2/23/22, 9:23 AM Topic: Week 2 Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
NR 305 WEEK 2 DISCUSSION: REFLECTION ON THE NURSES RPLE IN HEALTH ASSESSMENT
(GRADED)
This is a graded discussion: 50 points possible
due Jan 17, 2021
Week 2 Discussion: Reflection on the Nurse’s Role in Health
Assessment (Graded)
70 84
Purpose
The purpose of this reflection is for learners to reflect on the nurse's role in health assessment in various care
settings.
Course Outcomes
This reflection enables the student to meet the following course outcomes:
CO 1: Demonstrate a head to toe physical assessment. (PO 1)
CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual's health status. (PO 1)
Due Date
During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):
Posts in the discussion at least two times, and
Posts in the discussion on two different days
Points Possible
50 points
Directions
Reflection is an activity that involves your deep thought into your own experiences related to the concepts of
the week. Answers should be detailed. In reflections students:
Demonstrate understanding of concepts for the week
Engage in meaningful dialogue with classmates and/or instructor
Express opinions clearly and logically, in a professional manner
Use the rubric on this page as you compose your answers.
Scholarly sources are NOT required for this reflection
Best Practices include:
Participation early in the week is encouraged to stimulate meaningful discussion among classmates and
Top
instructor.
Enter the reflection often during the week to read and learn from posts.
Select different classmates for your reply each week.
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 1/47
,2/23/22, 9:23 AM Topic: Week 2 Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
Reflection Questions
Reflect on your current or prior practice setting.
Paragraph One: Briefly describe the type(s) of nursing health assessments you commonly
perform.
Explain how your nursing health assessments are focused or comprehensive.
Provide examples of key subjective and objective data collected by nurses in this setting.
Paragraph Two: Describe the typical patient population in your practice setting.
What are some special considerations that you have used for obtaining an accurate health
history and physical assessment in this patient population?
Examples may include age, lifestyle, financial status, health status, culture, religion,
or spiritual practices.
Grading
To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the
discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.
This topic is closed for comments.
Search entries or author Unread Subscribed
(https://
Stacy Owens
(https://chamberlain.instructure.com/courses/74479/users/1431)
Jan 7, 2021
Hi Class,
This week's reflection will allow us to explore similarities and differences in nursing assessments in various
practice settings. Please feel free to share examples from your own practice, as this is a great way for us to learn
from each other.
Contact me anytime if you have any questions related to the posting requirements or any other course concerns.
Here's to a great week!
Top
Stacy
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 2/47
,2/23/22, 9:23 AM Topic: Week 2 Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
***You may begin posting in this discussion on Sunday, January 10th, 2021 for
credit.***
(http
Alisha Kriech
(https://chamberlain.instructure.com/courses/74479/users/188424)
Jan 11, 2021
Week 2 Discussion: Reflection on the Nurse's Role in Health Assessment
Health assessment in nursing is the evaluation of a patient’s health status by performing a physical exam
after taking a health history. Understanding the different types of health assessments is the key to identifying
the specific needs for your patient. I have worked in the emergency department for the last four years and I
have used a variety of health assessments such as comprehensive and focused assessments. These
assessments are based on the triage level of the patients. In the emergency room we use four levels of
acuity including non-urgent, less-urgent, urgent, emergent or resuscitation. As we are triaging a patient, we
are able to obtain subjective and objective data. When the patient arrives, we ask about biographical data,
personal/ family health history and reasons for seeking healthcare. While obtaining the symptoms that the
patient is experiencing, we are able to observe the patient’s physical appearance. This will help appropriately
decide what triage level the patient will be. An example of an emergent patient would be when an elderly
patient comes in for severe chest pain with a history of cardiac stents and myocardial infarction. This patient
could be experiencing symptoms such as difficulty breathing, diaphoresis, clammy skin and guarding their
chest which are all objective data. Subjective data that the patient could be experiencing includes chest pain,
dizziness, fatigue, indigestion or nausea. This patient will receive more of a comprehensive assessment than
someone who comes in because they fell and hurt their right arm. Someone with an arm injury would be
considered a less-urgent patient and would have a focused assessment performed. Subjective data of this
patient includes 10/10 pain with an achy, throbbing feeling to the arm. Objective data may include deformity
to the arm, abrasions, swelling, redness, bruising, capillary refill and a palpable radial pulse.
