Week 2: Focused Exam: Cough Results | Turned In Health Assessment - GCU - July 2020, nrs- 434vn

Week 2: Focused Exam: Cough Results | Turned In Health Assessment - GCU - July 2020, nrs- 434vn Return to Assignment Your Results Reopen Lab Pass • Overview • Transcript • Subjective Data Collection • Objective Data Collection • Education & Empathy • Documentation • Care Plan Experience Overview Patient: Danny Rivera Digital Clinical Experience Score 85% This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Student Performance Index 42.5 out of 50 Proficiency Level: Proficient • Beginning • Developing • Proficient Students rated as “beginning” are starting to develop their nursing competencies and clinical reasoning skills. In comparable nursing programs, 50% of students perform at the level of a beginning nurse. Review your results in the tabs on the left side of the page to identify areas for improvement. Students rated as “developing” demonstrate increasing clinical reasoning abilities as they apply their nursing knowledge. In comparable nursing programs, 25% of students perform at the level of a developing nurse. Review your results in the tabs on the left side of the page to identify areas for improvement. Students rated as “proficient” demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. Subjective Data Collection 21 out of 22 All Lines (234) Interview Questions (105) Statements (18) Exam Actions (111) Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Question What is the situation? 07/17/20 11:21 PM MDT Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in the Shadowville Elementary nurse's office. Your role in this simulation is that of a healthcare provider who will perform a focused history and physical examination in order to collect data, assess Danny's condition, and transfer care. In this simulation, you will be able to perform procedures not always typical to a school setting so you can gather as much data as possible. Question What are my objectives in this 07/17/20 assessment? 11:22 PM MDT Danny is very health literate and a good historian of his own health history; he can answer questions that not every child may be able to. In your interview with Danny, you will ask about the history of his presenting illness and the functioning of relevant systems in order to obtain subjective data related to his cough. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. You will also inquire into the health history of Danny's family so you can determine his genetic predisposition to any diseases. In addition to collecting subjective data, you will perform a physical exam on Danny to gather objective data about his health and physiology. Throughout the conversation, you should educate and empathize with Danny when appropriate to increase his health literacy and sense of well-being. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed. Question What else will this exam 07/17/20 involve? 11:24 PM MDT Because Danny is a pediatric patient, you will also be required to make a phone call to his guardian's home to gather additional information. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. You will then move onto the Care Plan activity, in which you will synthesize your subjective and objective data to complete the nursing process. You will develop a nursing diagnosis for Mr. Rivera's condition, identify a treatment goal, plan your interventions and evaluations, and finally assess if your goal was achieved. You may also need to call Danny's guardian again to involve them in his treatments. The Care Plan is just as important as your assessment, and the patient's well-being will be greatly affected by your diagnosis and interventions. Question How will I be evaluated? 07/17/20 11:25 PM MDT The activities evaluated by the simulation are Subjective and Objective Data Collection, Education and Empathy, and the Care Plan activity. Nursing tasks and Documentation, while they provide valuable practice for their real-world counterparts, are not automatically evaluated by the simulation. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. Your success in the Care Plan activity is based on whether you accurately identify Mr. Rivera's nursing diagnosis, select a goal most immediately beneficial to him, select and prioritize the most effective treatments, and accurately evaluate your results. The Care Plan will make up a signficant part of your grade, so be sure to carefully choose your answers based on evidence. This assignment takes on average between 80 and 100 minutes. You can pause and resume the assignment at any time; your work is always saved automatically. Question How does this assignment 07/17/20 prepare me for the real world? 11:27 PM MDT In this assessment, you will familiarize yourself with the structure and content of a cough focused exam so that with real-life patients, you can: º ask effective and comprehensive questions º obtain and assess objective data º educate and empathize with the patient º develop a nursing diagnosis º create an effective and expedient care plan º and evaluate your results to determine your goal's achievement. In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What strategies can you use to develop rapport with a pediatric patient? Statement Ask clear and short question 07/17/20 to the patient 11:29 PM MDT Time to begin. Greet Hello 07/17/20 11:30 PM MDT Hi. My name is Tin , nursing Question student and i will be 07/17/20 interviewing you today (No 11:31 PM matching questions found.) MDT My name is Tin , nursing Question student and i will be 07/17/20 interviewing you today (No 11:32 PM matching questions found.) MDT Question My name is tin 07/17/20 11:32 PM MDT Hi. Question What brought you today to the 07/17/20 Clinic today 11:32 PM MDT My music teacher Mr. Hillman sent me here because he said I look sick. I have been coughing a lot. . . and I feel kinda tired. Empathize I'm sorry to hear that 07/17/20 11:33 PM MDT Yeah, thank you. Question What is your name 07/17/20 11:33 PM MDT My name is Daniel Rivera, but I just go by Danny. Question And how old are you 07/17/20 11:33 PM MDT I'm eight. Question What is your date of birth 07/17/20 11:33 PM MDT I was born March 4th in, um . . . [Danny reports correct birth year.] Empathize I'm sorry you feel so bad 07/17/20 11:34 PM MDT Thank you. Question When did you start (Clarified to 07/17/20 When did the cough start?.) 11:34 PM MDT I think the cough started two . . . No, it started three days ago. (Clarified to when the cough started.) Can you destroy your call to Question me (No matching questions 07/17/20 found.) 11:35 PM MDT Question How often are you coughing 07/17/20 11:36 PM MDT I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night. How would you describe your cough My cough seems kind of gurgly and watery. do you have any sputum Is that the gross, slimy stuff? Yeah, I've been coughing some of that up. It's clear. 07/17/20 11:36 PM MDT Question 07/17/20 11:37 PM MDT How long does a cough last A couple seconds, I guess. [AUDIO COMING SOON] What make your cough worse I don't think anything makes my cough be worse. 07/17/20 11:37 PM MDT Question 07/17/20 11:38 PM MDT Are you exposed to anyone smoking Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it's not all the time or anything. I don't like how it smells, and I don't like that he is hurting himself. He could get sick. What make your cough better My mom gave me some medicine this morning. . . that helped my cough a little. I don't remember what it was called though, sorry. 07/17/20 11:39 PM MDT Question 07/17/20 11:39 PM MDT Can you describe the cough Question medication medicine to me 07/17/20 (Clarified to Can you describe 11:40 PM the cough medicine to me?.) MDT Um, it was purple-ish. It tasted gross. (Clarified to to describe the cough medicine.) Question Do you know how much 07/17/20 cough medicine you take 11:40 PM MDT It was just a spoonful.