Documentation clearly shows student has completed a comprehensive assessment with a written synthesis of key findings. | Documentation supports the student has completed the comprehensive assessment with key findings. American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues | Documentation supports the student has completed the assessment without documentation of key findings. | Documentation supports the student attempted to complete the comprehensive assessment without identification of key findings. The comprehensive health history is briefly documented and lacks depth and specificity. | /20 |
| 20 | 18 | 16 | 0 | ||
| Documented Prioritized Physical Examination Findings | Documentation clearly shows student has completed the physical examination with findings prioritized. | Documentation supports the student has completed the physical examination with findings. | Documentation supports student completed some of the physical examination. 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. | /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 in developing the final plan of care with one nursing theory applied and integration of Healthy People 2020. | Discourse supports the student has studied the topic and has given thought in developing the final plan of care. Lacks integration of either one applied nursing theory or integration of Healthy People 2020. | Discourse supports student studied some of the topic, however, lacks detail and depth in developing the final plan of care. Lacks integration of either one applied nursing theory or integration of Healthy People 2020. |
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. No use of one applied nursing theory or integration of Healthy People 2020. |
/20 |
| 20 | 18 | 16 | 0 | ||
| Individualized and Prioritized Plan of Care is 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 development-ally and culturally specific assessment and plan of care for the selected patient. | Documents a development-ally and culturally specific assessment and plan of care. | Presents a development-ally and culturally specific assessment or plan of care and one or both are not based upon the selected patient. | A development-ally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings. | /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 comprehensive 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 comprehensive 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 physical assessment. American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues | /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
Earned/ Possible Points
The history, assessment and key findings are synthesized
Documentation clearly shows student has completed a comprehensive assessment with a written synthesis of key findings.
Documentation supports the student has completed the comprehensive assessment with key findings.
Documentation supports the student has completed the assessment without documentation of key findings.
Documentation supports the student attempted to complete the comprehensive assessment without identification of key findings. The comprehensive health history is briefly documented and lacks depth and specificity. American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues
/20
20
18
16
0
Documented Prioritized Physical Examination Findings
Documentation clearly shows student has completed the physical examination with findings prioritized.
Documentation supports the student has completed the physical examination with findings.
Documentation supports student completed some of the physical examination. 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.
/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 in developing the final plan of care with one nursing theory applied and integration of Healthy People 2020.
Discourse supports the student has studied the topic and has given thought in developing the final plan of care. Lacks integration of either one applied nursing theory or integration of Healthy People 2020.
Discourse supports student studied some of the topic, however, lacks detail and depth in developing the final plan of care.
Lacks integration of either one applied nursing theory or integration of Healthy People 2020.
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. No use of one applied nursing theory or integration of Healthy People 2020.
/20
20
18
16
0
Individualized and Prioritized Plan of Care is 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. American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues
/20
5
4
3
0
Developmentally and Culturally Specific
Accurately documents a development-ally and culturally specific assessment and plan of care for the selected patient.
Documents a development-ally and culturally specific assessment and plan of care.
Presents a development-ally and culturally specific assessment or plan of care and one or both are not based upon the selected patient.
A development-ally and culturally specific assessment and plan of care are not presented or based upon the selected patient’s findings.
/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 comprehensive 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 comprehensive 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 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 American Sentinel N522PE Module Seven: Special Topics – Life-Span Assessments, Ethics & Legal Issues