In the emergency department, there is no typical patient population. We care for a variety of patients. To
name a few, we care for pediatrics up to geriatrics. We also care for patients who are homeless, who have
psych disorders and even religious preferences. There are special considerations in each population. For
pediatric patients, we rely on the parents for their child’s health history and reasons for seeking healthcare.
For geriatrics, patients may have an altered mental status. In this case, calling a family member and asking
the patients neurological baseline might be appropriate in order to fully understand the patients’ health
concern. Patients who are homeless are most often able to verbalize their concerns, however helping them
with a prescription they may need might be necessary. If a psychiatric patient is unable to verbalize the
medications they usually take for their mental health, calling their pharmacy might help to facilitate getting
them back on their medications. In any healthcare setting, a nurse must be un-biased about patients’
religious preferences. If a patient’s blood count is low and they are in need for a blood transfusion, a nurse
may offer verbal benefits of the transfusion. However, if the patient declines, this is their preference. All in all,
I feel that the emergency Top
department allows nurses to see a global view of patients and I believe this has
improved my assessment skills tremendously.
(http
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 3/47
, 2/23/22, 9:23 AM Topic: Week 2 Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
Taylor Richardson
(https://chamberlain.instructure.com/courses/74479/users/125853)
Jan 17, 2021
Alisha,
Thank you for sharing your experience in the ER, i have always enjoyed the ER from my rotations in
nursing school to getting pulled there from my unit. I love the fast-paced setting and i feel it has help me
build my skills at more focused assessments as i feel that is the most important thing with the large
number of patients coming through the ER on any given day. I also agree with a lot of the points you
made in your second paragraph about the difficulites associated with the different patient populations.
We see a lot of homeless people with mental illness at the hospital i work at because we are in an urban
area close to downtown, where there is a large homeless population. It can be very hard and trying on
nurses knowing that these patients dont have the resources or even the mental capacity to take care of
themselves and their medications once they leave the hospital which often leads to readmission. In
these cases we work closley with the social workers to try to find placement for this population but it
seems in the city i live in there just isnt enough resources out there. Also one of the hardest populations
we deal with is when elderly patients come in without family who are alert and oriented to self, which
makes it very hard to get a full and accurate comprehensive health assessment. We as nurses have to
work even harder to make sure we dont miss anything which im sure you are familiar with working in the
ER. Thanks again for sharing!
(https://
Breanna Guenther
(https://chamberlain.instructure.com/courses/74479/users/182600)
Jan 10, 2021
“As practicing nurses, it's easy to fall into the routine of diligently filling out the required intake or admission forms
for a patient, without stopping to really think about the reason we are asking our patients for such detailed (and
sometimes quite personal) information.” (Lesson 1). We need to remember this is a new patient and we need to
look at them with a fresh set of eyes. A typical assessment I complete is on newborn infants. The first initial
assessment, I complete a head to toe on infant. We tend to look of course for different things with infant such as
reflex's, birthmarks, port wine stains, suture lines, muscle tone, skin tags, pinpoint marks on the ears and sacral
dimples. This would be some examples our objective data. Subjective data we look for can be infant bonding with
parents, Care givers response to infant, reported family history of genetic disorders, home environment, siblings
and parent's work schedule. “The transition to parenthood is rife with unfamiliar challenges, as parents cope with
sleep deprivation, redefine their social lives, and learn to meet their infants' needs.” (Borelli, Nelson-Coffey and
River, 2019). Basically, there is
Topa lot going on and we need to give the parents some grace.
The two types of populations I typically care for are pregnant women and infants when I work labor and delivery.
