American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
Discussion 3
This week you have studied cardiovascular, peripheral vascular, and respiratory advanced physical assessment. What additional resources for these advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week? American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties. Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. 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.
Example Discussion 3 Solution
Hello class,
With this week’s assessment of cardiac, peripheral vascular and respiratory systems, I came to realize that, although I work in an intensive care unit (ICU), I still need to practice with my identifying of S3, S4, murmurs and extra sounds like a mitral valve prolapse. One of the most difficult problems I’ve had to overcome have been these skills.
To master theses requires repetition, patience and lots of practice, (Bickley, 2017). In order to perform an accurate diagnosis, one needs to perform detailed assessments, investigations, and other diagnostic tests must be used in order to assist in providing an answer (Dains, Baumann, & Scheibel,).
Other resources I have used to practice on an assessment of respiratory and cardiovascular focused problems has been: Profession Skill Builder/ Heart Sounds & Murmur library. The link is . It has made it easier to practice health assessments, there are pictures and actual videos to assist in accurate performances.
The Shadow Health modules have helped me increase my proficiency with practice. I am constantly forgetting the correct questions to ask and realize I must practice repetition in order to become proficient in health assessments. As this item is an ongoing skill building process that I must focus on, I believe that Shadow Health allows one to practice not only the assessment, but the health history to allow one to sharpen ones skills.
Permalink:
References – American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
Bickley (2017). Bates’ Guide to Physical Examination and History Taking (Twelfth, North American Ed.). LWW.
Dains, J., Baumann, L., & Scheibel, P. (2016). Advanced health assessment & clinical diagnosis in primary care (5th Ed.). St. Louis, MO: Elsevier
268 words
In reply to Robert
Re: Discussion 3
As an ICU nurse myself, I also struggle with the identification of murmurs. Unless I have a patient after patient coming in with heart murmurs, it is few and far between getting a cardiac patient. I think this would be different if I were a cardiac nurse.
I can hear quite a few murmurs when I work in the NICU of issues relating to an unclosed PDA. I do remember a mnemonic one of my nursing professors told us to remember murmurs by:
RILE (right inspiration, Left expiration). Right-side heart murmurs occur during inspiration, and left side murmurs occur during expiration.
Early detection and accurately being able to identify a murmur is “just as important as gathering a patient’s history” (Thomas et al., 2020). As healthcare providers, the earlier we can detect a murmur and the etiologies associated with them, we will reduce the morbidity and mortality of patients (Thomas et al., 2020).
Reference
Thomas, S.L., Heaton, J., & Makaryus, A.N., 2020). Physiology: Cardiovascular murmurs. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK525958/
177 words
In reply to Robert
Re: Discussion 3 – American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
Hello Robert,
I was going through discussions trying to find someone who had a little difficulty with murmurs as well. I must say that it does in fact take a lot fo practice and repetition to properly identity murmurs. But, I encourage you to keep on practicing. For it is vital to hear out for murmurs since they are early detection signs! ( Thomas, 2020)
Thomas SL, Heaton J, Makaryus AN. Physiology, Cardiovascular Murmurs. [Updated 2020 Aug 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK525958/
97 words
Assignment 2
Assignment Instructions:
For this 4-5 page 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 Danny, a child who is complaining of a cough. Please submit your summary documentation in MS Word. Use the submission parameters and rubric below to guide you in completion of this written assignment.
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 a cough
- 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 font
- 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 | 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. American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment | 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. | /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 no 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.
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. American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
/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. American Sentinel N522PE Module Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
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.
/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 no 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 Three: Cardiovascular, Peripheral Vascular System & Respiratory Assessment
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