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NR 305 Week 7 Debriefing SOLUTION
Typology: Exams
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Week i7: iDebriefing ithe iWeek i 6
iHead ito iToe iAssessment
iAssignmentiPlease iconsider ithe
ifollowing iin iyour iinitial ipost:
1. Please ishare ihow iphysical iassessment iis iperformed iin iyour ipractice iarea. iHow ido iyou idetermine iwhat itype iof iphysical iassessment iis iappropriate iin icaring ifor iyour ipatients? iDo iyou iperform icomplete ihead ito itoe iassessments, ior iare ithey itypically imore ifocused iexams? i (If iyou ido inot icurrently iwork iin ia ipatient icare isetting, iyou imay ireflect ion iobservations ifrom ia iclinical iexperience ior iprior iwork isetting.)
In imy icurrent inursing ipractice, iI ido inot ido iphysical iassessments. iI ifocus imy iinitial iassessment ion isocial, ifinancial, iand ieducational ineeds iof iour iinsurance imembers. iI ilink iour ipatients ito iother iservices, isuch ias icommunity iprograms ior imedication iresources, iand iprovide ieducation irelated ito imedical idiagnosis iand itesting.
Before ithis iposition, iI iworked ias ithe ionly iRN iin ia ibusy iprimary icare ioffice. iI ihad ithree imedical iassistants iand ione inurse. iAs ithe isingle inurse iin ithe ioffice, iI iwas iresponsible ifor iall imedication iand itesting iauthorizations, iscreening iand itriaging iphone icalls, iand inursing itasks iin ithe ioffice. iI iperformed ia ifocused iassessment ion ithe ipatients iin ithe idoctor's ioffice. iI iwould ihelp ito ido ithe iinitial iappointment iintake, idetermining iwhat iissues ibrought ithe ipatient iinto ithe ioffice, iassess ivital isigns, iand iI iwould imake isure ito iask iif ithere iwere iany imedication
iissues iat ihome. iI iwould iask iour ipatients iwho ihad idiabetes ihow itheir iblood isugars ihave ibeen iand ioften ireview itheir ilog irecords iwith ithem ibefore ithe idoctor icame iin ithe iroom. iI ialso iwould iexamine itheir ifeet ifor iany iskin ichanges ior isigns iof ivascular iproblems, iand iuse imonofilament ito itest isensation ion ithe ifeet ifor ipatientsiwith idiabetes, iand irelay iany iconcerns ito ithe idoctor. iI iagree iwith ione iarticle ithat iI ireviewed iwhen iit istated i“When iasked iif ithey iwould iinspect itheir ifeet iregularly, ithe imajority istated ithat ithey idid inot iperform ithe iinspection iof ithose ilimbs ior ionly iperformed iit isporadically” i(Saraiva iLucoveis, iAntar iGamba, iBoccara ide iPaula i& ida iSilva iMorita, i2018, ip. i3045). iMany itimes ithe idoctor iwould iredo ithat icheck ito iensure imy iobservations iwere icorrect. iI iwould iassess iany iskin iconditions, isuch ias iwounds ior irashes iso ithat iI icould iinform ithe idoctor ibefore ihis iexam iof iwhat ithe iarea ilooks ilike, iand iI icould ianticipate iwhat idressing isupplies imight ibe ineeded iafter ithe iexam iwas icompleted. iI iwas iresponsible ifor iteaching ipatients ihow ito iuse iglucometers iand iother imedical idevices i(including iinsulin ipens, iinhalers, iand inebulizers). iI ihad ipatients ithat iwould ischedule ia inurse ivisit ifor ispecific imedical isituations, isuch ias ia idressing ichange, iinjection iof imedications, ior ian ieducation isession. iDuring ithese inursing iappointments, iI iwould iassess ithe icurrent ilevel iof iunderstanding iof ithe iproblem, iassess itheir ipresent ivital isigns, iand ireview ihow ithey ihave ibeen imanaging iat ihome ibetween idoctor ivisits. iMany itimes, iI iwould ihave ithe ipatient istay iin ithe ismall iroom iwhile iI iwent ito ithe idoctor ito iobtain ian iorder ifor ia ireferral i(home icare iwas ithe imost icommon ireferral).
Based ion imy iobservations, iI ifeel ithat ipatient iassessments iperformed iin ithat iarea iof inursing ipractice iwere iappropriate, ibut ione imust ikeep ialert ifor iobjective ifindings ithat ido inot imatch ithe isubjective istatements. i“It’s iimportant ito iconsider ithat inot iall isituations irequire itraditional isolutions” i(Lockhart i& iDavis, i2014, ip. i18). iMost ioften iwhen ipatients iare icoming ito ithe iPCP, ithey iare icoming ifor ia iwellness icheck, imedication irefill, ior ifor ia icurrent/acute iissue ior iconcern.
Thinking iback ito ithe ivideo iassignment, iI ifelt ia ibit iintimidated ihonestly. iI itruly iam inot isure ihow iI idid ion ithis iassignment. iI iwas ivery inervous iandifound imyself ilooking istraight iahead ior ioff ito ithe iside itrying ito iremember ieverything ithat iwas ineeded ifor ithis iassignment. iI ihave ibeen ia inurse isince i2004, iand ihave idone icountless iassessments, ibut ithe ithoughts iin imy imind iincluded i"this iis iworth i 200 ipoints-don't iforget ianything" iand i"Don't iforget ito icheck iX, iY,
This istudy isource iwas idownloaded iby i 100000813254427 ifrom iCourseHero.com ion i09-08-2021 i13:26:09 iGMT i-05:
https://www.coursehero.com/file/42396341/NR305-Week-7-Debriefing-the-Week-6-Head-to-Toe-Assessment-Assignmentdocx/