Most of our information becomes intertwined. We have the mother and the infant post-delivery. We receive most
of our subjective data from the mother and the infant will mostly go home with the mother. My job is very
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 4/47
NR 305 WEEK 2 DISCUSSION: REFLECTION ON THE NURSES RPLE IN HEALTH ASSESSMENT
(GRADED)
This is a graded discussion: 50 points possible
due Jan 17, 2021
Week 2 Discussion: Reflection on the Nurse’s Role in Health
Assessment (Graded)
70 84
Purpose
The purpose of this reflection is for learners to reflect on the nurse's role in health assessment in various care
settings.
Course Outcomes
This reflection enables the student to meet the following course outcomes:
CO 1: Demonstrate a head to toe physical assessment. (PO 1)
CO 3: Describe physical, psychosocial, cultural, and spiritual influences on an individual's health status. (PO 1)
Due Date
During the assigned week (Sunday the start of the assigned week through Sunday the end of the assigned week):
Posts in the discussion at least two times, and
Posts in the discussion on two different days
Points Possible
50 points
Directions
Reflection is an activity that involves your deep thought into your own experiences related to the concepts of
the week. Answers should be detailed. In reflections students:
Demonstrate understanding of concepts for the week
Engage in meaningful dialogue with classmates and/or instructor
Express opinions clearly and logically, in a professional manner
Use the rubric on this page as you compose your answers.
Scholarly sources are NOT required for this reflection
Best Practices include:
Participation early in the week is encouraged to stimulate meaningful discussion among classmates and
Top
instructor.
Enter the reflection often during the week to read and learn from posts.
Select different classmates for your reply each week.
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 1/47
,2/23/22, 9:23 AM Topic: Week 2 Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
Reflection Questions
Reflect on your current or prior practice setting.
Paragraph One: Briefly describe the type(s) of nursing health assessments you commonly
perform.
Explain how your nursing health assessments are focused or comprehensive.
Provide examples of key subjective and objective data collected by nurses in this setting.
Paragraph Two: Describe the typical patient population in your practice setting.
What are some special considerations that you have used for obtaining an accurate health
history and physical assessment in this patient population?
Examples may include age, lifestyle, financial status, health status, culture, religion,
or spiritual practices.
Grading
To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the
discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.
This topic is closed for comments.
Search entries or author Unread Subscribed
(https://
Stacy Owens
(https://chamberlain.instructure.com/courses/74479/users/1431)
Jan 7, 2021
Hi Class,
This week's reflection will allow us to explore similarities and differences in nursing assessments in various
practice settings. Please feel free to share examples from your own practice, as this is a great way for us to learn
from each other.
Contact me anytime if you have any questions related to the posting requirements or any other course concerns.
Here's to a great week!
Top
Stacy
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 2/47
,2/23/22, 9:23 AM Topic: Week 2 Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
***You may begin posting in this discussion on Sunday, January 10th, 2021 for
credit.***
(http
Alisha Kriech
(https://chamberlain.instructure.com/courses/74479/users/188424)
Jan 11, 2021
Week 2 Discussion: Reflection on the Nurse's Role in Health Assessment
Health assessment in nursing is the evaluation of a patient’s health status by performing a physical exam
after taking a health history. Understanding the different types of health assessments is the key to identifying
the specific needs for your patient. I have worked in the emergency department for the last four years and I
have used a variety of health assessments such as comprehensive and focused assessments. These
assessments are based on the triage level of the patients. In the emergency room we use four levels of
acuity including non-urgent, less-urgent, urgent, emergent or resuscitation. As we are triaging a patient, we
are able to obtain subjective and objective data. When the patient arrives, we ask about biographical data,
personal/ family health history and reasons for seeking healthcare. While obtaining the symptoms that the
patient is experiencing, we are able to observe the patient’s physical appearance. This will help appropriately
decide what triage level the patient will be. An example of an emergent patient would be when an elderly
patient comes in for severe chest pain with a history of cardiac stents and myocardial infarction. This patient
could be experiencing symptoms such as difficulty breathing, diaphoresis, clammy skin and guarding their
chest which are all objective data. Subjective data that the patient could be experiencing includes chest pain,
dizziness, fatigue, indigestion or nausea. This patient will receive more of a comprehensive assessment than
someone who comes in because they fell and hurt their right arm. Someone with an arm injury would be
considered a less-urgent patient and would have a focused assessment performed. Subjective data of this
patient includes 10/10 pain with an achy, throbbing feeling to the arm. Objective data may include deformity
to the arm, abrasions, swelling, redness, bruising, capillary refill and a palpable radial pulse.
