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NR 509 Week 7 Shadow Health Focused Exam Case Cough SELF REFLECTION

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NR 509 Week 7 Shadow Health Focused Exam Case Cough SELF REFLECTION

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6/4/2018 Focused Exam: Cough | Completed | Shadow Health


Focused Exam: Cough Results | Turned In
Advanced Health Assessment - Chamberlain, NR509-April-2018
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Your Results Lab Pass




Overview Self-Reflection Activity Time: 14 min

Transcript
Explicitly describe the tasks you undertook to complete this
Subjective Data exam.
Collection

Objective Data
Student Response: I obtained a personal history from the patient in conjunction with objective
assessment; I implemented inspection, persuasion, and auscultation to evaluate and gather data about the
Collection Education &
patients current objective physical condition of chief complaint cough. The use of my critical thinking skills
to obtain a diagnosis. I asked specific questions regarding and surrounded a cough, and also inspected
Empathy Documentation
using a HEENT assessment. Also asked questions that may have aggravated or elevated the pain from a
cough.

Self-Reflection



Explain the clinical reasoning behind your decisions and tasks.


Student Response: to allow for a thorough and accurate result and outcome of the assessment
gaining the ability to complete a proper focused assessment and documentation. using all the data
obtained to establish a goal, intervention, and outcome.in order to rule out anything other than a cold such
as possible strep that is why I planned to send a throat culture to test for strep. , the steps had to be
followed for a musculoskeletal exam. Also educating the family on second smoke, along with the
medication of a cough suppressant education behind the medication. How important that education, in this
case, is due to the child's age.




Identify how your performance could be improved and how you can apply “lessons
learned” within the assignment to your professional nursing practice.


Student Response: It is essential for the lessons I am learning that will be used throughout my
practice with each patient, follow up on any irregularities or abnormal findings of the patient. Correctly
documenting all the data obtained accurately and thoroughly. in addition to not " double documentation" to
be able to spend more time with the patient.




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