N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

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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. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

Sample Discussion 6 Approach

From this week’s readings and assessment in mental health, urinary and reproductive health I feel the most confident in my mental health assessment skills. Working in child psych has given me the opportunity to improve my interviewing and assessment skills on admissions alongside a great team with a psychiatrist whom loves teaching and a group of therapists and case managers. I’ve learned that assessment for psychiatric health requires the practitioner to observe body language as well as tone of voice and emotional cues, while also interviewing on both medical and psychiatric history. “The Mental Status Examination consists of five components: appearance and behavior; speech and language; mood; thoughts and perceptions; and cognitive function (Bickley & Szilagyi, 2017).” A difference I’ve found between mental health interviewing and medical is the type of questions asked. For example in assessing thought content, as Bickley & Szilagyi (2017) mention “follow the patient’s leads and cues rather than asking direct questions.”

For help in developing my GU assessment skills I’ve utilized the Lippincott Williams & Wilkins (2013) text. They detail the correct assessment sequence as well as abnormalities to look out for throughout. Reproductive health is an area I feel generally uneducated in throughout my career and education thus far. From what I’ve read, “primary care providers are increasingly offering reproductive health services to help address patients’ unmet contraceptive needs and improve pregnancy outcomes (Manze, et. al., 2020).” There are many benefits to improving and expending on reproductive care in the primary care setting, especially creating more access to care in underserved areas.

References

Bickley, L. S., & Szilagyi, P. G. (2017). Bates’ Guide to Physical Examination and History Taking (12th ed.). Wolters Kluwer.

Lippincott Williams & Wilkins. (2013). Assessment Made Incredibly Easy (5th ed.). Wolters Kluwer.

Manze, M.G., Romero, D.R., Sumberg, A., Gagnon, M., Roberts, L., & Jones, H. Women’s Perspectives on Reproductive Health Services in Primary Care. Fam Med. 2020;52(2):112-119. https://doi.org/10.22454/FamMed.2020.492002.

322 words

Well done. Describe the exam that may indicate pyelonephritis.

9 words

Hi Jennifer,

Crissman et. al. (2016) explored the sources where women plan to seek reproductive health services. In the study, the authors hypothesized that family clinics will remain to be the source for women health care. It was found that the poor, uneducated, uninsured as well as unmarried women will most likely be at social disadvantage in the utilization of reproductive health services. In the current health system, this generation has politicized much of the family planning services and health insurance coverage issues. This study focused on sociological and demographic factors that impact the negative outcomes of the health care services for women. The affordable act for patients’ protection has required coverage of basic women health services. The study needs to explore more on the women’s intentions to use other health care sources.
The nurse practitioners and other professional nurses have crucial role in addressing reproductive health concerns during primary care visits or even during hospital visits. As nurses, we can do an extra mile in our dealing with clients and patients. We are more than capable in safely and ethically advising the clients if we encounter health concerns during assessment even if it’s outside the clinic visit reason. In my practice, I noticed that even professional-appearing patients need education on certain health concerns. Sometimes basic knowledge that most people categorize as “common” is not common needing supportive explanation to be fully understood. It’s a daily recurrence in my practice. I’m not surprised anymore. I just offer health education when I see an opportunity for it, or sometimes I just make the opportunity. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

Reference

Crissman, H. P., Hall, K. S., Patton, E. W., Zochowski, M. K., Davis, M. M., & Dalton, V. K. (2016, January). U.S. Women’s Intended Sources for Reproductive Health Care. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4741210/.

302 words

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.

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
1. Describe the focus of this particular assessment on the patient complaining of abdominal discomfort.
Subjective Component
1. Describe the ROS, PMH, and other relevant data in this section.
Objective Component
1. Describe the physical examination findings including techniques of examination
Documented evidence to support clinical reasoning
1. Describe the list of differential diagnoses
Plan of care
1. 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)

Rubric – N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

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.	Documentation supports student completed some of the physical examination for the focused assessment of the week. Documentation is accurate but lacks depth. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4	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. N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4	/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

N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4

N522PE Mental Health Assessment & Male and Female Urinary and Reproductive Systems Assignment 4