In the emergency department, there is no typical patient population. We care for a variety of patients. To
name a few, we care for pediatrics up to geriatrics. We also care for patients who are homeless, who have
psych disorders and even religious preferences. There are special considerations in each population. For
pediatric patients, we rely on the parents for their child’s health history and reasons for seeking healthcare.
For geriatrics, patients may have an altered mental status. In this case, calling a family member and asking
the patients neurological baseline might be appropriate in order to fully understand the patients’ health
concern. Patients who are homeless are most often able to verbalize their concerns, however helping them
with a prescription they may need might be necessary. If a psychiatric patient is unable to verbalize the
medications they usually take for their mental health, calling their pharmacy might help to facilitate getting
them back on their medications. In any healthcare setting, a nurse must be un-biased about patients’
religious preferences. If a patient’s blood count is low and they are in need for a blood transfusion, a nurse
may offer verbal benefits of the transfusion. However, if the patient declines, this is their preference. All in all,
I feel that the emergency Top
department allows nurses to see a global view of patients and I believe this has
improved my assessment skills tremendously.
(http
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 3/47
, 2/23/22, 9:23 AM Topic: Week 2 Discussion: Reflection on the Nurse’s Role in Health Assessment (Graded)
Taylor Richardson
(https://chamberlain.instructure.com/courses/74479/users/125853)
Jan 17, 2021
Alisha,
Thank you for sharing your experience in the ER, i have always enjoyed the ER from my rotations in
nursing school to getting pulled there from my unit. I love the fast-paced setting and i feel it has help me
build my skills at more focused assessments as i feel that is the most important thing with the large
number of patients coming through the ER on any given day. I also agree with a lot of the points you
made in your second paragraph about the difficulites associated with the different patient populations.
We see a lot of homeless people with mental illness at the hospital i work at because we are in an urban
area close to downtown, where there is a large homeless population. It can be very hard and trying on
nurses knowing that these patients dont have the resources or even the mental capacity to take care of
themselves and their medications once they leave the hospital which often leads to readmission. In
these cases we work closley with the social workers to try to find placement for this population but it
seems in the city i live in there just isnt enough resources out there. Also one of the hardest populations
we deal with is when elderly patients come in without family who are alert and oriented to self, which
makes it very hard to get a full and accurate comprehensive health assessment. We as nurses have to
work even harder to make sure we dont miss anything which im sure you are familiar with working in the
ER. Thanks again for sharing!
(https://
Breanna Guenther
(https://chamberlain.instructure.com/courses/74479/users/182600)
Jan 10, 2021
“As practicing nurses, it's easy to fall into the routine of diligently filling out the required intake or admission forms
for a patient, without stopping to really think about the reason we are asking our patients for such detailed (and
sometimes quite personal) information.” (Lesson 1). We need to remember this is a new patient and we need to
look at them with a fresh set of eyes. A typical assessment I complete is on newborn infants. The first initial
assessment, I complete a head to toe on infant. We tend to look of course for different things with infant such as
reflex's, birthmarks, port wine stains, suture lines, muscle tone, skin tags, pinpoint marks on the ears and sacral
dimples. This would be some examples our objective data. Subjective data we look for can be infant bonding with
parents, Care givers response to infant, reported family history of genetic disorders, home environment, siblings
and parent's work schedule. “The transition to parenthood is rife with unfamiliar challenges, as parents cope with
sleep deprivation, redefine their social lives, and learn to meet their infants' needs.” (Borelli, Nelson-Coffey and
River, 2019). Basically, there is
Topa lot going on and we need to give the parents some grace.
The two types of populations I typically care for are pregnant women and infants when I work labor and delivery.
Most of our information becomes intertwined. We have the mother and the infant post-delivery. We receive most
of our subjective data from the mother and the infant will mostly go home with the mother. My job is very
https://chamberlain.instructure.com/courses/74479/discussion_topics/2383383?module_item_id=10690686 4/47
